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전나모(Namo Jeon),김두영(Doo Young Kim) 대한임상노인의학회 2023 대한임상노인의학회지 Vol.24 No.1
Sarcopenia is an ageing-related disease that results in progressive muscle volume decrease. Stroke is also an ageing-related disease and many stroke patients have underlying sarcopenia in whom functional decline may be more severe than neurological damage; however, in the acute stage of stroke, sarcopenia can be underestimated so the patients may not receive appropriate evaluation and treatment. This report suggests the need for diagnosis using dual-energy X-ray absorptiometry when sarcopenia is suspected in patients with stroke. Furthermore, if sarcopenia is confirmed, it is necessary to provide rehabilitation intervention tailored to the disease because appropriate treatment can promote the return to daily life. After an accurate diagnosis of sarcopenia, a quantitative muscle strength evaluation, an exercise prescription that considers fatigue and appropriate amino acid supplementation are necessary to establish a strategy for rehabilitation intervention.