Deans' stroke musings: Correlation of Body Composition and Nutritional Status with Functional Recovery in Stroke Rehabilitation Patients

Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Saturday, July 4, 2020

Correlation of Body Composition and Nutritional Status with Functional Recovery in Stroke Rehabilitation Patients

Completely useless, NO PROTOCOL, NO NOTHING. Nothing here will help a survivor recover.

Correlation of Body Composition and Nutritional Status with Functional Recovery in Stroke Rehabilitation Patients

Hiroshi Irisawa 1,2,* and

Takashi Mizushima 1

1 Department of Rehabilitation Medicine, Dokkyo Medical University, 880, Kitakobayashi, Mibu, Shimotsuga, Tochigi 3210293, Japan; mizusima@dokkyomed.ac.jp

2 Department of Rehabilitation Medicine, Setagaya Memorial Hospital, 2-30-10, Noge, Setagaya, Tokyo 1580092, Japan

* Correspondence: irisawah@dokkyomed.ac.jp; Tel.: +81-282872170
Received: 9 June 2020; Accepted: 28 June 2020; Published: 29 June 2020

Abstract:

Previous studies have suggested that the nutritional status after stroke is independently associated with long term outcomes and that sarcopenia delays post stroke rehabilitation and worsens the prognosis. However, many stroke patients have a deteriorated nutritional status and a decreased muscle mass in the acute phase. This prospective study included 179 patients who were admitted to the stroke rehabilitation unit. We performed bioelectrical impedance analysis and determined the Geriatric Nutritional Risk Index (GNRI) to assess muscle mass and the nutritional status on admission. Furthermore, we analyzed the activities of daily living using the Functional Independence Measure (FIM) at the time of admission and four weeks later. Furthermore, we evaluated the change in motor FIM items and examined the relationship with the data. Multiple regression analysis revealed that a high muscle rate (skeletal muscle mass/body weight) (odds ratio OR = 2.43), high phase angle (OR = 3.32), and high GNRI (OR = 2.57) were signiﬁcantly associated with motor FIM items at four weeks in male and female patients. Muscle mass maintenance through nutritional management and early rehabilitation in the acute period of stroke is essential for functional recovery in stroke patients. (HOW?)