Trunk muscles in persons with hemiparetic stroke evaluated with computed tomography

Tetsuya Tsuji, Meigen Liu, Kimitaka Hase, Yoshihisa Masakado, Naoichi Chino

Research output: Contribution to journalArticle

31 Citations (Scopus)

Abstract

Objectives: To analyse side difference in bilateral trunk muscles in patients with hemiparetic stroke, to relate it with impairment and disability variables and to evaluate longitudinal changes. Methods: In a sample of 83 inpatients with hemiparetic stroke undergoing rehabilitation, we measured the cross-sectional area of the paravertebral muscle and thigh muscles using computed tomography at admission and discharge. Classifying them by paravertebral muscle side difference (group I: contralateral > ipsilateral; II: contralateral = ipsilateral; III: contralateral < ipsilateral) we analysed group difference in the Stroke Impairment Assessment Set, the Functional Independence Measure and walk velocity. Results: In contrast to thigh muscles, the paravertebral muscle cross-sectional area was significantly greater on the side contralateral to the brain lesion. Discharge paravertebral muscle cross-sectional area increased significantly from admission values. The Stroke Impairment Assessment Set, Functional Independence Measure and walk velocity were significantly lower in group I. Conclusion: The contralateral paravertebral muscle cross-sectional area was larger than the ipsilateral ones, and this was related to the degree of impairment and functional limitations.

Original languageEnglish
Pages (from-to)184-188
Number of pages5
JournalJournal of rehabilitation medicine
Volume35
Issue number4
DOIs
Publication statusPublished - 2003 Jul 1

Keywords

  • Cerebrovascular disorders
  • Exercise
  • Outcome assessment
  • Rehabilitation

ASJC Scopus subject areas

  • Physical Therapy, Sports Therapy and Rehabilitation
  • Rehabilitation

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