The Relationship Of Distal Femoral Cartilage And Quadriceps Muscle Thickness With Functional Status And Sarcopenia İn Patients With Stroke
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 48
- 试验地点
- 1
- 主要终点
- Distal Femoral Cartilage Measurement
研究概览
简要总结
introduction:The aim of this study was to show the relationship of distal femoral cartilage and quadriceps thicknesses with functional status and presence of sarcopenia in ambulatory stroke patients with voluntary movement.
Materials and Method: Forty-eight patients who were diagnosed with stroke due to cerebrovascular disease, had started voluntary movement, and had a motor recovery of 3 or above according to Brunnstrom's Staging were included in this cross-sectional study.
详细描述
Forty-eight patients who were diagnosed with stroke due to cerebrovascular disease, had started voluntary movement, and had a motor recovery of 3 or above according to Brunnstrom's Staging were included in this cross-sectional study. Bilateral distal femoral cartilage thickness and quadriceps femoris (rectus femoris+vastus intermedius) thickness were measured by ultrasonography. In addition, A Simple Questionnaire to Rapidly Diagnose Sarcopenia (SARC-F questionnaire), hand grip strength, muscle mass measurement with Dual energy X-ray absorptiometry (DXA), short physical performance battery (KFPB) tests were performed and the presence of sarcopenia The European Working Group on Sarcopenia in Older People-2 (EWGSOP- 2) were evaluated according to the criteria. Patients' Functional Independence Scale (FIM), Functional Ambulation Scale (FAS), Barthel Index and modified ashworth scale (MAS) were evaluated.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Cross Sectional
入排标准
- 年龄范围
- 34 Years 至 89 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Between 18 and 90 years old
- •Presence of a history of ischemic or hemorrhagic stroke (based on CT and/or magnetic resonance imaging (MRI) report)
- •Brunnstrom hemiplegia recovery staging, stage 3≥
排除标准
- •History of recurrent cerebrovascular accident
- •More than 2 years have passed since the history of cerebrovascular accident
- •Inflammatory arthritis or any other rheumatic disease
- •History of trauma to the knee (cruciate ligament or meniscus trauma)
- •Previous knee surgery
- •Pre-stroke neurological gait disorder
- •Lower extremity amputation
- •Knee joint contracture
结局指标
主要结局
Distal Femoral Cartilage Measurement
时间窗: once at the beginning
Horizontal imaging was performed from the suprapatellar region using the patient in the supine position with the knees at maximum flexion, and the femoral cartilage thickness was measured three times separately from 3 different locations: medial, intercondylar and lateral, and the averages were be recorded.
Quadriceps Femoris Muscle Thickness Measurement
时间窗: once at the baseline
Each participant was scanned in a relaxed supine position. The examiner placed the probe on the anterior aspect of the thigh, perpendicular to its long axis at a point midway between the anterior superior iliac spine and the proximal end of the patella according to a previous study.The examiner identified the subcutaneous adipose tissue, rectus femoris, vastus intermedius, and the femur. Excess gel was applied to the skin to minimize distortion.
次要结局
- Brunnstrom Stages of Stroke Recovery(once at the baseline)
- Modified Ashworth Scale(once at the baseline)
- Barthel Index for Activities of Daily Living(once at the baseline)
- Evaluation of Muscle Mass(once at the baseline)
- Evaluation of Muscle Strength(once at the baseline)
- Functional Independence Scale(once at the beginning)
- Functional Ambulation Scale(once at the baseline)
- Evaluation of Muscle Performance(once at the beginning)
研究者
Havva Talay Çalış
Prof. Dr.
Kayseri City Hospital