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Changes in Muscle Strength and Six-Minute Walk Distance Before and After Living Donor Liver Transplantation.

Abstract：

BACKGROUND:Impaired exercise capacity and muscle weakness are important characteristics of liver transplantation recipients. Perioperative rehabilitation has been introduced to promote early mobilization of patients and to prevent postoperative pulmonary complications. However, it is unknown how physical status recovers during the hospital stay after a liver transplant. The purpose of this study was to evaluate the changes in clinical indicators that represent the functional exercise capacity and muscle strength before and after living donor liver transplantation (LDLT). METHODS:We retrospectively reviewed 21 consecutive patients who underwent LDLT with perioperative rehabilitation from April 2014 to December 2015. Twelve patients who were tested for 6-minute walk distance, hand-grip strength, and isometric knee extensor muscle strength before and 4 weeks after LDLT were enrolled. RESULTS:At the preoperative baseline, the 6-minute walk distance significantly correlated with the Model for End-stage Liver Disease score and pulmonary functions (vital capacity, forced vital capacity, and forced expiratory volume in 1 second of predictive values). Comparisons between the preoperative and postoperative values revealed significant decreases in weight, Barthel Index, hand-grip strength, and isometric knee extensor muscle strength. Changes in hand-grip strength and isometric knee extensor muscle strength after LDLT correlated with the preoperative Model for End-stage Liver Disease score. CONCLUSIONS:Physical functional status had not been fully recovered 4 weeks after LDLT. Further investigation regarding developing a strategy for prevention of muscle atrophy before LDLT and recovery of physical fitness after LDLT would be helpful.

journal_name

Transplant Proc

journal_title

Transplantation proceedings

authors

Mizuno Y,Ito S,Hattori K,Nagaya M,Inoue T,Nishida Y,Onishi Y,Kamei H,Kurata N,Hasegawa Y,Ogura Y

doi

10.1016/j.transproceed.2016.08.042

subject

Has Abstract

pub_date

2016-12-01 00:00:00

pages

3348-3355

issue

10

eissn

0041-1345

issn

1873-2623

pii

S0041-1345(16)30688-1

journal_volume

48

pub_type

杂志文章

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