Objectives: There is a lack of evidence regarding the association between whole-body exercise and independence in urination and defecation. This study aimed to evaluate the effect of chair-stand exercise on improving urination and defecation independence in post-stroke patients with sarcopenia.
Methods: A retrospective study was conducted on stroke patients admitted to a community rehabilitation hospital between 2015 and 2021. Patients diagnosed with sarcopenia who required assistance with bladder and bowel management were included. The primary outcomes were the Functional Independence Measure (FIM) scores for urination (FIM-Bladder) and defecation (FIM-Bowel) at discharge. Multiple regression analysis was used to examine the association between chair-stand exercise and the outcomes, adjusting for potential confounders.
Results: Of 586 patients, 187 patients (mean age 79.3 years, 44.9% male) were included in the urination analysis, and 180 patients (mean age 79.3 years, 44.4% male) were included in the defecation analysis. Multiple regression analysis showed that the number of chair-stand exercises was independently positively associated with FIM-Bladder at discharge (β=0.147, P=0.038) and FIM-Bladder gain (β=0.168, P=0.038). Similarly, the number of chair-stand exercises was independently positively associated with FIM-Bowel at discharge (β=0.149, P=0.049) and FIM-Bowel gain (β=0.166, P=0.049).
Conclusions: Chair-stand exercise was positively associated with improved urination and defecation independence in post-stroke patients with sarcopenia. Incorporating whole-body exercises, such as chair-stand exercise, in addition to conventional rehabilitation programs may help improve voiding independence, reduce incontinence, and enhance quality of life in these patients.
"}],"abstractLicenseFlag":"disallow"}],"creator":[{"@id":"https://cir.nii.ac.jp/crid/1410020054940901251","@type":"Researcher","foaf:name":[{"@language":"en","@value":"Kido Yoshifumi"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Rehabilitation, Kumamoto Rehabilitation Hospital, Kikuyo, Japan"}]},{"@id":"https://cir.nii.ac.jp/crid/1410020054940901249","@type":"Researcher","foaf:name":[{"@language":"en","@value":"Yoshimura Yoshihiro"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Center for Sarcopenia and Malnutrition Research, Kumamoto Rehabilitation Hospital, Kikuyo, Japan"}]},{"@id":"https://cir.nii.ac.jp/crid/1410020054940901253","@type":"Researcher","foaf:name":[{"@language":"en","@value":"Wakabayashi Hidetaka"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Rehabilitation Medicine, Tokyo Women’s Medical University Hospital, Tokyo, Japan"}]},{"@id":"https://cir.nii.ac.jp/crid/1410020054940901252","@type":"Researcher","foaf:name":[{"@language":"en","@value":"Nagano Fumihiko"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Center for Sarcopenia and Malnutrition Research, Kumamoto Rehabilitation Hospital, Kikuyo, Japan"}]},{"@id":"https://cir.nii.ac.jp/crid/1410020054940901254","@type":"Researcher","foaf:name":[{"@language":"en","@value":"Bise Takahiro"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Rehabilitation, Kumamoto Rehabilitation Hospital, Kikuyo, Japan"}]},{"@id":"https://cir.nii.ac.jp/crid/1410020054940901120","@type":"Researcher","foaf:name":[{"@language":"en","@value":"Matsumoto Ayaka"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Pharmacy, Kumamoto Rehabilitation Hospital, Kikuyo, Japan"}]},{"@id":"https://cir.nii.ac.jp/crid/1410020054940901256","@type":"Researcher","foaf:name":[{"@language":"en","@value":"Shimazu Sayuri"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Center for Sarcopenia and Malnutrition Research, Kumamoto Rehabilitation Hospital, Kikuyo, Japan"}]},{"@id":"https://cir.nii.ac.jp/crid/1410020054940901250","@type":"Researcher","foaf:name":[{"@language":"en","@value":"Shiraishi Ai"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Dental Office, Kumamoto Rehabilitation Hospital, Kikuyo, Japan"}]},{"@id":"https://cir.nii.ac.jp/crid/1410020054940901257","@type":"Researcher","foaf:name":[{"@language":"en","@value":"Yoneda Kouki"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Center for Sarcopenia and Malnutrition Research, Kumamoto Rehabilitation Hospital, Kikuyo, Japan"}]},{"@id":"https://cir.nii.ac.jp/crid/1410020054940901255","@type":"Researcher","foaf:name":[{"@language":"en","@value":"Hamada Takenori"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Rehabilitation, Kumamoto Rehabilitation Hospital, Kikuyo, Japan"}]},{"@id":"https://cir.nii.ac.jp/crid/1410020054940901248","@type":"Researcher","foaf:name":[{"@language":"en","@value":"Kuzuhara Aomi"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Center for Sarcopenia and Malnutrition Research, Kumamoto Rehabilitation Hospital, Kikuyo, Japan"}]}],"publication":{"publicationIdentifier":[{"@type":"EISSN","@value":"24321354"},{"@type":"LISSN","@value":"24321354"}],"prism:publicationName":[{"@language":"ja","@value":"Progress in Rehabilitation Medicine"},{"@language":"en","@value":"Progress in Rehabilitation Medicine"},{"@language":"en","@value":"PRM"}],"dc:publisher":[{"@language":"en","@value":"The Japanese Association of Rehabilitation Medicine"},{"@language":"ja","@value":"公益社団法人 日本リハビリテーション医学会"}],"prism:publicationDate":"2024","prism:volume":"9","prism:number":"0","prism:startingPage":"n/a"},"reviewed":"false","url":[{"@id":"https://www.jstage.jst.go.jp/article/prm/9/0/9_20240029/_pdf"},{"@id":"https://search.jamas.or.jp/link/ui/2025276838"}],"availableAt":"2024","foaf:topic":[{"@id":"https://cir.nii.ac.jp/all?q=cognitive%20function","dc:title":"cognitive function"},{"@id":"https://cir.nii.ac.jp/all?q=convalescent%20rehabilitation","dc:title":"convalescent rehabilitation"},{"@id":"https://cir.nii.ac.jp/all?q=dysphagia","dc:title":"dysphagia"},{"@id":"https://cir.nii.ac.jp/all?q=motor%20function","dc:title":"motor function"},{"@id":"https://cir.nii.ac.jp/all?q=stroke","dc:title":"stroke"}],"relatedProduct":[{"@id":"https://cir.nii.ac.jp/crid/1360005516971654400","@type":"Article","resourceType":"学術雑誌論文(journal article)","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"Asian Working Group for Sarcopenia: 2019 Consensus Update on Sarcopenia Diagnosis and Treatment"}]},{"@id":"https://cir.nii.ac.jp/crid/1360020313631359232","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"Current Status of Sarcopenia in Korea: A Focus on Korean Geripausal Women"}]},{"@id":"https://cir.nii.ac.jp/crid/1360020313809809024","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"Effects of different exercise training modes on muscle strength and physical performance in older people with sarcopenia: a systematic review and meta-analysis"}]},{"@id":"https://cir.nii.ac.jp/crid/1360285707218881664","@type":"Article","resourceType":"学術雑誌論文(journal article)","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"Interventions for Treating Sarcopenia: A Systematic Review and Meta-Analysis of Randomized Controlled Studies"}]},{"@id":"https://cir.nii.ac.jp/crid/1360292621252237824","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"Prevalence of sarcopenia and its association with activities of daily living and dysphagia in convalescent rehabilitation ward inpatients"}]},{"@id":"https://cir.nii.ac.jp/crid/1360298341512110208","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"Interventions for treating urinary incontinence after stroke in adults"}]},{"@id":"https://cir.nii.ac.jp/crid/1360298345523220224","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"Chair-Stand Exercise Improves Sarcopenia in Rehabilitation Patients after Stroke"}]},{"@id":"https://cir.nii.ac.jp/crid/1360301787273880320","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"The Effect of Resistance Training on the Rehabilitation of Elderly Patients with Sarcopenia: A Meta-Analysis"}]},{"@id":"https://cir.nii.ac.jp/crid/1360301788809813376","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"The Impact of Urinary Incontinence on Quality of Life: A Cross-Sectional Study in the Metropolitan City of Naples"}]},{"@id":"https://cir.nii.ac.jp/crid/1360574094504701184","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"The Influence of Urinary Incontinence on the Quality of Life of Elderly Women"}]},{"@id":"https://cir.nii.ac.jp/crid/1360574094752822528","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"Obesity and Urinary Incontinence: Epidemiology and Clinical Research Update"}]},{"@id":"https://cir.nii.ac.jp/crid/1360574096111207424","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"Incidence of constipation in stroke patients"}]},{"@id":"https://cir.nii.ac.jp/crid/1360576118742323712","@type":"Article","resourceType":"学術雑誌論文(journal article)","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"Sarcopenia Is Associated with Fecal Incontinence in Patients with Dysphagia: Implication for Anal Sarcopenia"}]},{"@id":"https://cir.nii.ac.jp/crid/1360576122960120448","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"Sarcopenia is associated with incontinence and recovery of independence in urination and defecation in post-acute rehabilitation patients"}]},{"@id":"https://cir.nii.ac.jp/crid/1360583258206983680","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"New-Onset Fecal Incontinence After Stroke"}]},{"@id":"https://cir.nii.ac.jp/crid/1360583258967869184","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"Poststroke constipation in the rehabilitation ward: incidence, clinical course and associated factors"}]},{"@id":"https://cir.nii.ac.jp/crid/1360583261655066112","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"Systematic Review: Randomized, Controlled Trials of Nonsurgical Treatments for Urinary Incontinence in Women"}]},{"@id":"https://cir.nii.ac.jp/crid/1360862102629072640","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"Risk Factors for Urinary, Fecal, or Dual Incontinence in the Nursesʼ Health Study"}]},{"@id":"https://cir.nii.ac.jp/crid/1360864734490766976","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"Report and Research Agenda of the American Geriatrics Society and National Institute on Aging Bedside‐to‐Bench Conference on Urinary Incontinence in Older Adults: A Translational Research Agenda for a Complex Geriatric Syndrome"}]},{"@id":"https://cir.nii.ac.jp/crid/1361137043954458240","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"Resistance training for activity limitations in older adults with skeletal muscle function deficits: a systematic review"}]},{"@id":"https://cir.nii.ac.jp/crid/1361418521223575168","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"Outcomes Validity and Reliability of the Modified Rankin Scale: Implications for Stroke Clinical Trials"}]},{"@id":"https://cir.nii.ac.jp/crid/1362262945826396672","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"New-Onset Constipation at Acute Stage After First Stroke"}]},{"@id":"https://cir.nii.ac.jp/crid/1362262946076511872","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"The impact on health‐related quality of life of stress, urge and mixed urinary incontinence"}]},{"@id":"https://cir.nii.ac.jp/crid/1362544419573027712","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"Poor oral status is associated with rehabilitation outcome in older people"}]},{"@id":"https://cir.nii.ac.jp/crid/1362544419870854912","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"Reliability and Validity of a Tool to Measure the Severity of Dysphagia: The Food Intake LEVEL Scale"}]},{"@id":"https://cir.nii.ac.jp/crid/1362544419962276864","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"A best practice fall prevention exercise program to improve balance, strength / power, and psychosocial health in older adults: study protocol for a randomized controlled trial"}]},{"@id":"https://cir.nii.ac.jp/crid/1362544421190571904","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"Treatment Interventions in Nursing Home Residents With Urinary Incontinence: A Systematic Review of Randomized Trials"}]},{"@id":"https://cir.nii.ac.jp/crid/1362825893344056704","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"A new method of classifying prognostic comorbidity in longitudinal studies: Development and validation"}]},{"@id":"https://cir.nii.ac.jp/crid/1362825893551942656","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"International Clinical Practice Guidelines for Sarcopenia (ICFSR): Screening, Diagnosis and Management"}]},{"@id":"https://cir.nii.ac.jp/crid/1362825894405896192","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"