Effect of Sarcopenia in Stroke Patients
Primary research purpose:
-Prospective study to screen post stroke patients with sarcopenia and evaluate its effect on recovery
Secondary research purpose:
- To determine the degree of sarcopenia and correlation with poor functional prognosis of stroke in the stroke patient group.
- To determine the degree of sarcopenia and correlation with dixon MRI of thigh muscle
- To evaluate surface EMG (SEMG)-based signals and correlation with sarcopenia
- To determine the degree of sarcopenia and correlation with brain morphometric changes
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Actual)
Enrollment
Contacts and Locations
Study Contact
Study Contact
- Name: Sun Im, MD PhD
- Phone Number: +*-032-340-2170
- Email: lafolia@catholic.ac.kr
Study Locations
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-
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Bucheon-si, Gyeonggi-do, Korea, Republic of, 14647
- The Catholic University of Korea
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Suwon-si, Korea, Republic of, 16247
- St. Vincent's Hospital
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Sampling Method
Study Population
Recruited subjects will be allocated into 4 different groups according to presence of sarcopenia according to the Asian Working Group for Sarcopenia (2019) criteria.
- Post stroke male patients with sarcopenia
- Post stroke female patients with sarcopenia
- Post stroke male patients without sarcopenia
- Post stroke female patients without sarcopenia
Description
Inclusion Criteria:
- Patients 65 years of age or older, stroke patients with first onset within 4 weeks
Exclusion Criteria:
- Patients who have not been evaluated for sarcopenia
- Patients with neuromuscular diseases other than stroke that may affect gait function
- Patients unable to conduct clinical trials according to instructions
- Patients with uncontrolled medical/surgical disease
- Patients with metal substances in the body such as cardiac pacemakers, cochlear implants, etc.
- Patients who have difficulty collecting blood
- Patients who are difficult to follow up after 6 months of onset due to moving to another area
- Patients who have Parkinson's disease, dementia, or have a history of neuromuscular diseases such as Guillain-Barré syndrome or myasthenia gravis
Study Plan
How is the study designed?
Design Details
- Observational Models: Cohort
- Time Perspectives: Prospective
Number of groups / cohorts
Cohorts and Interventions
Group / CohortGroup / Cohort |
Intervention / TreatmentIntervention / Treatment |
|---|---|
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Stroke patients with sarcopenia
Group will be stratified according to gender
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Fu of diagnostic tests
Other Names:
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Stroke patients without sarcopenia
Group will be stratified according to gender
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Fu of diagnostic tests
Other Names:
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Change of Modified Rankin Scale
Time Frame: 6 months from the first onset of the stroke
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Functional Disability -> The scale runs from 0-6, running from perfect health without symptoms(0) to death(6).
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6 months from the first onset of the stroke
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Hand grip strength
Time Frame: within 4 weeks, 4 weeks, 8 weeks, 6 months from the first onset of the stroke
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Grip strength: Grip strength will be measured using a dynamometer
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within 4 weeks, 4 weeks, 8 weeks, 6 months from the first onset of the stroke
|
|
quadriceps muscle strength
Time Frame: within 4 weeks, 4 weeks, 8 weeks, 6 months from the first onset of the stroke
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Lower extremity strength assessment:change in isometric quadriceps muscle strength (kg) from initial evaluation to the final evaluation
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within 4 weeks, 4 weeks, 8 weeks, 6 months from the first onset of the stroke
|
|
Fugl-Meyer motor scale
Time Frame: within 4 weeks, 4 weeks, 8 weeks, 6 months from the first onset of the stroke
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Motor function assessment : Fugl-Meyer motor scale from initial evaluation to the final evaluation (Upper Extremity maximum score = 66; Lower Extremity maximum score = 34, Higher score means better outcome)
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within 4 weeks, 4 weeks, 8 weeks, 6 months from the first onset of the stroke
|
|
Functional Ambulation Category
Time Frame: within 4 weeks, 4 weeks, 8 weeks, 6 months from the first onset of the stroke
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Gait function assessment : Functional Ambulation Category from initial evaluation to the final evaluation (Minimum 0, Maximum 5; Higher score means better outcome)
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within 4 weeks, 4 weeks, 8 weeks, 6 months from the first onset of the stroke
|
|
Berg balance scale
Time Frame: within 4 weeks, 4 weeks, 8 weeks, 6 months from the first onset of the stroke
|
Balance function: change in Berg balance scale from initial evaluation to the final evaluation (Minimum score 0, Maximum score 56, Higher score means better outcome)
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within 4 weeks, 4 weeks, 8 weeks, 6 months from the first onset of the stroke
|
|
Brain MRI
Time Frame: within 4 weeks and 6 months from the first onset of the stroke
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Brain atrophy : change in the Global cortical atrophy scale(0-3) of the cerebral cortex from initial evaluation to the final evaluation
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within 4 weeks and 6 months from the first onset of the stroke
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Thigh Dixon MRI
Time Frame: within 4 weeks and 6 months from the first onset of the stroke
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Muscle quality : muscle circumference measured by the thigh MRI from initial evaluation to the final evaluation
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within 4 weeks and 6 months from the first onset of the stroke
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Muscle ultrasonography
Time Frame: within 4 weeks and 6 months from the first onset of the stroke
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muscle thickness(cm) measured by the ultrasound of the quadriceps muscle from initial evaluation to the final evaluation
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within 4 weeks and 6 months from the first onset of the stroke
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serum biomarkers for sarcopenia
Time Frame: within 4 weeks from the first onset of the stroke
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BNDF, IL-6
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within 4 weeks from the first onset of the stroke
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Digitalized SEMG signals
Time Frame: within 4 weeks, 4 weeks, 8 weeks, 6 months from the first onset of the stroke
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state of the art EMG signals will be collected to assess muscle quality changes after stroke
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within 4 weeks, 4 weeks, 8 weeks, 6 months from the first onset of the stroke
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Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- VC22ONDI0185
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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