Pathophysiological changes of muscle after ischemic stroke: a secondary consequence of stroke injury

Sufficient clinical evidence suggests that the damage caused by ischemic stroke to the body occurs not only in the acute phase but also during the recovery period, and that the latter has a greater impact on the long-term prognosis of the patient. However, current stroke studies have typically focus...

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Autores principales: Qi, Hu, Tian, Dan, Luan, Fei, Yang, Ruocong, Zeng, Nan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10664100/
https://www.ncbi.nlm.nih.gov/pubmed/37843207
http://dx.doi.org/10.4103/1673-5374.382221
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author Qi, Hu
Tian, Dan
Luan, Fei
Yang, Ruocong
Zeng, Nan
author_facet Qi, Hu
Tian, Dan
Luan, Fei
Yang, Ruocong
Zeng, Nan
author_sort Qi, Hu
collection PubMed
description Sufficient clinical evidence suggests that the damage caused by ischemic stroke to the body occurs not only in the acute phase but also during the recovery period, and that the latter has a greater impact on the long-term prognosis of the patient. However, current stroke studies have typically focused only on lesions in the central nervous system, ignoring secondary damage caused by this disease. Such a phenomenon arises from the slow progress of pathophysiological studies examining the central nervous system. Further, the appropriate therapeutic time window and benefits of thrombolytic therapy are still controversial, leading scholars to explore more pragmatic intervention strategies. As treatment measures targeting limb symptoms can greatly improve a patient’s quality of life, they have become a critical intervention strategy. As the most vital component of the limbs, skeletal muscles have become potential points of concern. Despite this, to the best of our knowledge, there are no comprehensive reviews of pathophysiological changes and potential treatments for post-stroke skeletal muscle. The current review seeks to fill a gap in the current understanding of the pathological processes and mechanisms of muscle wasting atrophy, inflammation, neuroregeneration, mitochondrial changes, and nutritional dysregulation in stroke survivors. In addition, the challenges, as well as the optional solutions for individualized rehabilitation programs for stroke patients based on motor function are discussed.
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spelling pubmed-106641002023-09-04 Pathophysiological changes of muscle after ischemic stroke: a secondary consequence of stroke injury Qi, Hu Tian, Dan Luan, Fei Yang, Ruocong Zeng, Nan Neural Regen Res Review Sufficient clinical evidence suggests that the damage caused by ischemic stroke to the body occurs not only in the acute phase but also during the recovery period, and that the latter has a greater impact on the long-term prognosis of the patient. However, current stroke studies have typically focused only on lesions in the central nervous system, ignoring secondary damage caused by this disease. Such a phenomenon arises from the slow progress of pathophysiological studies examining the central nervous system. Further, the appropriate therapeutic time window and benefits of thrombolytic therapy are still controversial, leading scholars to explore more pragmatic intervention strategies. As treatment measures targeting limb symptoms can greatly improve a patient’s quality of life, they have become a critical intervention strategy. As the most vital component of the limbs, skeletal muscles have become potential points of concern. Despite this, to the best of our knowledge, there are no comprehensive reviews of pathophysiological changes and potential treatments for post-stroke skeletal muscle. The current review seeks to fill a gap in the current understanding of the pathological processes and mechanisms of muscle wasting atrophy, inflammation, neuroregeneration, mitochondrial changes, and nutritional dysregulation in stroke survivors. In addition, the challenges, as well as the optional solutions for individualized rehabilitation programs for stroke patients based on motor function are discussed. Wolters Kluwer - Medknow 2023-09-04 /pmc/articles/PMC10664100/ /pubmed/37843207 http://dx.doi.org/10.4103/1673-5374.382221 Text en Copyright: © Neural Regeneration Research https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Review
Qi, Hu
Tian, Dan
Luan, Fei
Yang, Ruocong
Zeng, Nan
Pathophysiological changes of muscle after ischemic stroke: a secondary consequence of stroke injury
title Pathophysiological changes of muscle after ischemic stroke: a secondary consequence of stroke injury
title_full Pathophysiological changes of muscle after ischemic stroke: a secondary consequence of stroke injury
title_fullStr Pathophysiological changes of muscle after ischemic stroke: a secondary consequence of stroke injury
title_full_unstemmed Pathophysiological changes of muscle after ischemic stroke: a secondary consequence of stroke injury
title_short Pathophysiological changes of muscle after ischemic stroke: a secondary consequence of stroke injury
title_sort pathophysiological changes of muscle after ischemic stroke: a secondary consequence of stroke injury
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10664100/
https://www.ncbi.nlm.nih.gov/pubmed/37843207
http://dx.doi.org/10.4103/1673-5374.382221
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