근감소증이 동반된 뇌졸중 환자에서의 재활치료 접근

Rehabilitation Approaches in Stroke Patients with Underlying Sarcopenia: A Case Report and Literature Review

Sarcopenia is an ageing-related disease that results in progressive muscle volume decrease. Stroke is also an ageing-related disease and many stroke patients have underlying sarcopenia in whom functional decline may be more severe than neurological damage; however, in the acute stage of stroke, sarcopenia can be underestimated so the patients may not receive appropriate evaluation and treatment. This report suggests the need for diagnosis using dual-energy X-ray absorptiometry when sarcopenia is suspected in patients with stroke. Furthermore, if sarcopenia is confirmed, it is necessary to provide rehabilitation intervention tailored to the disease because appropriate treatment can promote the return to daily life. After an accurate diagnosis of sarcopenia, a quantitative muscle strength evaluation, an exercise prescription that considers fatigue and appropriate amino acid supplementation are necessary to establish a strategy for rehabilitation intervention.