¿Cuál es la importancia de la morfología de los músculos del tronco en términos de equilibrio? Estructura vs función en pacientes crónicos post-ictus. Un estudio transversal (What is the significance of trunk muscle morphology in terms of balance? Structure vs function in chronic post-stroke patients. A cross-sectional study)
DOI:
https://doi.org/10.47197/retos.v56.99585Palabras clave:
Ictus, tronco, equilibrio (Stroke, trunk, balance)Resumen
Objetivo: Evaluar la arquitectura de los músculos del tronco con RUSI y revelar qué parámetros pueden estar relacionados con las herramientas de evaluación del equilibrio en pacientes que sufrieron un ictus con hemiparesia. Métodos: Se realizó un estudio observacional, analítico, transversal, de casos y controles emparejados, enmarcado dentro de una cohorte de un solo centro que incluía pacientes con hemiparesia crónica.. Veinte individuos en la etapa crónica post-accidente cerebrovascular y veinte controles sanos fueron reclutados para esta investigación. Los resultados clave incluyeron las mediciones de grosor de los músculos Recto Abdominal (RA), Oblicuo Externo (OE), Oblicuo Interno (OI), Transverso del Abdomen (TrAb) y Multífidos Lumbares (LMult), así como evaluaciones utilizando el Modified Rivermead Functional Test (MRFT), el Timed Up and Go (TUG), y las escalas de BERG. Resultados: Los resultados no mostraron diferencias estadísticamente significativas entre los grupos para los resultados medidos. Conclusiones: Los hallazgos indican que no hay disparidades significativas entre los lados medidos, lo que sugiere que las alteraciones musculares en pacientes que sufrieron un derrame cerebral pueden ser más pronunciadas durante la etapa aguda en comparación con la etapa crónica.
Palabras clave: Derrame cerebral, tronco, equilibrio.
Abstract. Objective: To assess the architecture of the trunk muscles with RUSI and to reveal which parameters may be related to balance assessment tools in patients that suffered a stroke with hemiparesis. Methods: An observational, analytical, cross-sectional, matched case-control study was conducted, nested within a single-center cohort comprising patients with chronic hemiparesis. Twenty individuals in the chronic post-stroke stage and twenty healthy controls were recruited for this investigation. Key outcomes included the thickness measurements of the Rectus Abdominis (RA), External Oblique (OE), Internal Oblique (OI), Transversus Abdominis (TrAb), and Lumbar Multifidus (LMult) muscles, as well as assessments using the Modified Rivermead Functional Test (MRFT), Timed Up and Go (TUG), and BERG scales. Results: Results did not show statistically significant differences between groups for the outcomes measured. Conclusions: The findings indicate no significant disparities between the measured sides, suggesting that muscle alterations in patients that suffered a stroke may be more pronounced during the acute stage compared to the chronic stage.
Keywords: Stroke, trunk, balance.
Citas
Abuín-Porras, V., Maldonado-Tello, P., De la Cueva-Reguera, M., Rodríguez-Sanz, D., Calvo-Lobo, C., López-López, D., … Romero-Morales, C. (2020). Comparison of lateral abdominal musculature activation during expiration with an expiratory flow control device versus the abdominal drawing-in maneuver in healthy women: A cross-sectional observational pilot study. Medicina, 56(2), 84. doi: 10.3390/medicina56020084.
Balius, R., Pedret, C., Galilea, P., Idoate, F., & Ruiz-Cotorro, A. (2012). Ultrasound assessment of asymmetric hypertrophy of the rectus abdominis muscle and prevalence of associated injury in professional tennis players. Skeletal Radiol, 41(12), 1575–1581. doi: 10.1007/s00256-012-1429-y.
Bavikatte, G., Subramanian, G., Ashford, S., Allison, R., & Hicklin, D. (2021). Early identification, intervention and management of post-stroke spasticity: Expert consensus recommendations. J Cent Nerv Syst Dis, 13, 11795735211036576. doi: 10.1177/11795735211036576.
Bissolotti, L., Gobbo, M., Villafane, J. H., & Negrini, S. (2014). Spinopelvic balance: New biomechanical insights with clinical implications for Parkinson’s disease. Eur Spine J, 23(3), 576–583. doi: 10.1007/s00586-013-3068-y
Bohannon, R. W. (2006). Reference values for the timed up and go test: A descriptive meta-analysis. J Geriatr Phys Ther, 29(2), 64–68. doi: 10.1519/00139143-200608000-00004.
Cabeza Ruiz, R., & Gómez Píriz, P. T. (2022). Estudio sobre la idoneidad de dos test de valoración de la amplitud de movimiento en personas sedentarias con discapacidad intelectual. Retos, 45, 202–209. doi: 10.47197/retos.v45i0.90399.
Carr, L., Harrison, L. M., & Stephens, J. (1994). Evidence for bilateral innervation of certain homologous motoneurone pools in man. J Physiol, 475(2), 217–227. doi: 10.1113/jphysiol.1994.sp02006.
Chohan, S. A., Venkatesh, P. K., & How, C. H. (2019). Long-term complications of stroke and secondary prevention: An overview for primary care physicians. Singapore Med J, 60(12), 616. doi: 10.11622/smedj.2019158.
Dias, C. P., Freire, B., Goulart, N. B., Onzi, E. S., Becker, J., Gomes, I., … Vaz, M. A. (2017). Muscle architecture and torque production in stroke survivors: An observational study. Top Stroke Rehabil, 24(3), 206–213. doi: 10.1080/10749357.2016.1210873.
Estrada-Barranco, C., Cano-de-la-Cuerda, R., & Molina-Rueda, F. (2019). Construct validity of the Wisconsin Gait Scale in acute, subacute and chronic stroke. Gait Posture, 68, 363–368. doi: 10.1016/j.gaitpost.2018.12.020.
Feigin, L., Sharon, B., Czaczkes, B., & Rosin, A. J. (1996). Sitting equilibrium 2 weeks after a stroke can predict the walking ability after 6 months. Gerontology, 42(6), 348–353. doi: 10.1159/000213814.
Fiore, S., Battaglino, A., Sinatti, P., Romero, E. A. S., Rodríguez, I. R., Manca, M., … Villafañe, H. (2023). The effectiveness of robotic rehabilitation for the functional recovery of the upper limb in post-stroke patients: A systematic review. Retos, 50, 91–101. doi: 10.47197/retos.v50.99211.
Ha, Y., Oh, J. K., Smith, J. S., Ailon, T., Fehlings, M. G., Shaffrey, C. I., & Ames, C. P. (2015). Impact of Movement Disorders on Management of Spinal Deformity in the Elderly. Neurosurgery, 77 Suppl 4, S173-185. doi: 10.1227/NEU.0000000000000940.
Hlaing, S. S., Puntumetakul, R., Khine, E. E., & Boucaut, R. (2021). Effects of core stabilization exercise and strengthening exercise on proprioception, balance, muscle thickness and pain related outcomes in patients with subacute nonspecific low back pain: A randomized controlled trial. BMC Musculoskelet Disord, 22(1), 998. doi: 10.1186/s12891-021-04858-6.
Hsieh, C.-L., Sheu, C.-F., Hsueh, I.-P., & Wang, C.-H. (2002). Trunk control as an early predictor of comprehensive activities of daily living function in stroke patients. Stroke, 33(11), 2626–2630. doi: 10.1161/01.str.0000033930.05931.93.
Ishiwatari, M., Honaga, K., Tanuma, A., Takakura, T., Hatori, K., Kurosu, A., & Fujiwara, T. (2021). Trunk impairment as a predictor of activities of daily living in acute stroke. Front Neurol, 12, 665592. doi: 10.3389/fneur.2021.665592
Jones, B., Emmonds, S., Hind, K., Nicholson, G., Rutherford, Z., & Till, K. (2016). Physical qualities of international female rugby league players by playing position. The Journal of Strength & Conditioning Research, 30(5), 1333–1340.
Lee, J., Jeon, J., Lee, D., Hong, J., Yu, J., & Kim, J. (2020). Effect of trunk stabilization exercise on abdominal muscle thickness, balance and gait abilities of patients with hemiplegic stroke: A randomized controlled trial. NeuroRehabilitation, 47(4), 435–442. doi: 10.3233/NRE-203133.
Lee, K., Cho, J.-E., Hwang, D.-Y., & Lee, W. (2018). Decreased respiratory muscle function is associated with impaired trunk balance among chronic stroke patients: A cross-sectional study. The Tohoku Journal of Experimental Medicine, 245(2), 79–88. doi: 10.1620/tjem.245.79.
Lee, K., Lee, D., Hong, S., Shin, D., Jeong, S., Shin, H., … Lee, G. (2021). The relationship between sitting balance, trunk control and mobility with predictive for current mobility level in survivors of sub-acute stroke. PLoS One, 16(8), e0251977. doi: 10.1371/journal.pone.0251977.
Lyu, P.-Z., Zhu, R. T.-L., Ling, Y. T., Wang, L.-K., Zheng, Y.-P., & Ma, C. Z.-H. (2022). How paretic and non-paretic ankle muscles contract during walking in stroke survivors: New insight using novel wearable ultrasound imaging and sensing technology. Biosensors, 12(5), 349. doi: 10.3390/bios12050349.
Marchesi, G., Ballardini, G., Barone, L., Giannoni, P., Lentino, C., De Luca, A., & Casadio, M. (2021). Modified functional reach test: Upper-body kinematics and muscular activity in chronic stroke survivors. Sensors, 22(1), 230. doi: 10.3390/s22010230.
McKenzie, M. J., Yu, S., Prior, S. J., Macko, R. F., & Hafer-Macko, C. E. (2008). Hemi-Paretic Stroke Alters Vastus Lateralis Myosin Heavy Chain Profiles Between the Paretic and Non-Paretic Muscles: 1216: Board# 2: May 28 1: 00 PM-3: 00 PM. Medicine & Science in Sports & Exercise, 40(5), S158. doi: 10.1080/15438620802678388.
Murphy, S. J., & Werring, D. J. (2020). Stroke: Causes and clinical features. Medicine, 48(9), 561–566. doi: 10.1016/j.mpmed.2020.06.002.
Negrini, S., Bissolotti, L., Ferraris, A., Noro, F., Bishop, M. D., & Villafañe, J. H. (2017). Nintendo Wii Fit for balance rehabilitation in patients with Parkinson’s disease: A comparative study. J Bodyw Mov Ther, 21(1), 117–123. doi: 10.1016/j.jbmt.2016.06.001.
Onat, Ş. Ş., Polat, C. S., Gürçay, E., Özcan, D. S., & Orhan, A. (2022). Muscle architecture and clinical parameters in stroke patients: An ultrasonographic study. Journal of Clinical Ultrasound, 50(5), 713–718. doi: 10.1002/jcu.23202.
Patel, U. K., Dave, M., Lekshminarayanan, A., Malik, P., DeMasi, M., Chandramohan, S., … Jani, V. B. (2021). Risk factors and incidence of acute ischemic stroke: A comparative study between young adults and older adults. Cureus, 13(4). doi: 10.7759/cureus.14670.
Sions, J. M., Tyrell, C. M., Knarr, B. A., Jancosko, A., & Binder-Macleod, S. A. (2012). Age-and stroke-related skeletal muscle changes: A review for the geriatric clinician. Journal of geriatric physical therapy, 35(3), 155–161. doi: 10.1519/JPT.0b013e318236db92.
Steffen, T. M., Hacker, T. A., & Mollinger, L. (2002). Age-and gender-related test performance in community-dwelling elderly people: Six-Minute Walk Test, Berg Balance Scale, Timed Up & Go Test, and gait speeds. Physical therapy, 82(2), 128–137. doi: 10.1093/ptj/82.2.128.
Tahan, N., Khademi-Kalantari, K., Mohseni-Bandpei, M. A., Mikaili, S., Baghban, A. A., & Jaberzadeh, S. (2016). Measurement of superficial and deep abdominal muscle thickness: An ultrasonography study. Journal of physiological anthropology, 35(1):17. doi: 10.1186/s40101-016-0106-6.
Thayabaranathan, T., Kim, J., Cadilhac, D. A., Thrift, A. G., Donnan, G. A., Howard, G., … Norrving, B. (2022). Global stroke statistics 2022. International Journal of Stroke, 17(9), 946-956. doi: 10.1177/17474930221123175.
Villafane, J. H., Zanetti, L., Isgro, M., Cleland, J. A., Bertozzi, L., Gobbo, M., & Negrini, S. (2015). Methods for the assessment of neuromotor capacity in non-specific low back pain: Validity and applicability in everyday clinical practice. J Back Musculoskelet Rehabil, 28(2), 201–214. doi: 10.3233/BMR-140533.
von Elm, E. B., Altman, D. G., Egger, M., Pocock, S. J., Gøtzsche, P. C., & Vandenbroucke, J. P. (2008). Das strengthening the reporting of observational studies in epidemiology (STROBE-) statement. Notfall+ Rettungsmedizin, 11(4), 260–265. doi: 10.1007/s00108-008-2138-4.
Whittaker, J. L., Warner, M. B., & Stokes, M. (2013). Comparison of the sonographic features of the abdominal wall muscles and connective tissues in individuals with and without lumbopelvic pain. J Orthop Sports Phys Ther, 43(1), 11–19. doi: 10.2519/jospt.2013.4450.
Yılmaz, D. A., Yildiz, M., Yildirim, M. S., & Ozlenir, M. (2023). The effects of core stability exercises on proprioception and balance in children with hemiplegic cerebral palsy. Retos, (50), 1123–1128. doi: 10.47197/retos.v50.98537
Yu, H., Wang, Z., Liu, C., Dai, P., Lan, Y., & Xu, G. (2021). Effect of cognitive function on balance and posture control after stroke. Neural plasticity, 2021, 6636999. doi: 10.1155/2021/6636999.
Descargas
Publicado
Cómo citar
Número
Sección
Licencia
Derechos de autor 2024 Retos
Esta obra está bajo una licencia internacional Creative Commons Atribución-NoComercial-SinDerivadas 4.0.
Los autores que publican en esta revista están de acuerdo con los siguientes términos:
- Los autores conservan los derechos de autor y garantizan a la revista el derecho de ser la primera publicación de su obra, el cuál estará simultáneamente sujeto a la licencia de reconocimiento de Creative Commons que permite a terceros compartir la obra siempre que se indique su autor y su primera publicación esta revista.
- Los autores pueden establecer por separado acuerdos adicionales para la distribución no exclusiva de la versión de la obra publicada en la revista (por ejemplo, situarlo en un repositorio institucional o publicarlo en un libro), con un reconocimiento de su publicación inicial en esta revista.
- Se permite y se anima a los autores a difundir sus trabajos electrónicamente (por ejemplo, en repositorios institucionales o en su propio sitio web) antes y durante el proceso de envío, ya que puede dar lugar a intercambios productivos, así como a una citación más temprana y mayor de los trabajos publicados (Véase The Effect of Open Access) (en inglés).
Esta revista sigue la "open access policy" de BOAI (1), apoyando los derechos de los usuarios a "leer, descargar, copiar, distribuir, imprimir, buscar o enlazar los textos completos de los artículos".
(1) http://legacy.earlham.edu/~peters/fos/boaifaq.htm#openaccess
