Overlapping states of AWGS muscle dysfunction and inverse feasibility of ADL recovery by rehabilitation in older inpatients

Rehabilitation based on guided walking is effective to recover activity of daily living (ADL) in frail older adults, even octogenarians. However, muscle dysfunction obviously reflects disability, and few studies have focused on ADL recovery by rehabilitation. We employed the state of muscle dysfunct...

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Bibliographic Details
Published in:Scientific reports 2022-12, Vol.12 (1), p.22283-22283, Article 22283
Main Authors: Yamashita, Masashi, Obata, Hiroaki, Kamiya, Kentaro, Matsunaga, Atsuhiko, Hotta, Kazuki, Izumi, Tohru
Format: Article
Language:English
Subjects:
692/700/1518
692/700/565/491
692/700/784
Activities of Daily Living
Aged
Aged, 80 and over
Feasibility Studies
Female
Gait
Humanities and Social Sciences
Humans
Inpatients
Male
multidisciplinary
Muscles
Older people
Rehabilitation
Sarcopenia
Science
Science (multidisciplinary)
Walking
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Summary:Rehabilitation based on guided walking is effective to recover activity of daily living (ADL) in frail older adults, even octogenarians. However, muscle dysfunction obviously reflects disability, and few studies have focused on ADL recovery by rehabilitation. We employed the state of muscle dysfunctions proposed by the Asian Working Group for Sarcopenia (AWGS) in 2019 and attempted to clarify the relation between the overlapping dysfunctions and the feasibility of ADL recovery after rehabilitation. In total, 297 frail older patients (the mean age: 82.8 years, 46.1% of patients were male) participated in a walking-guided rehabilitation program to achieve the goal of ambulatory discharge. Muscle dysfunction was categorized by four standardized methods at the start of rehabilitation (grip strength, gait speed, time of five sit-to-stand, and short physical performance battery: SPPB), according to the AWGS proposal. ADLs were monitored by Barthel index before admission, at the start of rehabilitation, and at discharge. At least one dysfunction was present in 95.3% of patients. If a single patient had three or more muscle dysfunction, the ADLs recovery was significantly limited (interaction: p  
ISSN:2045-2322
2045-2322
DOI:10.1038/s41598-022-26622-z