| 제목 |
Post-stroke foot swelling and edema : incidence and relationship with various measures |
| 소속 |
Konkuk University Medical Center, Department of Rehabilitation Medicine1 |
| 저자 |
Min Jun Lee1*, Seihee Yoon1, Jin Mo Kim1, Jong Moon Kim1, Jin Sang Chung1, Shin Kyoung Kim1† |
Objective : In post-stroke hemiplegic patients, edema often occur at upper limbs or lower limbs on the side of paralysis. The purpose of this study was to identify the incidence of the foot edema in post-stroke hemiplegic patients and to examine the relationship with various measurements.
Methods: Patients with post-stroke hemiplegia were recruited from 2014 until 2015 (n=86). The volume of foot was measured with a water displacement volumetry and edema was defined as the volume difference between unaffected and affected foot is more than two standard deviation. Additionally we investigated several measurements of lower limbs which included the strength of paretic side (Motricity Index), spasticity (Modified ashworth scale), sensibility, somatosensory evoked potential and the motor function (Lower Extremety Motor coordination Test).
Results : 20 patients among the 86 patients (23.3%) satisfied the our cut-off point of edema. Edema were significantly more often seen in patients with hypertonia, hypoesthesia and muscle weakness of paretic side. And we found significant negative correlation between motor function of paretic side.
Conclusion : In post-stroke hemiplegic patients, edema of the paretic foot is common at subacute period. And foot edema of the paretic side has significant association with muscle tone, sensibility, muscle strength and motor function. Thus, the active prevention and the management of foot edema in post-stroke hemiplegic patients is very important. |
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Fig2. The association between spasticity and edema in post-stroke hemiplegia at the affected foot.
Fig3. The association between sensibility and edema in post-stroke hemiplegia at the affected foot.
Fig4. The association between muscle strength and edema in post-stroke hemiplegia at the affected foot. (MI; Motricity Index)
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