Body composition and physical function after progressive resistance and balance training among older adults after stroke: an exploratory randomized controlled trial

Vahlberg, Birgit; Lindmark, Birgitta; Zetterberg, Lena; Hellström, Karin; Cederholm, Tommy

doi:10.1080/09638288.2016.1191551

Cited by 17 publications

(13 citation statements)

References 47 publications

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“…This finding suggests that the muscle loss observed in the sarcopenia group was not solely due to the loss of muscle in the affected hemiplegic side. This result corresponds to recent findings by Vahlberg et al [21]; the study reported that BMI showed low total muscle mass and body fat after stroke. In addition, Chang et al [22] reported that SMM was significantly lower in both paralytic and non-paralytic limbs in most patients with disabilities.…”

Section: Discussionsupporting

confidence: 93%

Association Between Length of Stay in the Intensive Care Unit and Sarcopenia Among Hemiplegic Stroke Patients

et al. 2021

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Objective To discuss the association between the length of stay at the intensive care unit (ICU) and sarcopenia among hemiplegic stroke patients. Methods This study evaluated 66 hemiplegic stroke patients with history of ICU admission using handgrip strength and bioelectrical impedance analysis to obtain height-adjusted appendicular skeletal muscle mass. The diagnosis of sarcopenia was made according to the muscle mass based on the Asian Working Group for Sarcopenia. The patients were divided into sarcopenic and non-sarcopenic groups. The two groups were statistically analyzed, and the significant factors with differences were studied. A multivariate logistic regression analysis was performed to examine the association between length of stay in the ICU and sarcopenia, after adjusting for potential confounders. Results Among 66 hemiplegic patients with an ICU admission history, 12 patients were diagnosed with sarcopenia. Sarcopenia patients showed lower scores on the Korean version of the Modified Barthel Index and the Korean version of the Mini-Mental State Examination. Additionally, patients with sarcopenia had a longer length of stay in the ICU, and univariate and multivariate analyses confirmed that the ICU length of stay was significantly related to sarcopenia (adjusted odds ratio=1.187; 95% confidence interval, 1.019-1.382; p=0.028). Conclusion The length of stay in the ICU was significantly associated with sarcopenia in hemiplegic stroke patients.

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Section: Discussionsupporting

confidence: 93%

Association Between Length of Stay in the Intensive Care Unit and Sarcopenia Among Hemiplegic Stroke Patients

et al. 2021

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“…The positive impact of telerehabilitation on motor function has been supported by other literature that also found positive outcomes [31, 32]. A systematic review by Langhorne, Coupar and Pollock [31] investigated the effect of common rehabilitation methods on motor recovery.…”

Section: Discussionmentioning

confidence: 82%

“…They found positive outcomes for interventions such as constraint induced movement therapy, task specific training and training with a moving platform. Similarly, an RCT by Vahlberg et al [32] investigated the effectiveness of progressive resistance and balance training for patients with chronic stroke, which resulted in improvement in motor function. An interesting finding in this systematic review was the lack of impact of telerehabilitation on balance.…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of telerehabilitation in the management of adults with stroke: A systematic review

et al. 2019

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BackgroundStroke is a leading cause of mortality and morbidity and access to timely rehabilitation can reduce morbidity and help patients to return to normal life. Telerehabilitation can deliver rehabilitation services with the use of technology to increase patient options, deliver services more efficiently and overcome geographical barriers to healthcare access. Despite its popularity, there is conflicting evidence for its effectiveness. Therefore, the aim of this systematic review was to update the current evidence base on the effectiveness of telerehabilitation for stroke.MethodsA systematic search of databases (Medline Ovid; Embase; Emcare; Scopus; The Cochrane Library; PEDro; OTSeeker) was conducted in April 2018 (updated in October 2018). This review was conducted and reported in line with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement and methodology registered with PROSPERO (CRD42018090445). A modified McMaster critical appraisal tool for quantitative studies was used to assess the methodological quality of the included studies. Given the heterogeneity of the included studies, a descriptive synthesis was conducted.ResultsOut of 1868 studies, 13 randomised controlled trials met the inclusion criteria. A diverse range of interventions were delivered through a variety of telerehabilitation systems and the effectiveness measured through a myriad of outcome measures. Summarised findings from the heterogeneous evidence base indicate that telerehabilitation may have a positive impact on a range of primary and secondary outcomes. However, despite these positive findings, the current evidence lacks clarity and uniformity in terms of intervention parameters and measurement of outcomes, which limits broader application of these results.DiscussionTelerehabilitation, as an alternate form of rehabilitation for people with stroke, shows potential. However, due to methodological and practical concerns, an unequivocal recommendation cannot be made. Findings from this review may inform future policies and practices regarding the use of telerehabilitation for stroke patients.

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“…Systolic and diastolic blood pressure (SBP, DBP) was measured using a mercury sphygmomanometer at a resting state. Fat mass (FM, kg) and fat-free mass (FFM, kg) were measured by Tanita Bioelectrical Impedance MC-180 Analysis (Tanita Corp, Tokyo, Japan), with which FMI [FM (kg)/height (m 2 )] and FFMI [FFM (kg)/height (m 2 )] were calculated as previously described [ 20 , 21 ].…”

Section: Methodsmentioning

confidence: 99%

Higher Ratio of Abdominal Subcutaneous to Visceral Adipose Tissue Related with Preservation of Islet β-Cell Function in Healthy Individuals

Liu

et al. 2017

International Journal of Endocrinology

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Objective To investigate the relationship between abdominal adipose tissue distribution, β-cell function, and insulin sensitivity (IS) in a Chinese population. Methods One hundred and eighty-eight healthy subjects (healthy group), 239 with normal glucose, and 1~4 abnormal metabolic traits (metabolic dysfunction group, MD group) and 125 with hyperglycemia (hyperglycemia group) were studied. HOMA-IR, HOMA-B, Matsuda index, early- (I0–30/G0–30) and late-phase (I30–120/G30–120) insulin responses and the corresponding disposition indexes (DI) were calculated. The area of abdominal subcutaneous adipose tissue (ASAT) and visceral adipose tissue (VAT) was measured and the ratio of ASAT to VAT (SVR) was calculated. Results SVR was correlated positively with Matsuda index in healthy, MD, and hyperglycemia groups, and inversely with HOMA-IR. SVR positively related with both early- and late-phase DI in the healthy group only. In the healthy group, the hyperbolas of I0–30/G0–30 and I30–120/G30–120 versus Matsuda index in the highest quarter of SVR were significantly right shifted compared to those in the lowest (both P < 0.05). Conclusions In healthy adults, higher SVR was a protective factor for β-cell function and IS, while in those with glucometabolic abnormality, higher SVR contributed to a relative better IS, indicating SVR is possible to be an early predicator of type 2 diabetes development.

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Body composition and physical function after progressive resistance and balance training among older adults after stroke: an exploratory randomized controlled trial

Cited by 17 publications

References 47 publications

Association Between Length of Stay in the Intensive Care Unit and Sarcopenia Among Hemiplegic Stroke Patients

Association Between Length of Stay in the Intensive Care Unit and Sarcopenia Among Hemiplegic Stroke Patients

Effectiveness of telerehabilitation in the management of adults with stroke: A systematic review

Higher Ratio of Abdominal Subcutaneous to Visceral Adipose Tissue Related with Preservation of Islet β-Cell Function in Healthy Individuals

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