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Observational study reveals lower limb motor and sensory impairments link to insulin resistance in stroke patients, suggesting mobility deficits worsen metabolic risk.
Insulin resistance is a risk factor for stroke or recurrent stroke. Sedentary behavior increases insulin resistance. This study aimed to identify the relationship between physical impairments and functions and insulin resistance, examining which physical impairments specifically influence insulin resistance the most. The subjects of this study were 63 stroke patients. The subject's insulin resistance and physical impairments and functions were measured using the Chedoke-McMaster Stroke Assessment (CMSA) and Stroke Impairment Assessment Set (SIAS). The study results exhibited that insulin resistance is statistically significantly related to the variable of foot according to the CMSA(r=.95, p<.05) and to the variable of lower extremity sensory function (touch) in relation to the SIAS(r=.91, p<.05). This study also revealed close correlations between insulin resistance and the variables of ankle control(<TEX>β=-1.05</TEX>, p<.05) and low extremity tactile sensations(<TEX>β=-1.82</TEX>, p<.05).
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Choi et al. (2013) studied this question.
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