Use the labels in the right column to find what you want. Or you can go thru them one by one, there are only 29,372 posts. Searching is done in the search box in upper left corner. I blog on anything to do with stroke. DO NOT DO ANYTHING SUGGESTED HERE AS I AM NOT MEDICALLY TRAINED, YOUR DOCTOR IS, LISTEN TO THEM. BUT I BET THEY DON'T KNOW HOW TO GET YOU 100% RECOVERED. I DON'T EITHER BUT HAVE PLENTY OF QUESTIONS FOR YOUR DOCTOR TO ANSWER.
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.
This study aimed to examine the association between improvement in sarcopenia and the recovery of urinary and defecatory independence in patients undergoing convalescent rehabilitation.
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.
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
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.
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