生物电阻抗分析
医学
冲程(发动机)
肌萎缩
骨骼肌
人体测量学
肌肉萎缩
物理医学与康复
心脏病学
物理疗法
内科学
体质指数
机械工程
工程类
作者
Nobuto Nakanishi,Kazuki Okura,Masatsugu Okamura,Keishi Nawata,Ayato Shinohara,Kohei Tanaka,Sho Katayama
标识
DOI:10.1016/j.jstrokecerebrovasdis.2021.105736
摘要
Abstract
Objectives
Muscle mass at admission is important to survive stroke, and stroke-induced sarcopenia is a serious problem because of its poor prognosis. Muscle mass measurement and monitoring are essential for appropriate rehabilitation and nutrition management. However, few reviews are available about the muscle mass measurement and monitoring after stroke. Material and methods
Several methods are used to assess skeletal muscle mass in stroke, such as computed tomography (CT), ultrasound, bioelectrical impedance analysis, dual-energy X-ray absorptiometry, biomarkers, and anthropometrics. We summarized the current methods and clinical applications in stroke. Results
In stroke, a head CT is used to estimate muscle mass by measuring the temporal muscle. However, it can be conducted retrospectively due to radiation exposure. After stroke, limb muscle atrophy and diaphragm dysfunction are observed using ultrasound. However, ultrasound requires an understanding of the methods and skill. A bioelectrical impedance analysis can be used to assess muscle mass in patients after a stroke unless they have dynamic fluid changes. Dual-energy X-ray absorptiometry is used for follow-up after hospital discharge. Urinary titin N-fragment and serum C-terminal agrin fragment reflect muscle atrophy after stroke. Anthropometrics may be useful with limited resources. Conclusions
We summarized the features of each measurement and proved the recent evidence to properly measure and monitor skeletal muscle mass after stroke.
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