An Exercise Prescription for Patients with Stroke and Sarcopenia Based on the Modified Delphi Study
Jae Wan Yoo,
Geun-Young Park,
Hae-Yeon Park,
Yeun Jie Yoo,
Mi-Jeong Yoon,
SeungYup Song,
Kyung Hyun Park,
Hooman Lee,
Sangui Choi,
Sun Im,
Seong Hoon Lim
Affiliations
Jae Wan Yoo
Department of Rehabilitation Medicine, Graduate School of Medicine, The Catholic University of Korea, Seoul 06591, Republic of Korea
Geun-Young Park
Department of Rehabilitation Medicine, Bucheon St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul 06591, Republic of Korea
Hae-Yeon Park
Department of Rehabilitation Medicine, Bucheon St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul 06591, Republic of Korea
Yeun Jie Yoo
Department of Rehabilitation Medicine, St. Vincent’s Hospital, College of Medicine, The Catholic University of Korea, Seoul 06591, Republic of Korea
Mi-Jeong Yoon
Department of Rehabilitation Medicine, St. Vincent’s Hospital, College of Medicine, The Catholic University of Korea, Seoul 06591, Republic of Korea
SeungYup Song
Department of Rehabilitation Medicine, Bucheon St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul 06591, Republic of Korea
Kyung Hyun Park
Department of Rehabilitation Medicine, Seoul St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul 06591, Republic of Korea
Hooman Lee
The Research and Development Center, Exosystems, Seongnam-si 13449, Republic of Korea
Sangui Choi
The Research and Development Center, Exosystems, Seongnam-si 13449, Republic of Korea
Sun Im
Department of Rehabilitation Medicine, Bucheon St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul 06591, Republic of Korea
Seong Hoon Lim
Department of Rehabilitation Medicine, Seoul St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul 06591, Republic of Korea
Background: We aimed to develop a consensus on the need for and priorities of exercise to treat preexisting sarcopenia with hemiplegic stroke. Methods: A modified three-round Delphi study was conducted. The panelists responded to the questionnaire on a 7-point Likert scale. Responses were returned with descriptive statistics in the next round. Consensus was defined as >75% agreement (score of 5–7) with a median > 5. The percentage of strong agreement (score of 6–7) and Kendall’s coefficient of concordance were calculated to demonstrate a more refined interpretation of the consensus. Results: Fifteen panelists contributed to all rounds. The need for exercise was demonstrated. The consensus was reached on 53 of 58 items in the first round and all items in the second and final rounds. The percentage of strong agreement was high for all but eight items. Conclusions: This study is the first Delphi study to investigate the need for and priorities of exercise for treating preexisting sarcopenia in stroke hemiplegia. We present a standard recommendation including 57 priorities and a strong recommendation including 49 priorities. The eight items that were excluded reflected factors that are less important to hemiplegic patients with poor balance, cognitive decline, or mental vulnerability.
