Deans' stroke musings: Improvement in sarcopenia is positively associated with recovery of independence in urination and defecation in patients undergoing rehabilitation after stroke

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 18, 2022

Improvement in sarcopenia is positively associated with recovery of independence in urination and defecation in patients undergoing rehabilitation after stroke

Well then write this up as a protocol and get it delivered to all 10 million yearly stroke survivors now and into the future. The 17% of stroke patients having this want it cured. Without this followup your research was totally wasted.

Improvement in sarcopenia is positively associated with recovery of independence in urination and defecation in patients undergoing rehabilitation after stroke

https://doi.org/10.1016/j.nut.2022.111944 Get rights and content

Highlights

•: Incontinence is common in older people, leading to poor quality of life.
•: Sarcopenia frequently occurs in patients undergoing rehabilitation and is associated with urinary and defecation prognosis.
•: Improvement in sarcopenia and muscle strength may have a positive impact on urinary independence in patients after stroke.
•: Improvement in muscle strength may have a positive impact on defecation independence in these patients.
•: Multidisciplinary sarcopenia treatment should be implemented in addition to conventional rehabilitation for these patients.

Abstract

Objective

This study aimed to examine the association between improvement in sarcopenia and the recovery of urinary and defecatory independence in patients undergoing convalescent rehabilitation.

Method

A retrospective cohort study was conducted with 849 older inpatients post-stroke. Of these, patients with sarcopenia and dependent voiding movements were targeted. Sarcopenia was assessed according to the Asian Working Group for Sarcopenia 2019 and diagnosed using hand grip strength and skeletal muscle mass index. Outcomes were sphincter control items of the Functional Independence Measure (FIM) at discharge: urinary (FIM-Bladder) and defecation (FIM-Bowel). A score of six or higher was considered independent. Logistic regression analysis was used to determine whether sarcopenia improvement was associated with outcomes.

Results

Of the patients recruited, 151 patients were diagnosed with sarcopenia at baseline, of which patients dependent in urination (109 patients) and defecation (102 patients) were included in the analysis. Multivariate analysis showed that improvement in sarcopenia (OR:3.28, 95% CI:1.01-10.70, p = 0.048) and hand grip strength (OR:6.25, 95% CI:1.45-26.90, p = 0.014) were independently associated with FIM-Bladder at discharge. Improvement in hand grip strength (OR:4.33, 95% CI:0.99-18.90, p = 0.048) was independently associated with FIM-Bowel at discharge

Conclusion

Improvement in sarcopenia and muscle strength during hospitalization may have a positive impact on urinary independence in stroke patients undergoing convalescent rehabilitation, and improvement in muscle strength may have a positive impact on defecation independence. Multidisciplinary sarcopenia treatment should be implemented in addition to conventional rehabilitation for these patients.