ID | 113124 |
Title Alternative | Changes in lower extremity muscle mass among with post-stroke hemiplegia
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Author |
Tamura, Ayako
The University of Tokushima
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Takata, Shinjiro
The University of Tokushima
Kuwamura, Yumi
The University of Tokushima
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Bando, Takae
The University of Tokushima
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Kondo, Hiroko
The University of Tokushima
Yasui, Natuo
The University of Tokushima
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Nagahiro, Shinji
The University of Tokushima
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Keywords | acute post-stroke period
hemiplegia
lower extremity muscle
disuse muscle atrophy
dual energy X-ray Absorptiometry(DXA)
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Content Type |
Journal Article
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Description | The present study analyzed16patients who were bedridden for one week immediately after onset of post-stroke hemiplegia. We used DXA(dual energy X-ray absorptiometry)to determine changes in muscle mass in the lower extremities on both paralyzed and non-paralyzed sides. The first measurement was conducted 3 to 5 days after the onset, and the second measurement was conducted 7 days after the first. Muscle mass in the lower extremities was reduced by approximately 600g (9%) on the paralyzed side with and by 200g on the non-paralyzed side (3%) in the Brunnstrom stage≤II group (n=5). Although the decrease of muscle mass in the Brunnstrom stage≥III group(n=11, relatively slight degree of functional motion impairment)was not significant, a decrease of approximately 300g (decrease rate : 5%)was observed on the paralyzed side and approximately 100g (decrease rate : 1.5%)was seen on the non-paralyzed side. Hence, muscle mass declined on both sides, and this occurred regardless of degree of paralysis. The findings suggested that conventional range of motion exercises, functional position maintenance, and postural changes are inadequate to prevent disuse muscle atrophy in post-stroke patients ; thus, it is necessary to develop a new rehabilitation program which adopts different exercises such as trunk motion, even for patients in the acute stage after stoke onset.
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Journal Title |
The Journal of Nursing Investigation
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ISSN | 13483722
24342238
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NCID | AA11937122
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Publisher | 徳島大学医学部
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Volume | 5
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Issue | 1
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Start Page | 18
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End Page | 21
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Sort Key | 18
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Published Date | 2006-09-30
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EDB ID | |
FullText File | |
language |
eng
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TextVersion |
Publisher
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departments |
Medical Sciences
University Hospital
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