入院时中风患者肌肉质量较低,降低了出院时的行走能力
Keisuke Sato1, Kiyoshi Wakugami2, Tsuyoshi Iwata2
1Ginowan-kinen Hospital, 3-3-13 Ginowan, Ginowan City, Okinawa, 901-2211, Japan; Chuzan Hospital Clinical Education and Research Center, 6-2-1 Matsumoto, Okinawa City, Okinawa, 904-2151, Japan; Department of Rehabilitation Medicine, Aichi Medical University Graduate School of Medicine, 1-1 Yazakokarimata, Nagakute-city, Aichi, 480-1195, Japan.
Clinical nutrition ESPEN
|May 22, 2024
概括
骨肌肉质量指数显著影响中风患者的行走功能. 较高的骨肌肉质量指数与更好的独立步行和更快的步行速度有关,这表明有针对性的干预可以改善移动性.
科学领域:
- 老年医学 老年医学
- 神经学 神经学
- 康复科学 康复科学 康复科学
背景情况:
- 减少骨肌肉质量是对姿势稳定性和移动性的担忧.
- 骨肌肉质量指数 (SMI) 是肌肉健康的关键指标.
- 在中风后的患者中,走路功能受损是常见的.
研究的目的:
- 为了研究骨肌肉质量指数和中风患者的行走功能之间的关系.
- 为了确定SMI是否影响中风后的独立步行和步行速度.
主要方法:
- 这项研究包括了174名65岁及以上脑梗塞患者.
- 根据既定的标准,参与者被分为低SMI和高SMI组.
- 步行功能通过独立步行能力和步行速度来评估.
主要成果:
- 独立行走能力与入院时的SMI有显著的关联.
- SMI独立地与舒适和最快的步行速度相关联.
- 较高的SMI水平与两种性别的更快的步行速度有关.
结论:
- 低骨肌肉质量指数是中风幸存者的行走功能改善的负面预测指标.
- 旨在增加骨肌肉质量的干预措施可以提高中风患者的行走功能和恢复.
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