Longitudinal changes in muscle strength and mass after acute stroke.
| dc.contributor.author | Carin-Levy, Gail | |
| dc.contributor.author | Greig, Carolyn | |
| dc.contributor.author | Young, Archie | |
| dc.contributor.author | Lewis, Susan | |
| dc.contributor.author | Hannan, Jim | |
| dc.contributor.author | Mead, Gillian | |
| dc.contributor.sponsor | The Stroke Association | |
| dc.date.accessioned | 2018-06-29T21:41:49Z | |
| dc.date.available | 2018-06-29T21:41:49Z | |
| dc.date.issued | 2006-02 | |
| dc.description | We are grateful to the Stroke Association UK for funding this project, to Dr. Arthur Stewart for his advice on anthropometric methodology and to the patients who took part in this study. | |
| dc.description.abstract | BACKGROUND: Reduced mobility after stroke may cause a loss of muscle mass which may, in theory, contribute to disability. We investigated longitudinal changes in muscle strength, lean cross-sectional area and muscle mass in all limbs after acute stroke. METHODS: We recruited 17 patients within 72 h of hospital admission and measured (a) hand grip strength, (b) knee extensor strength and (c) arm and leg lean cross-sectional area on 6 occasions over 6 months. Appendicular and total muscle mass (dual-energy X-ray absorptiometry) were measured at 3 weeks and 6 months. RESULTS: There was no significant change over time in the strength, lean cross-sectional area and muscle mass of the arms or legs. We noted that muscle strength was substantially lower in all limbs compared with population norms. CONCLUSION: We found no evidence of a decline in muscle strength or mass in any limb after the stroke, which could have been attributed to reduced mobility. The observed muscle weakness in the ipsilateral side may have pre-dated the stroke. | |
| dc.description.eprintid | 120 | |
| dc.description.faculty | sch_occ | |
| dc.description.ispublished | pub | |
| dc.description.number | 3 | |
| dc.description.referencetext | 1 Appell HJ: Muscular atrophy following immobilisation. Sports Med 1990; 10: 42-58. 2 Greig CA, Savaridas T, Saunders D, Joseph S, Young A, Mead GE: Lower limb muscle strength and power output following stroke. Age Ageing 2003; 32(suppl 1):34. 3 Andrews AW, Bohannon RW: Distribution of muscle strength impairments following stroke. Clin Rehabil 2000; 14: 79-87. 4 Colebatch JG, Gandevia SC: The distribution of muscular weakness in upper motor neuron lesions affecting the arm. Brain 1989; 112: 749- 763. 5 Newham DJ, Hsiao SF: Knee muscle isometric strength, voluntary activation and antagonist co-contraction in the fi rst six months after stroke. Disabil Rehabil 2001; 23: 379-386. 6 Harris ML, Polkey MI, Bath PMW, Moxham J: Quadriceps muscle weakness following acute hemiplegic stroke. Clin Rehabil 2001; 15: 274- 281. 7 Jorgensen L, Jacobsen BK: Changes in muscle mass fat mass and bone mineral content in the legs after stroke: a 1 year prospective study. Bone 2001; 28: 655-659. 8 Ryan AS, Dobrovolny CL, Smith GV, Silver KH, Macko RF: Hemiparetic muscle atrophy and increased intramuscular fat in stroke patients. Arch Phys Med Rehabil 2002: 83: 1703- 1707. 9 Skelton DA, Greig CA, Davies JM, Young A: Strength, power and related functional ability of healthy people aged 65-89 years. Age Ageing 1994; 23: 371-377. 10 Skelton D, Young A, Walker A, Hoinville E: Physical activity in later life: further analysis of the Allied Dunbar National fi tness survey and the Health Education Authority survey of activity and health. London, Physical Activity Research, 1999. 11 International Standards for Anthropometric Assessment: The International Society for the Advancement of Kinanthropometry, Australia, 2001. 12 Tothill P, Stewart AD: Estimation of thigh muscle and adipose tissue volume using magnetic resonance imaging and anthropometry. J Sports Sci 2002; 20: 563-576 (erratum appeared in J Sports Sci 2003; 21: 231). 13 Edwards RHT, Young A, Hosking GP, Jones DA: Human skeletal muscle function description of tests and normal values. Clin Sci 1977; 52: 283-290. 14 Greig CA, Young A, Skelton DA, Pippet E, Butler FMM, Mahmud SM: Exercise studies with elderly volunteers. Age Ageing 1994; 23: 185-189. 15 Kim J, Wang Z, Heymsfi eld SB, Baumgartner RN, Gallagher D: Total body skeletal muscle mass estimation by a new dual energy X-ray absorptiometry method. Am J Clin Nutr 2002; 76: 378-383. 16 Hamrin E, Eklund G, Hillgren A-K, Borges O, Hall J, Hellstrom O: Muscle strength and balance in post-stroke patients. Upsala J Med Sci 1982; 87: 11-26. 17 Bohannon RW, Andrews AW: Limb strength is impaired bilaterally after stroke. J Phys Ther Sci 1995; 7: 1-7. 18 Hatano S: Experience from a multicentre stroke register: a preliminary report. Bull WHO 1976; 54: 541-553. | |
| dc.description.status | pub | |
| dc.description.volume | 21 | |
| dc.format.extent | 201-207 | |
| dc.identifier | ER120 | |
| dc.identifier.citation | Carin-Levy, G., Greig, C., Young, A., Lewis, S., Hannan, J. and Mead, G. (2006) ‘Longitudinal changes in muscle strength and mass after acute stroke’, Cerebrovascular Diseases, 21(3), pp. 201–207. Available at: https://doi.org/10.1159/000090792. | |
| dc.identifier.doi | http://10.1159/000090792 | |
| dc.identifier.issn | 1015-9770 | |
| dc.identifier.uri | https://doi.org/10.1159/000090792 | |
| dc.identifier.uri | https://eresearch.qmu.ac.uk/handle/20.500.12289/120 | |
| dc.relation.ispartof | Cerebrovascular diseases (Basel, Switzerland) | |
| dc.subject | Stroke Muscle strength Muscle mass | |
| dc.title | Longitudinal changes in muscle strength and mass after acute stroke. | |
| dc.type | article | |
| dcterms.accessRights | restricted | |
| qmu.author | Carin-Levy, Gail | |
| rioxxterms.type | article |
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