Browse > Article
http://dx.doi.org/10.9717/kmms.2017.20.12.1980

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)
Publication Information
Journal of Korea Multimedia Society / v.20, no.12, 2017 , pp. 1980-1991 More about this Journal
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
Hemiplegic Stroke Patient; Cerebral Hemorrhage; Cerebral Infarction; Impedance parameters; Occupational Therapy Evaluation;
Citations & Related Records
Times Cited By KSCI : 2  (Citation Analysis)
연도 인용수 순위
1 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.
2 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.
3 R.K. Wangsness, Electromagnetic Fields, John Wiley and Sons Incorporated, USA, pp. 455-456, 1986.
4 P.P. Urone, College Physics, Brooks/Cole, USA, 2001.
5 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.   DOI
6 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.   DOI
7 What is Phase Angle?, http://www.bodystat.com/support/news/what-is-phase-angle, (accessed Dec., 21, 2016).
8 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.   DOI
9 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.   DOI
10 Hemiplegia and Hemiparesis, http://www.stroke-rehab.com/hemiplegia.html, (accessed Jan., 25, 2017).
11 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.   DOI
12 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.
13 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.   DOI
14 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.
15 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.   DOI
16 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.   DOI
17 L.C. Ward, "Segmental Bioelectrical Impedance Analysis: An Update," Lippincott Williams and Wilkins, Vol. 15, Issue 5, pp. 424-429, 2012.
18 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.   DOI
19 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.
20 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.   DOI
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.   DOI
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.   DOI
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.   DOI