Turkish journal of physical medicine and rehabilitation · 2019
Functionality of patients with post-stroke hemiplegia: Does serum folate level matter?
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Coşkun Benlidayı İlke, Başaran Sibel
Аннотация
OBJECTIVES: This study aims to investigate the possible effects of folate on the functional outcomes of patients with post-stroke hemiplegia.
PATIENTS AND METHODS: Between January 2012 and March 2015, a total of 80 patients with hemiplegia (51 males, 29 females; mean age 60.3±13.2 years; range, 19 to 95 years) at least three months post-stroke were included in this study. Serum folate levels (ng/mL), Brunnstrom recovery stages of the lower limb, and Functional Ambulation Category (FAC) scores were recorded. All patients were divided into two groups according to the Brunnstrom stages (Category I; Stage 1-3 and Category II; Stage 4-6) and FAC scores (non-functional ambulatory; score 0-2, functional ambulatory; score 3-5).
RESULTS: The mean serum folate level of the patient group was 6.8±2.8 ng/mL. Serum folate levels differed significantly between the Brunnstrom categories with lower levels in patients with poorer motor recovery (Category I) (p=0.047). Folate levels were also lower in non- functional ambulatory patients than those in patients with functional ambulation (p=0.046).
CONCLUSION: Lower serum folate levels are associated with poorer ambulation potential and impaired lower limb motor recovery in patients with post-stroke hemiplegia.
PATIENTS AND METHODS: Between January 2012 and March 2015, a total of 80 patients with hemiplegia (51 males, 29 females; mean age 60.3±13.2 years; range, 19 to 95 years) at least three months post-stroke were included in this study. Serum folate levels (ng/mL), Brunnstrom recovery stages of the lower limb, and Functional Ambulation Category (FAC) scores were recorded. All patients were divided into two groups according to the Brunnstrom stages (Category I; Stage 1-3 and Category II; Stage 4-6) and FAC scores (non-functional ambulatory; score 0-2, functional ambulatory; score 3-5).
RESULTS: The mean serum folate level of the patient group was 6.8±2.8 ng/mL. Serum folate levels differed significantly between the Brunnstrom categories with lower levels in patients with poorer motor recovery (Category I) (p=0.047). Folate levels were also lower in non- functional ambulatory patients than those in patients with functional ambulation (p=0.046).
CONCLUSION: Lower serum folate levels are associated with poorer ambulation potential and impaired lower limb motor recovery in patients with post-stroke hemiplegia.