NDLI: Changes in Quadriceps Muscle Thickness, Disease Severity, Nutritional Status, and C-Reactive Protein after Acute Stroke.

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The Relevance of Nutritional Status and Inactivity to Changes in Quadriceps Muscle Thickness in Patients after Acute Stroke.

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Changes in Quadriceps Muscle Thickness, Disease Severity, Nutritional Status, and C-Reactive Protein after Acute Stroke.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Nozoe, Masafumi Kanai, Masashi Kubo, Hiroki Kitamura, Yuka Yamamoto, Miho Furuichi, Asami Takashima, Sachie Mase, Kyoshi Shimada, Shinichi
Description	Author Affiliation: Nozoe M ( Department of Physical Therapy, Faculty of Nursing and Rehabilitation, Konan Women's University, Kobe, Japan); Kanai M ( Department of Rehabilitation, Itami Kousei Neurosurgical Hospital, Itami, Japan.); Kubo H ( Department of Rehabilitation, Itami Kousei Neurosurgical Hospital, Itami, Japan.); Kitamura Y ( Department of Rehabilitation, Itami Kousei Neurosurgical Hospital, Itami, Japan.); Yamamoto M ( Department of Rehabilitation, Itami Kousei Neurosurgical Hospital, Itami, Japan.); Furuichi A ( Department of Rehabilitation, Itami Kousei Neurosurgical Hospital, Itami, Japan.); Takashima S ( Department of Physical Therapy, Faculty of Nursing and Rehabilitation, Konan Women's University, Kobe, Japan.); Mase K ( Department of Physical Therapy, Faculty of Nursing and Rehabilitation, Konan Women's University, Kobe, Japan.); Shimada S ( Department of Neurosurgery, Itami Kousei Neurosurgical Hospital, Itami, Japan.)
Abstract	BACKGROUND: Lower leg muscle wasting is common in stroke patients; however, patient characteristics in the acute phase are rarely studied. This study aimed to examine the relationship between changes in quadriceps muscle thickness and disease severity, nutritional status, and C-reactive protein (CRP) levels after acute stroke. METHODS: Thirty-one consecutive patients with acute intracerebral hemorrhage or ischemic stroke had quadriceps muscle thickness measured in the paretic and nonparetic limbs within 1 week after admission (first week) and 2 weeks after the first examination (last week) using ultrasonography. We also determined the relationship between the percentage change in muscle thickness and disease severity, nutritional status, and CRP levels on admission. RESULTS: There was a significant correlation between changes in muscle thickness for both paretic and nonparetic sides and National Institutes of Health Stroke Scale (NIHSS) scores (paretic limb: r = -.46, P = .01; nonparetic limb: r = -.54, P = .002, respectively); however, there was no significant correlation with nutritional status on admission. Quadriceps muscle thickness was reduced more in the CRP-positive (≥.3 mg/dL) patients than in the CRP-negative (<.3 mg/dL) patients in the nonparetic limb (positive: -21.4 ± 12.1, negative: -11.4 ± 16.4%; P = .039), but not in the paretic limb (positive: -23.4 ± 9.0, negative: -19.1 ± 15.7; P = .27). CONCLUSIONS: A high NIHSS score and a positive CRP on admission were both significantly correlated with decreased quadriceps muscle thickness after acute stroke. Nutritional status on admission was not correlated with changes in quadriceps muscle thickness for these patients.
File Format	HTM / HTML
ISSN	10523057
Issue Number	10
Journal	Journal of Stroke and Cerebrovascular Diseases
Volume Number	25
e-ISSN	15328511
Language	English
Publisher	Elsevier
Publisher Date	2016-10-01
Publisher Place	United States
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Discipline Cardiology
Content Type	Text
Resource Type	Article
Subject	Rehabilitation Neurology (clinical) Surgery Cardiology and Cardiovascular Medicine

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