Muscular Atrophy in the Hemiplegic Thigh in Patients After Stroke

Overview

Journal Am J Phys Med Rehabil

Specialty Rehabilitation Medicine

Date 2003 Oct 21

PMID 14566154

Citations 19

Authors

Norifumi Metoki

Yoshihiro Sato

Kei Satoh

Ken Okumura

Jun Iwamoto

Affiliations

Soon will be listed here.

Abstract

Objectives: This study evaluated muscular atrophy in the hemiplegic limbs by assessing the muscle volume of the thighs in stroke patients.

Design: Muscle volume of the bilateral thighs was determined by computed tomographic scanning in 50 hemiplegic patients after stroke.

Results: The average muscle volume in the hemiplegic side was significantly lower than that in the nonhemiplegic side. When the patients were divided into the two groups aged <65 yr old and >/=65 yr, age-dependent reduction in the muscle volume was significant only in the nonhemiplegic side. In addition, the ratio of the muscle volume in hemiplegic side to that in non-hemiplegic side was lower in the younger group than in the older group, with close to significance (P = 0.07). Muscle volume in both hemiplegic and nonhemiplegic sides correlated positively with Barthel index and negatively with patient age.

Conclusion: Muscle volume decreases in the hemiplegic side in stroke patients.

Citing Articles

Structural and pathophysiological muscle changes up to one year after post-stroke hemiplegia: a systematic review.

Aze O, Ojardias E, Akplogan B, Giraux P, Calmels P Eur J Phys Rehabil Med. 2023; 59(4):474-487.

PMID: 37695037 PMC: 10548887. DOI: 10.23736/S1973-9087.23.07844-9.

Electrical impedance myography combined with quantitative assessment techniques in paretic muscle of stroke survivors: Insights and challenges.

Gong Z, Lo W, Wang R, Li L Front Aging Neurosci. 2023; 15:1130230.

PMID: 37020859 PMC: 10069712. DOI: 10.3389/fnagi.2023.1130230.

Muscle Electrical Impedance Properties and Activation Alteration After Functional Electrical Stimulation-Assisted Cycling Training for Chronic Stroke Survivors: A Longitudinal Pilot Study.

Hu C, Wang T, Leung K, Li L, Tong R Front Neurol. 2022; 12:746263.

PMID: 34975713 PMC: 8716001. DOI: 10.3389/fneur.2021.746263.

Ultrasound Evaluation of the Rectus Femoris for Sarcopenia in Patients with Early Subacute Stroke.

Choi Y, Im S, Park G J Clin Med. 2021; 10(14).

PMID: 34300174 PMC: 8303354. DOI: 10.3390/jcm10143010.

Serial sarcomere number is substantially decreased within the paretic biceps brachii in individuals with chronic hemiparetic stroke.

Adkins A, Dewald J, Garmirian L, Nelson C, Murray W Proc Natl Acad Sci U S A. 2021; 118(26).

PMID: 34172565 PMC: 8256086. DOI: 10.1073/pnas.2008597118.