Are you that blitheringly stupid? Survivors don't want predictions; they want EXACT RECOVERY PROTOCOLS! Right now, stroke rehab is a complete failure; 10% full recovery! Why aren't you solving that problem? Predictions are fucking lazy crapola; YOU'RE FIRED!
Definition:
In the context of stroke, the phase angle (PhA) is a non-invasive measure of muscle quality and cellular health derived from a bioelectrical impedance analysis (BIA) test. It
reflects the integrity and function of cell membranes, indicating
cellularity, fluid distribution, and overall nutritional status. A
higher phase angle is generally associated with better cellular health
and physical function, while a low phase angle can predict poor
outcomes, such as decreased functional independence and increased
nutritional risk in stroke patients.
Phase Angle as a Predictor of Walking Independence in Patients Undergoing Stroke Rehabilitation: A Preliminary Study
Naoya IKEDA, PT and Yasuhiro MINAMIMURA, PT
Department of Rehabilitation, Saiseikai Kibi Hospital, Japan
ABSTRACT.
Objectives:
This study examined the relationship between phase angle (PhA), an indicator of
muscle quality, and independent walking in stroke patients. The objective was to determine the predictive
value of a PhA at admission for walking independence at discharge.
Methods:
This study included 220 stroke
patients (121 males, 99 females), categorized based on their functional independence measure (FIM) mobility
scores at discharge: independent (FIM ≥6; n = 100) and dependent (FIM ≤5; n = 120). Logistic regression
analysis assessed whether PhA at admission predicted ambulatory independence at discharge. Additionally,
receiver-operating characteristic curve analysis determined optimal cutoff values.
Results:
Logistic regression
analysis showed that PhA at admission and the National Institutes of Health Stroke Scale (NIHSS) were sig
nificant predictors of independent walking. The optimal cutoff values for PhA were determined to be 4.35° for
men and 4.1° for women. Similarly, the cutoff scores for the NIHSS were 7.5 points for men and 5.5 points for
women.
Conclusions:
In stroke patients, PhA and NIHSS at admission were significantly associated with
ambulatory independence at discharge. Evaluation of PhA and NIHSS at admission may be useful for more
accurate prediction of gait outcomes.
Key words: Stroke, Phase angle, Muscle quality, Walking
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