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Relationship of Physical Impairment, function and Insulin Resistance in stroke patients
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 Title & Authors
Relationship of Physical Impairment, function and Insulin Resistance in stroke patients
Choi, Young-Eun; Kim, Ji-Hye; Yun, Young-Dae;
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Insulin resistance is a risk factor for stroke or recurrent stroke. Sedentary behavior increases insulin resistance. This study aimed to identify the relationship between physical impairments and functions and insulin resistance, examining which physical impairments specifically influence insulin resistance the most. The subjects of this study were 63 stroke patients. The subject's insulin resistance and physical impairments and functions were measured using the Chedoke-McMaster Stroke Assessment (CMSA) and Stroke Impairment Assessment Set (SIAS). The study results exhibited that insulin resistance is statistically significantly related to the variable of foot according to the CMSA(r=.95, p<.05) and to the variable of lower extremity sensory function (touch) in relation to the SIAS(r=.91, p<.05). This study also revealed close correlations between insulin resistance and the variables of ankle control(, p<.05) and low extremity tactile sensations(, p<.05).
stroke;hemiplegia;insulin resistance;physical impairment;function;
 Cited by
National statistical office, Annual statistics report of causes of death, National statistical office, Daejeon, 2011.

World health organization, International classification of functioning, disability and health, WHO, Switzerland, 2001.

E.J. Roth, A.W. Heinemann, L.L. Lovell, R.L. Harvey, J.R. McGuire and S. Diaz, "Impairment and Disability: Their Relation during Stroke Rehabilitation," Archive of Physical Medicine and Rehabilitation, vol. 79, no. 3, Mar. 1998, pp. 329-335. crossref(new window)

E.J. Roth and R.L. Harvey, Rehabilitation of Stroke Syndrome, Physical Medicine and Rehabilitation, Philadelphia, 2000.

G.E. Gresham, P.W. Duncan and W.B. Stason, Post-Stroke Rehabilitation, US Department of Health and Human Services, 1997.

C. Boquardus, S. Lillioja, D.M. Mott, C. Hellenbeck and G. Reaven, "Relationship between Degree of Obesity and in vivo Insulin Action in Man," American Journal of Physiology, vol. 248, no. 3, Mar. 1985, pp. E286-291.

W.N. Kernan, S.E. Inzucchi, C.M. Viscoli, L.M. Brass, D.M. Bravata and R.I. Horwitz, "Insulin Resistance and Risk for Stroke," Neurology, vol. 59, no. 6, Sep. 2002, pp. 809-815. crossref(new window)

M. Pyorala, H. Miettinen, M. Laakso and K. Pyorala, "Hyperinsulinemia and the Risk of Stroke in Healthy Middle-Aged Men," Stroke, vol. 29, no. 9, Sep. 1998, pp. 1860-1866. crossref(new window)

A.R. Folsom, M.L. Rasmussen, L.E. Chambless, G. Howard, L.S. Cooper, M.I. Schmidt and G. Heiss, "Prospective Associations of Fasting Insulin, Body Fat Distribution, and Diabetes with Risk of Ischemic Stroke," Diabetes Care, vol. 22, no. 7, Jul. 1999, pp. 1077-1083. crossref(new window)

H.J. Helmerhorst, K. Wijndaele, S. Brage, N.J. Wareham and U. Ekelund, " Objectively Measured Sedentary Time may Predict Insulin Resistance Independent of Moderateand Vigorous-intensity Physical Activity," Diabetes, vol. 58, no. 8, Aug. 2009, pp. 1776-1779. crossref(new window)

U. Ekelund, S. Brage, S.J. Griffin and N.J. Wareham, "Objectively Measured Moderate-and Vigorous-intensity Physical Activity but not Sedentary Time Predicts Insulin Resistance in High-risk Individuals," Diabetes Care, vol. 32, no. 6, Jun. 2009, pp. 1081-1086. crossref(new window)

H.M. Blanck, M.L. McCullough, A.V. Patel, C. Gillespie, E.E. Calle, V.E. Cokkinides, D.A. Galuska, L.K. Khan and M.K. Serdula, "Sedentary Behavior, Recreational Physical Activity, and 7-Year Weight Gain Among Postmenopausal U.S. Women," Obesity, vol. 15, no. 6, Jun. 2007, pp. 1578-1588. crossref(new window)

A. Esteqhanati, O. Khalilzadeh, A. Rashidi, A. Meysamie, F. Asqari, M. Abbasi, S. Rastad and M.M. Gouya, "Association Between Physical Activity and Insulin Resistance in Iranian Adults," Preventive Medicine, vol. 49, no. 5, Nov. 2009, pp. 402-406. crossref(new window)

H.S. Jorgensen, H. Nakayama, H.O. Raaschou and T.S. Olsen, "Recovery of Walking Function in Stroke Patients," Archive of Physical Medicine and Rehabilitation, vol. 76, no. 1, Jan. 1995, pp. 27-32. crossref(new window)

D.K. Sommerfeld, E.U. Eek, A.K. Svensson, L.W. Holmgvist and M.H. von Arbin, "Spasticity after Stroke," Stroke, vol. 35, no. 1, Jan. 2004, pp. 134-139. crossref(new window)

S. Nadeau, A.B. Arsenault, D. Gravel and D. Bourbonnais, "Analysis of the Clinical Factors Determining Natural and Maximal Gait Speed in Adults with a Stroke," American Journal of Physical Medicine and Rehabilitation, vol. 78, no. 2, Apr. 1999, pp. 123-130. crossref(new window)

A.T. Patel, P.W. Duncan, S.M. Lai and S. Studenski, "The Relation Between Impairments and Functional Outcomes Poststroke," Archive of Physical Medicine and Rehabilitation, vol. 81, no. 10, Oct. 2000, pp. 1357-1363. crossref(new window)

P.Y. Lin, Y.R. Yang, .S.J. Cheng and R.Y. Wang, "The Relation between Ankle Impairments and Gait Velocity and Symmetry in People with Stroke," Archive of Physical Medicine and Rehabilitation, vol. 87, no. 4, Apr. 2006, pp. 562-568. crossref(new window)

A. Lamontagne, F. Malouin, C.L. Richards and F. Dumas, "Mechanisms of Disturbed Motor Control in Ankle Weakness during Gait after Stroke," Gait and Posture, vol. 15, no. 3, Jun. 2002, pp. 244-255. crossref(new window)

S.J. Olney, M.P. Griffin and T.N. Monga, "Work and Power in Gait of Stroke Patients," Archive of Physical Medicine and Rehabilitation, vol. 72, no. 5, Apr. 1991, pp. 309-314.

L. Han, D. Law-Gibson and M. Reding, "Key Neurological Impairments Influence Function-Related Group Outcomes after Stroke," Stroke, vol. 33, no. 7, Jul. 2002, pp. 1920-1924. crossref(new window)

G. Kwakkel, R.C. Wagenaar, B.J. Kollen and G.J. Lankhorst, "Predicting Disability in Stroke," Age and Ageing, vol. 25, no. 6, Nov. 1996, pp. 479-489. crossref(new window)

M.L. Dombovy, B.A. Sandok and J.R. Basford, "Rehabilitation for Stroke," Stroke, vol. 17, no. 3, Jun. 1986, pp. 363-369. crossref(new window)

B. Balkau, L. Mhamdi, J.M. Oppert, J. Nolan, A. Golay, F. Porcellati, M. Laakso and E. Ferrannini, "Physical Activity and Insulin Sensitivity," Diabetes, vol. 57, no. 10, Oct. 2008, pp. 2613-2618. crossref(new window)

R.L. Bradley, J.Y. Jeon, F.F. Liu and E. Maratos-Flier, "Voluntary Exercise Improves Insulin Sensitivity and Adipose Tissue Inflammation in Diet-Induced Obese Mise," American Journal of Physiology Endocrinology and Metabolism, vol. 295, no. 3, Sep. 2008, pp. E586-594. crossref(new window)

A. Nowak, L. Pilaczynska-Szczesniak, E. Sliwicka, E. Deskur-Smielecka, J. Karolkiewicz and A. Piechowiak, "Insulin Resistance and Glucose Tolerance in Obese Women," Journal of Sports Medicine and Physical Fitness, vol. 48, no. 2, Jun. 2008, pp. 252-258.