Journal of Korea Multimedia Society (한국멀티미디어학회논문지)

Korea Multimedia Society (한국멀티미디어학회)
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Comparison of Impedance Parameters and Occupational Therapy Evaluation in the Paretic and Non-paretic Upper Extremity of Hemiplegic Stroke Patients

  • Yoo, Chan-Uk (Department of Occupational Therapy, Hanlyo University) ;
  • Kim, Jaehyung (Dept. of Computer Simulation, Inje University) ;
  • Hwang, Youngjun (Medical Science, School of Medicine, Pusan National University) ;
  • Kim, Gunho (Dept. of Rehabilitation Medicine & Institute of Medical Science, School of Medicine, Pusan National University) ;
  • Shin, Yong-Il (Dept. of Biomedical Engineering, School of Medicine, Pusan National University) ;
  • Jeon, Gyerok (Dept. of Biomedical Engineering, School of Medicine, Pusan National University)
  • Received : 2017.09.29
  • Accepted : 2017.11.10
  • Published : 2017.12.31
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Abstract

Many stroke patients undergoing rehabilitation therapy require a quantitative indicator for the evaluation of body function in paretic and non-paretic regions. In this study, the impedance parameters were acquired to assess the physical status in the upper extremity of thirty six stroke patients with hemiplegia caused by cerebral hemorrhage (10 patients) and cerebral infarction (26 patients), using bioelectrical impedance. Prediction marker (PM), phase angle (PA), PM/PA, and resistance (R) versus reactance ($X_c$) were utilized to evaluate the functional status of the paretic and non-paretic regions. In addition, the hand grip strength (HGS) and the pinch strength (lateral, palmer, tip) were measured on the upper extremity of hemiplegic stroke patients. PM was distributed in inversely proportional to HGS, but PA was distributed in proportional to HGS. However, there were a number of patients with HGS of 0, regardless of the impedance parameters (PM, PA, R vs. $X_c$). Paretic and non-paretic status in upper extremity of these patients could not be analyzed using impedance parameters. At the rehabilitation therapist's instructions, they were unable to move the hand and fingers of the paretic upper extremity by cranial nerve damage, motor nerve damage, and severe cognitive decline.

Keywords

References

  1. J. Adamson, A. Beswick, and S. Ebrahim, "Is Stroke the Most Common Cause of Disability?," Journal of Stroke and Cerebrovascular Diseases, Vol. 13, Issue 4, pp. 171-177, 2004. https://doi.org/10.1016/j.jstrokecerebrovasdis.2004.06.003
  2. H.J. Jun, K.J. Kim, I.A. Chun, and O.K. Moon, "The Relationship between Stroke Patients' Socio-Economic Conditions and Their Quality of Life: The 2010 Korean Community Health Survey," Journal Physical Therapy Science, Vol. 27, No. 3, pp. 781-784, 2015. https://doi.org/10.1589/jpts.27.781
  3. Hemiplegia and Hemiparesis, http://www.stroke-rehab.com/hemiplegia.html, (accessed Jan., 25, 2017).
  4. G. Kwakkel and B. Kollen, “Predicting Improvement in the Upper Paretic Limb After Stroke: A Longitudinal Prospective Study,” Restorative Neurology and Neuroscience, Vol. 25, No. 5-6, pp. 453-460, 2007.
  5. K.H. Cho and W.H. Lee, "Effects of Inpatient Rehabilitation on Functional Recovery of Stroke Patients: A Comparison of Chronic Stroke Patients with and without Cognitive Impairment," Journal Physical Therapy Science, Vol. 24, Issue 3, pp. 245-248, 2012. https://doi.org/10.1589/jpts.24.245
  6. B.E. Lingwood, P.B. Colditz, and L.C. Ward, "Biomedical Applications of Electrical Impedance Analysis," Proceedings of the Fifth International Symposium on Signal Processing and Its Applications, Vol. 1, pp. 367-370, 1999.
  7. C.U. Yoo, Y.A. Yang, S.W. Baik, J.H. Kim, and G.R. Jeon, "Bioelectrical Impedance Analysis on the Paertic and Non-paretic Regions of Severe and Mild Hemiplegic Stroke Patients," Journal of Korea Multimedia Society, Vol. 20, No. 2, pp. 115-125, 2017. https://doi.org/10.9717/kmms.2017.20.2.115
  8. L.C. Ward, "Segmental Bioelectrical Impedance Analysis: An Update," Lippincott Williams and Wilkins, Vol. 15, Issue 5, pp. 424-429, 2012.
  9. E. Volgyi, F.A. Tylavsky, A. Lyytikainen, H. Suominen, M. Ale, and S. Cheng, "Assessing Body Composition with DXA and Bioimpedance: Effects of Obesity, Physical Activity, and Age," Obesity, Vol. 16, Issue 3, pp. 700-705, 2008. https://doi.org/10.1038/oby.2007.94
  10. A. Wysokin.ski and I. Kloszewska, "Assessment of Body Composition Using Bioelectrical Impedance in Patients with Schizophrenia-preliminary report," Archives of Psychiatry Psychotherapy, Vol. 1, pp. 31-37, 2014.
  11. H.C. Lukaski and M.G. Singer, "Phase Angle as a Prognostic Indicator in Cancer," Proceeding of the AAAI Spring Symposium Technical Reports, Vol. SS-11-04, pp. 37-40, 2011.
  12. J.H. Kim, B.J. Shin, M.S. Lee, Y.J. Kim, I.S. Jeong, and G.R. Jeon, "Detection of Intravenous Infiltration in Rabbit's Ear Using Bioelectrical Impedance: Pilot Study," International Journal of Engineering and Applied Sciences, Vol. 1, Issue 1, pp. 1-6, 2014.
  13. R.K. Wangsness, Electromagnetic Fields, John Wiley and Sons Incorporated, USA, pp. 455-456, 1986.
  14. P.P. Urone, College Physics, Brooks/Cole, USA, 2001.
  15. L.C. Martinez, E.C. Ramiez, A.O. Tejeda, E.A. Lafuente, L.P.B. Rosales, V.R. Gonzalez, et al., "Bioelectrical Impedance and Strength Measurements in Patients with Heart Failure: Comparison with Functional Class," Nutrition, Vol. 23, Issue 5, pp. 412-418, 2007. https://doi.org/10.1016/j.nut.2007.02.005
  16. J.H. Kim, S.S. Kim, S.H. Kim, S.W. Baik, and G.R. Jeon, "Comparing the Whole Body Impedance of the Young and the Elderly Using BIMS," Journal of Sensors Science and Technology, Vol. 25, Issue 1, pp. 20-26, 2016. https://doi.org/10.5369/JSST.2016.25.1.20
  17. What is Phase Angle?, http://www.bodystat.com/support/news/what-is-phase-angle, (accessed Dec., 21, 2016).
  18. A. Bosy-Westphal, S. Danielzik, R.P. RP Dorhofer, W. Later, S. Wiese, and M.J. Muller, "Phase Angle from Bioelectrical Impedance Analysis: Population Reference Values by Age, Sex, and Body Mass Index," Journal of Parenteral and Enteral Nutrition, Vol. 30, Issue 4, pp. 309-316, 2006. https://doi.org/10.1177/0148607106030004309
  19. L. Jorgensen and B.K. Jacobsen, "Changes in Muscle Mass, Fat Mass, and Bone Mineral Content in the Legs After Stroke: A 1 Year Prospective Study," Bone, Vol. 28, Issue 6, pp. 655-659, 2001. https://doi.org/10.1016/S8756-3282(01)00434-3
  20. N. Scherbakova, S. Von Haehlingb, S.D. Ankerc, U. Dirnagla, and W. Doehn, "Stroke Induced Sarcopenia: Muscle Wasting and Disability After Stroke," International Journal of Cardiology, Vol. 170, Issue 2, pp. 89-94, 2013. https://doi.org/10.1016/j.ijcard.2013.10.031
  21. D.J. Gladstone, C.J. Danells, and S.E. Black, "The Fugl-Meyer Assessment of Motor Recovery After Stroke: A Critical Review of Its Measurement Properties," Neurorehabilitation and Neural Repair, Vol. 16, Issue 3, pp. 232-240, 2002. https://doi.org/10.1177/154596802401105171
  22. S.L. Wolf, C.J. Winstein, J.P. Miller, E. Taub, G. Uswatte, and D. Morris, et al, “Effect of Constraint-Induced Movement Therapy on Upper Extremity Function 3 to 9 Months After Stroke: The EXCITE Randomized Clinical Trial,” The Journal of American Medical Association, Vol. 296, No. 17, pp. 2095-2104, 2006. https://doi.org/10.1001/jama.296.17.2095
  23. C.U. Yoo, J.H. Kim, Y.A. Yang, J.S. Lee, and G.R. Jeon, "Bioelectrical Impedance Analysis for Severe Stroke Patients with Upper Extremity Hemiplegia," Journal Physical Therapy Science, Vol. 28, No. 10, pp. 2708-2712, 2016. https://doi.org/10.1589/jpts.28.2708-2712

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