Author/Authors :
Sartor, Lorena Cristina Alvarez Botucatu Medical School - Universidade Estadual Paulista (UNESP), Brazil , de Souza, Juli Thomaz Botucatu Medical School - Universidade Estadual Paulista (UNESP), Brazil , Winckler, Fernanda Cristina Botucatu Medical School - Universidade Estadual Paulista (UNESP), Brazil , Luvizutto, Gustavo José Department of Applied Physical Therapy - Federal University of Triângulo Mineiro (UFTM), Brazil , Molle, Evelin Roberta Silva Dalle Rehabilitation Center - Botucatu Medical School - Universidade Estadual Paulista (UNESP), Brazil , da Silva, Taís Regina Rehabilitation Center - Botucatu Medical School - Universidade Estadual Paulista (UNESP), Brazil , Prudente, Robson Aparecido Rehabilitation Center - Botucatu Medical School - Universidade Estadual Paulista (UNESP), Brazil , da Costa, Rafael Dalle Molle Rehabilitation Center - Botucatu Medical School - Universidade Estadual Paulista (UNESP), Brazil , de Oliveira Antunes, Letícia Cláudia Rehabilitation Center - Botucatu Medical School - Universidade Estadual Paulista (UNESP), Brazil , Modolo, Gabriel Pinheiro Stroke Unit - Botucatu Medical School - Universidade Estadual Paulista (UNESP), Brazil , Ribeiro, Priscila Watson Stroke Unit - Botucatu Medical School - Universidade Estadual Paulista (UNESP), Brazil , Ferreira, Natália Cristina Stroke Unit - Botucatu Medical School - Universidade Estadual Paulista (UNESP), Brazil , Bazan, Silméia Garcia Zanati Department of Internal Medicine - Botucatu Medical School - Universidade Estadual Paulista (UNESP), Brazil , Minicucci, Marcos Ferreira Department of Internal Medicine - Botucatu Medical School - Universidade Estadual Paulista (UNESP), Brazil , de Carvalho Nunes, Hélio Rubens Statistical - Botucatu Medical School - Universidade Estadual Paulista (UNESP), Brazil , Bazan, Rodrigo Department of Neurology - Psychology and Psychiatry - Botucatu Medical School - Universidade Estadual Paulista (UNESP), Brazil
Abstract :
Stroke can lead to musculoskeletal and respiratory dysfunction, chronic deconditioning, and functional limitations, aswell as long-term complications.Objective. The aim of this study was to evaluate the association between respiratory function andgrip strength in the acute phase of stroke and stroke severity, disability, and autonomy in the long term.Methods. This was a cohortstudy including 46 patients in the stroke unit. The stroke patients were assessed in the stroke unit at the following moments: atadmission by the clinical and haemodynamic stability, demographic and anthropometric data, hand grip strength, strokeseverity by National Institutes of Health Stroke Scale (NIHSS) score, and respiratory function using a manovacuometer; duringhospitalization by clinical complications and the length of stay; and at hospital discharge and 90 days after discharge by thedegrees of functional capacity and dependence using NIHSS, modified Rankin scale (mRs), and Barthel index. Data analysis wasperformed by multiple linear regression to verify the association between respiratory function and grip strength and theoutcomes.Results. The median length of stay in the stroke unit was 7 days. A negative correlation was found between thepalmar prehension strength on the unaffected side and mRs at discharge (β=‐0:034,p=0:049). The NIHSS scores at discharge(β=‐0:016,p=0:011) were negatively correlated with the MEP. The Barthel index at discharge was positively correlated withthe palmar prehension strength on the unaffected side (β=0:480,p=0:023).Conclusion. It was concluded that a loss of gripstrength is associated with a loss of ability and autonomy at discharge and poor respiratory function is associated with strokeseverity at discharge.
Keywords :
Respiratory Function , Grip Strength , Acute Phase , Stroke , Associated , Stroke Severity , Disability , Hospital Discharge , NIHS
