Analysis of upper limb muscle strength in the early phase of brain stroke

• Autorzy: Starosta M. , Kostka J. , Redlicka J. , Miller E.

Identyfikatory

DOI

10.5277/ABB-00649-2016-02

• Języki publikacji: EN

Abstrakty

EN

Purpose: The aim of this study was to determine the muscles with the lowest strength in nonaffected (non-A) and affected upper limb (A), to assess differences between men and women and to correlate these values with age in patients after stroke. Methods: Sixty hospitalized in Neurorehabilitation Ward patients (40 male, 20 female), 1-2 weeks after stroke, were enrolled to the study. Their age ranged from 50 to 80 years with a mean (sd) of 65,5 (18,7) years. Muscle force values from upper limb muscles were measured using the MicroFet 2 hand-held dynamometer. The results are displayed in newtons [N], mean values of muscular force, effect sizes and confidence intervals displayed as Cohen’s d and 95% CI were determined. Moreover, we made the coefficients correlation for differences in muscular force versus the Rivermead Motor Assessment (RMA) arm section. Results: Strength of (A) upper limb in comparison to (non-A) was 39% weaker. The severely affected muscle groups were the shoulder flexion 41% (women) versus 46% (men); elbow flexion 39% (women) versus 31% (men); wrist extension 36% (women) versus 42% (men). No significant correlations were found between muscle strength results and RMA or age. Conclusions: Muscle force of (A) upper limb after stroke demonstrates 39% decrease. Men show more significant decrease than women (40% vs 35%). Functional assessment in RMA values show the better results in women (4,9 ± 4,1) than men (3,4 ± 3,2).

Słowa kluczowe

EN

muscle strength; upper limb; stroke; dynamometer

PL

siła mięśni; kończyna górna; udar; dynamometr

• Wydawca: Oficyna Wydawnicza Politechniki Wrocławskiej
• Czasopismo: Acta of Bioengineering and Biomechanics
• Rocznik: 2017
• Tom: Vol. 19, no. 3
• Strony: 85--91
• Opis fizyczny: Bibliogr. 29 poz.

Twórcy

autor

Starosta M.

• Department of Physical Medicine, Medical University of Lodz, Lodz, Poland,
• Neurorehabilitation Ward, III General Hospital in Lodz, Lodz, Poland.

autor

Kostka J.

• Department of Physical Medicine, Medical University of Lodz, Lodz, Poland

autor

Redlicka J.

• Neurorehabilitation Ward, III General Hospital in Lodz, Lodz, Poland

autor

Miller E.

• Department of Physical Medicine, Medical University of Lodz, Lodz, Poland
• Neurorehabilitation Ward, III General Hospital in Lodz, Lodz, Poland

Bibliografia

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Uwagi

Young Scientists Grant of Medical University of Łódź, Poland 502-03/5-127-05/502-54-173.