ICTUS_DMOCAIDAS

Stroke is a leading cause of disability worldwide. Individuals who have survived a stroke often experience balance disturbances, loss of strength, restricted mobility, and proprioceptive impairment. These deficits are considered predictors of falls in this population. Thus, it should be noted that almost 50% of people who suffer strokes experience falls. This can lead to fear and limit mobility, further deteriorating physical function and increasing the risk of falls.

In the prevention of falls and their consequences in people with stroke sequelae, it is important to address two interrelated and understudied issues. Firstly, the alteration in the body composition of the limbs, specifically the decrease in bone mineral density, which predisposes to a greater risk of hip fracture in the paretic lower limb after a fall. Studying the relationship between a person's exercise during transfers, standing, turning, and reaching tasks, as well as towards the paretic side, and the bone mineral density of their limbs can help determine if stroke survivors with a higher risk of falling also have less bone mass, and therefore a higher risk of fracture. Further evidence is needed to determine the impact of functional capacity in individuals with stroke sequelae on their bone health.

The objectives of this project are to analyze the differences in bone mineral density between limbs of people with chronic stroke based on their ability to ambulate in the community and compare it with that of healthy controls. Additionally, the project aims to determine the relationship between bone mineral density and the exercise of various functional tasks linked to the risk of falling in people with chronic stroke sequelae. Various portable assessment devices, such as an ultrasound densitometer, FallSkip Android device, and Actigraph wGT3X-BT accelerometers, are utilized to conduct this project.

The project receives support from the University of Valencia and the Ministry of Education, Universities, and Employment. Its implementation is made possible through collaboration with several entities, including the Acquired Brain Damage Association-Foundation ATENƎU Castelló and the CUNAFF University Nutrition, Physical Activity, and Physiotherapy Clinic.

chronic stroke, bone mineral density, risk of falling, functional capacity

Luz Sánchez Sánchez

Email: M.Luz.Sanchez@uv.es

Contact phone: 963983853

Generalitat Valenciana.
Universitat de València.

Asociación-Fundación de Daño Cerebral Adquirido ATENƎU Castelló.

Clínica Universitaria de Nutrición, Actividad Física y Fisioterapia CUNAFF.

Conference Contributions:

• SÁNCHEZ-SÁNCHEZ M.L., CARRASCO J.J., PÉREZ-ALENDA S., CORTES-AMADOR S., ARNAL-GÓMEZ A., MIRALLES-ALBALAT A., SAFONT-ARNAU D., RUESCAS-NICOLAU M.A. Cross-sectional study of bone mineral density in chronic stroke survivors with limited versus non-limited community ambulation (e-poster). 7th European Congress of Neurorehabilitation- ECNR 2023, Lyon (Francia), 30 Agosto – 2 Septiembre 2023, Neurologie & Rehabilitation 2023;9 (suppl 1): S117
• RUESCAS-NICOLAU M.A., SÁNCHEZ-SÁNCHEZ M.L., CARRASCO J.J., CORTES-AMADOR S., PÉREZ-ALENDA S., MONTALVA-IBORRA A., ARNAL-GÓMEZ A. Relationship between stroke-related sarcopenia and physical activity in chronic stroke (e-poster). 7th European Congress of Neurorehabilitation- ECNR 2023, Lyon (Francia), 30 Agosto – 2 Septiembre 2023, Neurologie & Rehabilitation 2023;9 (suppl 1): S115-S116
• SÁNCHEZ-SÁNCHEZ M.L., RUESCAS-NICOLAU M.A., ARNAL-GÓMEZ A., CARRASCO J.J., PÉREZ-ALENDA S., ENGO-VIDAL J., FLEQUE-MIRAVET C., SEGURA-NAVARRO J., CORTES-AMADOR S. Prevalence of frailty status in community dwelling chronic stroke survivors and differences between women and men (e-poster). 7th European Congress of Neurorehabilitation- ECNR 2023, Lyon (Francia), 30 Agosto – 2 Septiembre 2023, Neurologie & Rehabilitation 2023;9 (suppl 1): S116
• SÁNCHEZ-SÁNCHEZ M.L., SOBRINO-SÁNCHEZ M.C., CORTES-AMADOR S., ARNAL-GÓMEZ A., PÉREZ-ALENDA S., RUESCAS-NICOLAU M.A. Observational study on the occupation of sedentary time and the use of new technologies in chronic stroke. 15th World Stroke Congress (WSC 2023), Toronto (Canadá), 10-12 octubre 2023, International Journal of Stroke, 18(3S):259
• SÁNCHEZ-SÁNCHEZ M.L., RUESCAS-NICOLAU M.A., ARNAL-GÓMEZ A., PÉREZ-ALENDA S., MIRALLES-ALBALAT A., SAFONT-ARNAU D., CORTES-AMADOR S. An android device to assess functional tasks related to the risk of falling in people with chronic stroke. 15th World Stroke Congress (WSC 2023), Toronto (Canadá), 10-12 octubre 2023, International Journal of Stroke, 18(3S):258-259

Scientific Publications:

• Arnal-Gómez A., Cortés-Amador S., Ruescas-Nicolau M.A., Carrasco J.J., Pérez Alenda S., Santamaría-Balfagón A., Sánchez-Sánchez M.L. Assessing Stroke-Related Sarcopenia in Chronic Stroke: Identification of Clinical Assessment Tools— A Pilot Study. Biomedicines 2023, 11: 2601, https://doi,org/10,3390/biomedicines11102601 (JCR 2022: FI= 4,7; POSICION 69/277 [Q1/T1] Category: Pharmacology and Pharmacy).

• GVA - GE - Emerging research groups