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评估慢性卒中患者与卒中相关的肌肉减少症:临床评估工具的识别——一项试点研究。

Assessing Stroke-Related Sarcopenia in Chronic Stroke: Identification of Clinical Assessment Tools-A Pilot Study.

作者信息

Arnal-Gómez Anna, Cortés-Amador Sara, Ruescas-Nicolau Maria-Arantzazu, Carrasco Juan J, Pérez-Alenda Sofía, Santamaría-Balfagón Ana, Sánchez-Sánchez M Luz

机构信息

Physiotherapy in Motion, Multispeciality Research Group (PTinMOTION), Department of Physiotherapy, Faculty of Physiotherapy, University of Valencia, Gascó Oliag n 5, 46010 Valencia, Spain.

Faculty of Physiotherapy, University of Valencia, Gascó Oliag n 5, 46010 Valencia, Spain.

出版信息

Biomedicines. 2023 Sep 22;11(10):2601. doi: 10.3390/biomedicines11102601.

DOI:10.3390/biomedicines11102601
PMID:37892976
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10604487/
Abstract

Stroke-related sarcopenia has recently been defined as the muscle atrophy consequent to stroke and assessing it following the guidelines with simple clinical tools is crucial in chronic stroke survivors. The aim of this study was to determine the characteristics of patient-friendly instruments sarcopenia in a chronic stroke sample (SG) compared to non-stroke counterparts (CG). Each participant underwent a single assessment which consisted of: SARC-F questionnaire, assessment of muscle strength (hand grip and five-times sit-to-stand test, 5STS), the calf circumference (CC) of both legs, the short physical performance battery (SPPB), and the 10 m walk test. A total of 68 participants were included (SG, n = 34 and CG, n = 34). All variables showed statistical differences ( < 0.05) between the SG and the CG, except handgrip although it showed lower values for SG. The values of the 5STS (16.26 s) and the SPPB (7 points) were below to the cutoff values for the SG. The five-times sit-to-stand test, SPPB, and gait speed can lead clinicians to detect stroke-related sarcopenia. Maximum handgrip shows a trend of low values for men and women in the SG, however, CC did not detect sarcopenia in our sample.

摘要

与中风相关的肌肉减少症最近被定义为中风后导致的肌肉萎缩,对于慢性中风幸存者而言,按照指南使用简单的临床工具对其进行评估至关重要。本研究的目的是确定与非中风对照组(CG)相比,慢性中风样本(SG)中对患者友好的肌肉减少症评估工具的特征。每位参与者都接受了一次评估,评估项目包括:SARC-F问卷、肌肉力量评估(握力和五次坐立试验,5STS)、双腿小腿围(CC)、简短体能状况量表(SPPB)以及10米步行试验。总共纳入了68名参与者(SG组,n = 34;CG组,n = 34)。除握力外,所有变量在SG组和CG组之间均显示出统计学差异(< 0.05),尽管SG组的握力值较低。SG组的5STS值(16.26秒)和SPPB值(7分)低于临界值。五次坐立试验、SPPB和步速可帮助临床医生检测与中风相关的肌肉减少症。SG组中男性和女性的最大握力均呈现低值趋势,然而,在我们的样本中CC未能检测出肌肉减少症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/353e/10604487/385f05ee481c/biomedicines-11-02601-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/353e/10604487/385f05ee481c/biomedicines-11-02601-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/353e/10604487/385f05ee481c/biomedicines-11-02601-g001.jpg

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