Association between Skeletal Muscle Mass Index and Convalescent Rehabilitation Ward Achievement Index in Older Patients

Arai, Hideki; Ikegawa, Naoya; Nozoe, Masafumi; Kamiya, Kohei; Matsumoto, Satoru

doi:10.2490/prm.20220003

Cited by 7 publications

(30 citation statements)

References 22 publications

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“…In this context, we observed that programs were applied to people with very different diseases (from hip fracture to stroke). On the other hand, other studies in the hospital context [ 30 , 41 ] and welfare/nursing homes [ 35 , 50 ] included patients (mostly older) with disuse syndrome, irrespective of the underlying cause [ 12 , 16 ]. Two studies [ 42 , 51 ] were specifically applied in the ICU context, demonstrating the importance of rehabilitation in intensive care to be performed as soon as possible [ 57 , 58 ].…”

Section: Discussionmentioning

confidence: 99%

“…Some manifestations are spatial-temporal disorientation, confusion, loss of automatic postural control, gait, and anatomic functional abnormalities. The latter involves all organs and apparatus and has psychological and metabolic repercussions [ 11 , 12 ].…”

Section: Introductionmentioning

confidence: 99%

“…This would involve early identification of the clinical signs associated with the development of immobilization syndrome and targeted interventions stressing mobilization, such as the prescription of simple exercises integrated into rehabilitation programs [ 15 ]. According to the available evidence, rehabilitation treatment can improve independence in patients with disuse syndrome; irrespective of the underlying cause [ 12 , 16 ]. Early mobilization is also an essential intervention among these patients.…”

Section: Introductionmentioning

confidence: 99%

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Physical Rehabilitation Programs for Bedridden Patients with Prolonged Immobility: A Scoping Review

Cardoso

Parola

Neves

et al. 2022

IJERPH

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Bedridden patients usually stay in bed for long periods, presenting several problems caused by immobility, leading to a long recovery process. Thus, identifying physical rehabilitation programs for bedridden patients with prolonged immobility requires urgent research. Therefore, this scoping review aimed to map existing physical rehabilitation programs for bedridden patients with prolonged immobility, the rehabilitation domains, the devices used, the parameters accessed, and the context in which these programs were performed. This scoping review, guided by the Joanna Briggs Institute’s (JBI) methodology and conducted in different databases (including grey literature), identified 475 articles, of which 27 were included in this review. The observed contexts included research institutes, hospitals, rehabilitation units, nursing homes, long-term units, and palliative care units. Most of the programs were directed to the musculoskeletal domain, predominantly toward the lower limbs. The devices used included lower limb mobilization, electrical stimulation, inclined planes, and cycle ergometers. Most of the evaluated parameters were musculoskeletal, cardiorespiratory, or vital signs. The variability of the programs, domains, devices and parameters found in this scoping review revealed no uniformity, a consequence of the personalization and individualization of care, which makes the development of a standard intervention program challenging.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Physical Rehabilitation Programs for Bedridden Patients with Prolonged Immobility: A Scoping Review

Cardoso

Parola

Neves

et al. 2022

IJERPH

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“…Exclusion criteria were patients with no SMI data and bed-ridden patients (Functional Independence Measure motor [FIM-motor] score of 13 at admission). The FIM is constructed in two domains: motor domain with 13 items and cognitive domains (FIM-cognitive) with 5 items 6,13 . Based on the level of independence, each items is scored on a scale of 1–7, with 1 indicating complete need of care and 7 indicating complete independence 6,13 …”

Section: Methodsmentioning

confidence: 99%

“…Skeletal muscle mass index (SMI) is the measurement calculated by appendicular muscle mass and height 6,7 . Loss of SMI and muscle weakness are key criteria for the diagnosis of sarcopenia 6,8 .…”

mentioning

confidence: 99%

Association between skeletal muscle mass index and falls in patients with functional impairment

Arai

Nozoe

Kamiya

et al. 2023

Am J Phys Med Rehabil

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Objective This study aimed to assess the association between skeletal muscle mass index and falls in patients with functional impairment. Design This retrospective cohort study was implemented at a convalescent rehabilitation ward. Patients with no measurement of skeletal muscle mass index and bed-ridden patients were excluded from this study. Patients were dichotomized into the low skeletal muscle mass index group and the high skeletal muscle mass index group. The occurrence of fall was assessed according to skeletal muscle mass index groups. Results Out of the 327 included patients, 231 (71%) were assigned to the low skeletal muscle mass index group. In total, 66 patients (20%) experienced at least one fall, and a total of 102 falls occurred. The incidence of falls for the low skeletal muscle mass index group was not significantly greater than that for the high skeletal muscle mass index group (4.9 per 1000 patient-days vs. 4.5 per 1000 patient-days, P = 0.9). Low skeletal muscle mass index was not significantly associated with one or more incidents of falls (OR (95% CIs) = 0.6 (0.3–1.17)). Conclusion This study found that skeletal muscle mass index was not significantly associated with falls in patients undergoing convalescent rehabilitation.

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Novel body component score predicts long‐term survival in patients with stage I–III colorectal cancer following radical resection

Aida,

Kamada,

Hata

et al. 2024

Annals of Gastroent Surgery

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BackgroundIn gastrointestinal cancer, the relationship among skeletal muscle, subcutaneous and visceral fat mass, and prognosis is gaining attention. Herein, we developed a body component score (BCS) to comprehensively evaluate total body composition in patients with stage I–III colorectal cancer (CRC) and examined its relationship with long‐term prognosis.MethodsThis retrospective study included 300 patients with CRC who underwent curative colorectal resection in 2010–2019. The BCS included skeletal muscle index (SMI), subcutaneous fat area (SFA), visceral fat area (VFA), fatty liver, and pancreatic fatty replacement, measured by preoperative computed tomography. The BCS was calculated as the sum of each score from 0 to 5; patients were grouped into low (score 0–1), medium (score 2–3), and high (score 4–5) BCS. Multivariate Cox proportional hazard models assessed disease‐free (DFS) and cancer‐specific survival (CSS) in these patients.ResultsMultivariate analysis showed that T3 or T4 tumors (p = 0.038), pathological stage III (p < 0.001), and low BCS [p = 0.016; hazard ratio (HR), 1.95; 95% confidence interval (CI), 1.13–3.35] were independently associated with DFS, whereas pathological stage III (p < 0.001) and low BCS (p = 0.001; HR, 3.14; 95% CI, 1.57–6.27) were independent prognostic factors for CSS. Patients with a low BCS had significantly worse DFS (p < 0.001) and CSS (p < 0.001), according to the log‐rank test for trends.ConclusionsThe BCS may effectively predict prognosis in patients with CRC.

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Association between Skeletal Muscle Mass Index and Convalescent Rehabilitation Ward Achievement Index in Older Patients

Cited by 7 publications

References 22 publications

Physical Rehabilitation Programs for Bedridden Patients with Prolonged Immobility: A Scoping Review

Physical Rehabilitation Programs for Bedridden Patients with Prolonged Immobility: A Scoping Review

Association between skeletal muscle mass index and falls in patients with functional impairment

Novel body component score predicts long‐term survival in patients with stage I–III colorectal cancer following radical resection

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