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http://dx.doi.org/10.5369/JSST.2017.26.3.160

Assessment of Body Fluid Alteration Using Bioelectrical Impedance in Stroke Patients with Hemiplegia Caused by Cerebral Hemorrhage and Cerebral Infarction  

Shin, Yong Il (Department of Rehabilitation Medicine & Institute of Medical Science, Pusan National University School of Medicine)
Kim, Gun Ho (Dept. of Medical Science, School of Medicine, Pusan National University)
Hwang, Young Jun (Dept. of Medical Science, School of Medicine, Pusan National University)
Baik, Seung Wan (Dept. of Anesthesia and Pain Medicine, School of Medicine, Pusan National University)
Kim, Jae Hyung (Research Institute of Nursing Science, Pusan National University)
Jeon, Gye Rok (Research Institute of Nursing Science, Pusan National University)
Publication Information
Journal of Sensor Science and Technology / v.26, no.3, 2017 , pp. 160-167 More about this Journal
Abstract
Many stroke patients undergoing rehabilitation therapy require a quantitative indicator for the evaluation of body composition in paretic and non-paretic regions. In this study, the body fluid alteration in the paretic and non-paretic regions of stroke patients with hemiplegia caused by cerebral hemorrhage and cerebral infarction was analyzed using bioelectrical impedance analysis (BIA). Alterations in body fluids were investigated to assess the physical status of the paretic and non-paretic regions of 20 stroke patients with hemiplegia caused by cerebral hemorrhage (7 patients) and cerebral infarction (13 patients). Extracellular water (ECW), intracellular water (ICW), ICW/ECW, total body water (TBW), ECW/TBW, and TBW/fat-free mass were utilized to evaluate the functional status of the paretic and non-paretic regions. Compared with the non-paretic region, the paretic region had high ECW and low ICW. Due to the loss of motor function and nutritional imbalance caused by the stroke, the amount of fat increased while the muscle quantity and quality significantly decreased in the paretic region. Thus, BIA can be a useful tool for quantitatively assessing paretic and non-paretic regions in stroke patients with hemiplegia.
Keywords
Stroke patient with hemiplegia; Cerebral hemorrhage; Cerebral infarction; Bioelectrical impedance; Body composition; Body fluid alteration;
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