Electrical impedance myography combined with quantitative assessment techniques in paretic muscle of stroke survivors: Insights and challenges

被引:1
作者
Gong, Ze [1 ,2 ]
Lo, Wai Leung Ambrose [3 ]
Wang, Ruoli [4 ]
Li, Le [1 ,2 ]
机构
[1] Northwestern Polytech Univ Shenzhen, Res & Dev Inst, Shenzhen, Peoples R China
[2] Northwestern Polytech Univ, Inst Med Res, Xian, Peoples R China
[3] Sun Yat Sen Univ, Affiliated Hosp 1, Dept Rehabil Med, Guangzhou, Peoples R China
[4] KTH Royal Inst Technol, Dept Engn Mech, KTH MoveAbil Lab, Stockholm, Sweden
来源
FRONTIERS IN AGING NEUROSCIENCE | 2023年 / 15卷
基金
中国国家自然科学基金;
关键词
electrical impedance myography; stroke; skeletal muscle; spasticity; ultrasonography; SPINAL MUSCULAR-ATROPHY; SKELETAL-MUSCLE; STRENGTH; ULTRASOUND; MECHANISMS; PARAMETERS; SPASTICITY; VALIDITY; INJURY; ARCHITECTURE;
D O I
10.3389/fnagi.2023.1130230
中图分类号
R592 [老年病学]; C [社会科学总论];
学科分类号
03 ; 0303 ; 100203 ;
摘要
Aging is a non-modifiable risk factor for stroke and the global burden of stroke is continuing to increase due to the aging society. Muscle dysfunction, common sequela of stroke, has long been of research interests. Therefore, how to accurately assess muscle function is particularly important. Electrical impedance myography (EIM) has proven to be feasible to assess muscle impairment in patients with stroke in terms of micro structures, such as muscle membrane integrity, extracellular and intracellular fluids. However, EIM alone is not sufficient to assess muscle function comprehensively given the complex contributors to paretic muscle after an insult. This article discusses the potential to combine EIM and other common quantitative methods as ways to improve the assessment of muscle function in stroke survivors. Clinically, these combined assessments provide not only a distinct advantage for greater accuracy of muscle assessment through cross-validation, but also the physiological explanation on muscle dysfunction at the micro level. Different combinations of assessments are discussed with insights for different purposes. The assessments of morphological, mechanical and contractile properties combined with EIM are focused since changes in muscle structures, tone and strength directly reflect the muscle function of stroke survivors. With advances in computational technology, finite element model and machine learning model that incorporate multi-modal evaluation parameters to enable the establishment of predictive or diagnostic model will be the next step forward to assess muscle function for individual with stroke.
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页数:10
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