Deans' stroke musings: Assessment of disuse atrophy during periods of prolonged bed rest in patients with mild ischemic stroke with bioelectrical impedance analysis

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.

Sunday, December 10, 2017

Assessment of disuse atrophy during periods of prolonged bed rest in patients with mild ischemic stroke with bioelectrical impedance analysis

I didn't understand anything here.

Assessment of disuse atrophy during periods of prolonged bed rest in patients with mild ischemic stroke with bioelectrical impedance analysis

Y. Asahara

Correspondence information about the author Y. Asahara

T. Nakayama

M. Kitamura

I. Imafuku

Yokohama Rosai Hospital, Department of Neurology, Yokohama-shi, Japan

DOI: http://dx.doi.org/10.1016/j.jns.2017.08.3331

Background:

We keep acute cerebral infarction patients in bed for several days to maintain cerebral blood flow.
Objective:

We studied whether disuse atrophy occurs during the bed rest period in the patients with mild ischemic stroke.
Patients and Methods/Material and Methods:

We investigated 26 patients who were admitted to our hospital from Oct 2015 to March 2017. Their National Institutes of Health Stroke Scale score was under 7, and they were under 80 years old and gave consent. We treated them with 4 days in the supine position, and after that we gradually raised the upper half of their beds to angle of 90 degrees. We administrated rehabilitation during this period. We investigated them with bioelectrical impedance analysis (BIA) over a 7 cm below and above section from the center of the thigh, and obtained the muscle cross sectional area index (MCAI), which reflects muscle volume. Measurements were taken 2 to 3 times over a period of 5 days. Any data, which changed more than or less than 20 % from the previous measurement data was excluded. We analyzed the first and last day of the 5 days data period using the paired t-test. This study was carried out in accordance with the Human Research Guideline of the Internal Ethics Review Board of our hospital.
Results:

The averaged MCAI impaired side did not change significantly from 0.821 to 0.804 (p=0.249).
Conclusion:

In the patients with mild cerebral stroke, the administration of bed-side rehabilitation may prevent the occurrence of the disuse atrophy during the bed rest period.