Journal of Rehabilitation Sciences & Research

Handgrip and Quadriceps Strength as Independent Predictors of Post-Stroke Depression and Anxiety

Document Type : Original Articles

Authors

Adekola Babatunde Ademoyegun 1, 2
Adebukola Grace Ibitoye 1
Chidozie Emmanuel Mbada 2
Oluwatobi Elijah Malomo 1
Omotola Ibitayo Adelowokan 1
Ishanosen Abidemi Aghedo 1
Wasiu Abiodun Rasaq 1
Bobola Moradeke Adeoye 1
Mistura Iyabo Olaoye 1, 2

1 Department of Physiotherapy, Osun State University Teaching Hospital, Osogbo, Nigeria

2 Department of Medical Rehabilitation, College of Health Sciences, Obafemi Awolowo University, Ile-Ife, Nigeria

https://doi.org/10.30476/jrsr.2021.91566.1176
Abstract
Background: The objective of this study was to whether handgrip and
quadriceps strength can predict post-stroke depression (PSD) and post-stroke
anxiety (PSA).
Methods: This cross-sectional study involved sixty-six consenting stroke
patients whose symptoms of depression and anxiety and affected handgrip and
quadriceps strength were assessed by the Hospital Anxiety and Depression Scale
(HADS) and handheld dynamometers. Data was analyzed using descriptive and
inferential statistics. Alpha level was set at P<0.05.
Results: The participants’ mean handgrip and quadriceps strength were 19.03
kg and 20.70 kg, respectively, while the prevalence of PSD and PSA were 33.4%
and 42.4%, respectively. PSD was significantly correlated with PSA (r=0.61;
P<0.001), handgrip strength (r=-0.24; P=0.049), functional independence
(r=-0.26; P=0.036), and stroke severity (r=0.26; P=0.039), while PSA was
significantly correlated with stroke severity (r=0.25; P=0.046) and age (r=-
0.25; P=0.048). Multiple linear regression results indicate that handgrip and
quadriceps strength were not independent predictors of PSD and PSA (P>0.05);
however, the presence of PSA was an independent predictor of PSD (B=0.590;
P<0.001), while the presence of PSD (B=0.621; P=0.001) and younger age (B=-
0.307; P<0.001) were independent predictors of PSA.
Conclusion: Handgrip and quadriceps strength are not significant predictors of
PSD and PSA in stroke survivors; however, PSD and PSA can predict each other,
indicating a bi-directional relationship, while age is a negative predictor of PSA.

Keywords

Muscle strength
Mental health
Stroke
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Journal of Rehabilitation Sciences & Research
Volume 9, Issue 1
Winter 2022
Pages 47-52

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