Muscle Quality and Structural Changes in Stroke Patients: An Ultrasonographic Evaluation
Objective: The aim of this study is to evaluate muscle changes in stroke patients by assessing muscle diameter and muscle quality using ultrasonography. Materials and Methods: Forty male stroke patients and forty healthy male volunteers who fulfilled the predefined criteria were enrolled in the stu...
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| Format: | Article |
| Language: | English |
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Galenos Publishing House
2025-08-01
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| Series: | Türk Osteoporoz Dergisi |
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| Online Access: | https://www.turkosteoporozdergisi.org/articles/muscle-quality-and-structural-changes-in-stroke-patients-an-ultrasonographic-evaluation/doi/tod.galenos.2025.67934 |
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| author | İlhan Celil Özbek Özgür Akgül Canan Tıkız Zeliha Ünlü Lale Cerrahoğlu |
| author_facet | İlhan Celil Özbek Özgür Akgül Canan Tıkız Zeliha Ünlü Lale Cerrahoğlu |
| author_sort | İlhan Celil Özbek |
| collection | DOAJ |
| description | Objective: The aim of this study is to evaluate muscle changes in stroke patients by assessing muscle diameter and muscle quality using ultrasonography.
Materials and Methods: Forty male stroke patients and forty healthy male volunteers who fulfilled the predefined criteria were enrolled in the study. The patient group was evaluated with the Brunnstrom Lower Extremity Motor Evaluation, the Modified Ashworth Scale, the Functional Independence Measure, and the Functional Ambulation Scale. Diameter measurements of the quadriceps femoris muscle, were taken with B-mode ultrasonography, and shear wave elastography (SWE) values were recorded for both groups.
Results: Stroke patients’ quadriceps femoris muscle diameter was significantly lower than that of controls (p<0.001), while SWE measurements exhibited no significant difference (p>0.05). Subgroup analysis based on stroke duration revealed lower diameter measurements in acute-subacute and chronic stroke patients compared to controls (both p<0.001), with no difference between stroke groups (p>0.05). Similarly, regardless of ambulation status, stroke patients had significantly lower quadriceps femoris muscle diameter than controls (p<0.001), with no disparity between ambulation groups (p>0.05). There was no significant difference in the groups’ SWE measurements (p>0.05).
Conclusion: These results suggest a decrease in muscle thickness without deterioration in muscle quality. At this point, we believe that simultaneous evaluation with B-mode ultrasonography and elastography during ultrasonographic assessment of muscle changes will provide more objective results. This approach may help us more accurately understand the relationship between the quality and quantity of muscle tissue. |
| format | Article |
| id | doaj-art-eb68bbc20bb2481080ab28608394f5d6 |
| institution | Kabale University |
| issn | 2147-2653 |
| language | English |
| publishDate | 2025-08-01 |
| publisher | Galenos Publishing House |
| record_format | Article |
| series | Türk Osteoporoz Dergisi |
| spelling | doaj-art-eb68bbc20bb2481080ab28608394f5d62025-08-20T03:58:14ZengGalenos Publishing HouseTürk Osteoporoz Dergisi2147-26532025-08-01312687510.4274/tod.galenos.2025.67934Muscle Quality and Structural Changes in Stroke Patients: An Ultrasonographic Evaluationİlhan Celil Özbek0https://orcid.org/0000-0003-0508-8868Özgür Akgül1https://orcid.org/0000-0003-3012-2968Canan Tıkız2https://orcid.org/0000-0002-0172-4874Zeliha Ünlü3https://orcid.org/0000-0003-2270-0414Lale Cerrahoğlu4https://orcid.org/0000-0002-8911-6741University of Health Sciences Türkiye, Kocaeli Derince Training and Research Hospital, Clinic of Physical Medicine and Rehabilitation, Kocaeli, TürkiyeManisa Celal Bayar University Faculty of Medicine, Department of Physical Medicine and Rehabilitation, Manisa, TürkiyeManisa Celal Bayar University Faculty of Medicine, Department of Physical Medicine and Rehabilitation, Manisa, TürkiyeManisa Celal Bayar University Faculty of Medicine, Department of Physical Medicine and Rehabilitation, Manisa, TürkiyeMedical Point Hospital, Clinic of Physical Medicine and Rehabilitation, İzmir, TürkiyeObjective: The aim of this study is to evaluate muscle changes in stroke patients by assessing muscle diameter and muscle quality using ultrasonography. Materials and Methods: Forty male stroke patients and forty healthy male volunteers who fulfilled the predefined criteria were enrolled in the study. The patient group was evaluated with the Brunnstrom Lower Extremity Motor Evaluation, the Modified Ashworth Scale, the Functional Independence Measure, and the Functional Ambulation Scale. Diameter measurements of the quadriceps femoris muscle, were taken with B-mode ultrasonography, and shear wave elastography (SWE) values were recorded for both groups. Results: Stroke patients’ quadriceps femoris muscle diameter was significantly lower than that of controls (p<0.001), while SWE measurements exhibited no significant difference (p>0.05). Subgroup analysis based on stroke duration revealed lower diameter measurements in acute-subacute and chronic stroke patients compared to controls (both p<0.001), with no difference between stroke groups (p>0.05). Similarly, regardless of ambulation status, stroke patients had significantly lower quadriceps femoris muscle diameter than controls (p<0.001), with no disparity between ambulation groups (p>0.05). There was no significant difference in the groups’ SWE measurements (p>0.05). Conclusion: These results suggest a decrease in muscle thickness without deterioration in muscle quality. At this point, we believe that simultaneous evaluation with B-mode ultrasonography and elastography during ultrasonographic assessment of muscle changes will provide more objective results. This approach may help us more accurately understand the relationship between the quality and quantity of muscle tissue.https://www.turkosteoporozdergisi.org/articles/muscle-quality-and-structural-changes-in-stroke-patients-an-ultrasonographic-evaluation/doi/tod.galenos.2025.67934strokemuscle qualityultrasonographyelasticity imaging techniques |
| spellingShingle | İlhan Celil Özbek Özgür Akgül Canan Tıkız Zeliha Ünlü Lale Cerrahoğlu Muscle Quality and Structural Changes in Stroke Patients: An Ultrasonographic Evaluation Türk Osteoporoz Dergisi stroke muscle quality ultrasonography elasticity imaging techniques |
| title | Muscle Quality and Structural Changes in Stroke Patients: An Ultrasonographic Evaluation |
| title_full | Muscle Quality and Structural Changes in Stroke Patients: An Ultrasonographic Evaluation |
| title_fullStr | Muscle Quality and Structural Changes in Stroke Patients: An Ultrasonographic Evaluation |
| title_full_unstemmed | Muscle Quality and Structural Changes in Stroke Patients: An Ultrasonographic Evaluation |
| title_short | Muscle Quality and Structural Changes in Stroke Patients: An Ultrasonographic Evaluation |
| title_sort | muscle quality and structural changes in stroke patients an ultrasonographic evaluation |
| topic | stroke muscle quality ultrasonography elasticity imaging techniques |
| url | https://www.turkosteoporozdergisi.org/articles/muscle-quality-and-structural-changes-in-stroke-patients-an-ultrasonographic-evaluation/doi/tod.galenos.2025.67934 |
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