Association between Bone Mineral Density and Clinical Parameters in Traumatic Brain Injury Patients

Objective: Determine the association between the bone mineral density and traumatic brain injury (TBI). Materials and Methods: Twenty-two patients with TBI included to the study. Dual energy X-ray absorptiometry measurements which determines the femur neck and L1-4 vertebrate T scores in patients...

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Main Authors: Murat Ersöz, Selçuk Sayılır, Özden Sibel Odabaşı Yılmaz
Format: Article
Language:English
Published: Galenos Yayinevi 2016-04-01
Series:Türk Osteoporoz Dergisi
Subjects:
Online Access:http://www.turkosteoporozdergisi.org/article_10466/Association-Between-Bone-Mineral-Density-And-Clinical-Parameters-In-Traumatic-brain-Injury-Patients
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author Murat Ersöz,
Selçuk Sayılır
Özden Sibel Odabaşı Yılmaz
author_facet Murat Ersöz,
Selçuk Sayılır
Özden Sibel Odabaşı Yılmaz
author_sort Murat Ersöz,
collection DOAJ
description Objective: Determine the association between the bone mineral density and traumatic brain injury (TBI). Materials and Methods: Twenty-two patients with TBI included to the study. Dual energy X-ray absorptiometry measurements which determines the femur neck and L1-4 vertebrate T scores in patients was performed via Lunar Prodigy DPX system. Clinical parameters such as types of involvements (plegia), upper-lower extremity spasticity values, presence of heterotypic ossification, ambulation levels were determined and their relations with femur neck and L1-4 vertebrate T scores were examined with Mann-Whitney U Test. Results: In the comparison of sub groups of type of plegia (tetraplegic/hemi-paraplegic), lower extremity spasticity values [Ascworth score 0/1-2-3-4), presence of heterotopic ossification no statistically significant (p>0.05) difference was found in the femur neck and L1-4 vertebrate T scores. On the other hand, in the subgroups determined according to ambulatory levels of the patients (confined to bed-wheelchair/ ambulated (orthesis-hand support-independent)] significant difference was observed in the femur neck T scores (p=0.044). Femur neck T scores were significantly high in ambulated patients (p=0.044). Conclusion: In TBI cases ambulation level is a factor which significantly affect bone mineral density. It is necessary to ambulate patients with potential as soon as possible and to plan alternative approaches in patient could not be ambulated.
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spelling doaj.art-230a9d7c86734e27b44bf903f3602fdb2023-02-15T16:15:04ZengGalenos YayineviTürk Osteoporoz Dergisi2147-26532016-04-0122171010.4274/tod.03164Association between Bone Mineral Density and Clinical Parameters in Traumatic Brain Injury PatientsMurat Ersöz,0Selçuk Sayılır1Özden Sibel Odabaşı Yılmaz2Yıldırım Beyazıt Üniversitesi Tıp Fakültesi, Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, Ankara, TürkiyeSıtkı Koçman Üniversitesi Tıp Fakültesi, Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, Muğla, Türkiye Erzincan Üniversitesi Tıp Fakültesi, Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, Erzincan, TürkiyeObjective: Determine the association between the bone mineral density and traumatic brain injury (TBI). Materials and Methods: Twenty-two patients with TBI included to the study. Dual energy X-ray absorptiometry measurements which determines the femur neck and L1-4 vertebrate T scores in patients was performed via Lunar Prodigy DPX system. Clinical parameters such as types of involvements (plegia), upper-lower extremity spasticity values, presence of heterotypic ossification, ambulation levels were determined and their relations with femur neck and L1-4 vertebrate T scores were examined with Mann-Whitney U Test. Results: In the comparison of sub groups of type of plegia (tetraplegic/hemi-paraplegic), lower extremity spasticity values [Ascworth score 0/1-2-3-4), presence of heterotopic ossification no statistically significant (p>0.05) difference was found in the femur neck and L1-4 vertebrate T scores. On the other hand, in the subgroups determined according to ambulatory levels of the patients (confined to bed-wheelchair/ ambulated (orthesis-hand support-independent)] significant difference was observed in the femur neck T scores (p=0.044). Femur neck T scores were significantly high in ambulated patients (p=0.044). Conclusion: In TBI cases ambulation level is a factor which significantly affect bone mineral density. It is necessary to ambulate patients with potential as soon as possible and to plan alternative approaches in patient could not be ambulated.http://www.turkosteoporozdergisi.org/article_10466/Association-Between-Bone-Mineral-Density-And-Clinical-Parameters-In-Traumatic-brain-Injury-PatientsBone mineral densityosteoporosistraumatic brain injury
spellingShingle Murat Ersöz,
Selçuk Sayılır
Özden Sibel Odabaşı Yılmaz
Association between Bone Mineral Density and Clinical Parameters in Traumatic Brain Injury Patients
Türk Osteoporoz Dergisi
Bone mineral density
osteoporosis
traumatic brain injury
title Association between Bone Mineral Density and Clinical Parameters in Traumatic Brain Injury Patients
title_full Association between Bone Mineral Density and Clinical Parameters in Traumatic Brain Injury Patients
title_fullStr Association between Bone Mineral Density and Clinical Parameters in Traumatic Brain Injury Patients
title_full_unstemmed Association between Bone Mineral Density and Clinical Parameters in Traumatic Brain Injury Patients
title_short Association between Bone Mineral Density and Clinical Parameters in Traumatic Brain Injury Patients
title_sort association between bone mineral density and clinical parameters in traumatic brain injury patients
topic Bone mineral density
osteoporosis
traumatic brain injury
url http://www.turkosteoporozdergisi.org/article_10466/Association-Between-Bone-Mineral-Density-And-Clinical-Parameters-In-Traumatic-brain-Injury-Patients
work_keys_str_mv AT muratersoz associationbetweenbonemineraldensityandclinicalparametersintraumaticbraininjurypatients
AT selcuksayılır associationbetweenbonemineraldensityandclinicalparametersintraumaticbraininjurypatients
AT ozdensibelodabasıyılmaz associationbetweenbonemineraldensityandclinicalparametersintraumaticbraininjurypatients