Bone Mineral Density in Stroke Patients
Objective: Fractures after stroke are usually caused by the development of hemiosteoporosis and the high incidence of falls. The aim of this study was to compare bone mineral densities (BMDs) of paretic and nonparetic limbs in stroke patients and to investigate factors determining this difference....
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| Format: | Article |
| Language: | English |
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Galenos Yayinevi
2005-03-01
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| Series: | Türk Osteoporoz Dergisi |
| Subjects: | |
| Online Access: | http://www.turkosteoporozdergisi.org/article_4227/Bone-Mineral-Density-In-Stroke-Patients |
| _version_ | 1797920660709703680 |
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| author | Nilüfer Balcı Nehir Samancı Ümit Dündar Akın Yıldız Mehmet Arman |
| author_facet | Nilüfer Balcı Nehir Samancı Ümit Dündar Akın Yıldız Mehmet Arman |
| author_sort | Nilüfer Balcı |
| collection | DOAJ |
| description | Objective: Fractures after stroke are usually caused by the development of hemiosteoporosis and the high incidence of falls. The aim of this study was to compare bone mineral densities (BMDs) of paretic and nonparetic limbs in stroke patients and to investigate factors determining this difference.
Patients and Medhods: Twenty-nine stroke patients with a mean duration of illness 14.34 ± 15.65 months were included in the study. BMDs were measured with dual-energy x-ray absorptiometry (DEXA) from distal radius and femoral neck bilaterally. Activities of daily living and spasticity were also evaluated.
Results: Mean age of the patient population was 58.29 ± 12.42 years. 15 patients were within the first year of the stroke, while 14 had a history more than 1 year. Femoral neck BMD were significantly lower in the paretic side; however there was no significant difference for distal radius BMDs. BMD of the affected femoral neck correlated negatively with age, duration of stroke and years since menopause and positively with body weight, FIM scores and spasticity. In addition, there was a positive correlation between all BMDs and FIM scores. At regression analysis, degree of bone loss in femoral neck of paralysed side depended on duration of stroke, age and FIM scores.
Conclusion: In conclusion, BMD was decreased significantly in the lower limb of paretic side in stroke patients. This decrease might be prevented or reduced by early rehabilitation. |
| first_indexed | 2024-04-10T14:04:31Z |
| format | Article |
| id | doaj.art-a89b871dba77413ebde89562bc96b54b |
| institution | Directory Open Access Journal |
| issn | 2147-2653 |
| language | English |
| last_indexed | 2024-04-10T14:04:31Z |
| publishDate | 2005-03-01 |
| publisher | Galenos Yayinevi |
| record_format | Article |
| series | Türk Osteoporoz Dergisi |
| spelling | doaj.art-a89b871dba77413ebde89562bc96b54b2023-02-15T16:10:03ZengGalenos YayineviTürk Osteoporoz Dergisi2147-26532005-03-011112226Bone Mineral Density in Stroke PatientsNilüfer Balcı0Nehir Samancı1Ümit Dündar2Akın Yıldız3Mehmet Arman4Akdeniz Üniversitesi Tıp Fakültesi Fiziksel Tıp ve Rehabitasyon Anabilim DalıAkdeniz Üniversitesi Tıp Fakültesi Fiziksel Tıp ve Rehabitasyon Anabilim DalıAkdeniz Üniversitesi Tıp Fakültesi Fiziksel Tıp ve Rehabitasyon Anabilim DalıAkdeniz Üniversitesi Tıp Fakültesi Fiziksel Tıp ve Rehabitasyon Anabilim DalıAkdeniz Üniversitesi Tıp Fakültesi Fiziksel Tıp ve Rehabitasyon Anabilim DalıObjective: Fractures after stroke are usually caused by the development of hemiosteoporosis and the high incidence of falls. The aim of this study was to compare bone mineral densities (BMDs) of paretic and nonparetic limbs in stroke patients and to investigate factors determining this difference. Patients and Medhods: Twenty-nine stroke patients with a mean duration of illness 14.34 ± 15.65 months were included in the study. BMDs were measured with dual-energy x-ray absorptiometry (DEXA) from distal radius and femoral neck bilaterally. Activities of daily living and spasticity were also evaluated. Results: Mean age of the patient population was 58.29 ± 12.42 years. 15 patients were within the first year of the stroke, while 14 had a history more than 1 year. Femoral neck BMD were significantly lower in the paretic side; however there was no significant difference for distal radius BMDs. BMD of the affected femoral neck correlated negatively with age, duration of stroke and years since menopause and positively with body weight, FIM scores and spasticity. In addition, there was a positive correlation between all BMDs and FIM scores. At regression analysis, degree of bone loss in femoral neck of paralysed side depended on duration of stroke, age and FIM scores. Conclusion: In conclusion, BMD was decreased significantly in the lower limb of paretic side in stroke patients. This decrease might be prevented or reduced by early rehabilitation.http://www.turkosteoporozdergisi.org/article_4227/Bone-Mineral-Density-In-Stroke-PatientsStrokebone mineral density |
| spellingShingle | Nilüfer Balcı Nehir Samancı Ümit Dündar Akın Yıldız Mehmet Arman Bone Mineral Density in Stroke Patients Türk Osteoporoz Dergisi Stroke bone mineral density |
| title | Bone Mineral Density in Stroke Patients |
| title_full | Bone Mineral Density in Stroke Patients |
| title_fullStr | Bone Mineral Density in Stroke Patients |
| title_full_unstemmed | Bone Mineral Density in Stroke Patients |
| title_short | Bone Mineral Density in Stroke Patients |
| title_sort | bone mineral density in stroke patients |
| topic | Stroke bone mineral density |
| url | http://www.turkosteoporozdergisi.org/article_4227/Bone-Mineral-Density-In-Stroke-Patients |
| work_keys_str_mv | AT niluferbalcı bonemineraldensityinstrokepatients AT nehirsamancı bonemineraldensityinstrokepatients AT umitdundar bonemineraldensityinstrokepatients AT akınyıldız bonemineraldensityinstrokepatients AT mehmetarman bonemineraldensityinstrokepatients |