Trunk Impairment Scale for Predicting Lumbar Spine Bone Mineral Density in Young Male Patients With Subacute Stroke
Objective To investigate the relationship between Trunk Impairment Scale (TIS) and lumbar spine bone mineral density (BMD) in subacute stroke patients. Methods Twenty-three subacute male stroke patients under the age of 65 were prospectively enrolled to exclude both postmenopausal and senile effects...
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Korean Academy of Rehabilitation Medicine
2023-04-01
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Series: | Annals of Rehabilitation Medicine |
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Online Access: | http://e-arm.org/upload/pdf/arm-23005.pdf |
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author | Yeon Hee Cho Hyun Seok Sang-Hyun Kim Seung Yeol Lee Hyun Jung Kim |
author_facet | Yeon Hee Cho Hyun Seok Sang-Hyun Kim Seung Yeol Lee Hyun Jung Kim |
author_sort | Yeon Hee Cho |
collection | DOAJ |
description | Objective To investigate the relationship between Trunk Impairment Scale (TIS) and lumbar spine bone mineral density (BMD) in subacute stroke patients. Methods Twenty-three subacute male stroke patients under the age of 65 were prospectively enrolled to exclude both postmenopausal and senile effects on BMD. The TIS, Berg Balance Scale, the Korean version of the Modified Barthel Index, and manual muscle test were measured at admission and 3 months after stroke onset. BMD of the bilateral lower extremities and lumbar vertebrae was measured by dual-energy X-ray absorptiometry 3 months after stroke onset. Results TIS at baseline (TIS_B) and TIS at 3 months after stroke (TIS_3m) showed significant correlations with lumbar BMD (TIS_B, r=0.522; TIS_3m, r=0.517). Through multiple regression analysis, the TIS_B was associated with lumbar BMD (adjusted R2=0.474). However, BMD of the bilateral lower extremities was not correlated with any clinical measurements except body mass index. Conclusion We found a relationship between TIS_B and lumbar BMD in subacute young male stroke patients. Stroke patients with poor trunk control in the early subacute stage would have low BMD of vertebral bones at 3 months. The TIS can be useful for estimating bone fragility in the lumbar vertebrae of subacute stroke patients. |
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format | Article |
id | doaj.art-bac04963763d46f99f70ad37283ce3d1 |
institution | Directory Open Access Journal |
issn | 2234-0653 |
language | English |
last_indexed | 2024-04-09T14:27:30Z |
publishDate | 2023-04-01 |
publisher | Korean Academy of Rehabilitation Medicine |
record_format | Article |
series | Annals of Rehabilitation Medicine |
spelling | doaj.art-bac04963763d46f99f70ad37283ce3d12023-05-04T01:00:29ZengKorean Academy of Rehabilitation MedicineAnnals of Rehabilitation Medicine2234-06532023-04-014729810710.5535/arm.230054301Trunk Impairment Scale for Predicting Lumbar Spine Bone Mineral Density in Young Male Patients With Subacute StrokeYeon Hee Cho0Hyun Seok1Sang-Hyun Kim2Seung Yeol Lee3Hyun Jung Kim4 Department of Physical Medicine and Rehabilitation, Soonchunhyang University Bucheon Hospital, Soonchunhyang University College of Medicine, Bucheon, Korea Department of Physical Medicine and Rehabilitation, Soonchunhyang University Bucheon Hospital, Soonchunhyang University College of Medicine, Bucheon, Korea Department of Physical Medicine and Rehabilitation, Soonchunhyang University Bucheon Hospital, Soonchunhyang University College of Medicine, Bucheon, Korea Department of Physical Medicine and Rehabilitation, Soonchunhyang University Bucheon Hospital, Soonchunhyang University College of Medicine, Bucheon, Korea Department of Physical Medicine and Rehabilitation, Soonchunhyang University Bucheon Hospital, Soonchunhyang University College of Medicine, Bucheon, KoreaObjective To investigate the relationship between Trunk Impairment Scale (TIS) and lumbar spine bone mineral density (BMD) in subacute stroke patients. Methods Twenty-three subacute male stroke patients under the age of 65 were prospectively enrolled to exclude both postmenopausal and senile effects on BMD. The TIS, Berg Balance Scale, the Korean version of the Modified Barthel Index, and manual muscle test were measured at admission and 3 months after stroke onset. BMD of the bilateral lower extremities and lumbar vertebrae was measured by dual-energy X-ray absorptiometry 3 months after stroke onset. Results TIS at baseline (TIS_B) and TIS at 3 months after stroke (TIS_3m) showed significant correlations with lumbar BMD (TIS_B, r=0.522; TIS_3m, r=0.517). Through multiple regression analysis, the TIS_B was associated with lumbar BMD (adjusted R2=0.474). However, BMD of the bilateral lower extremities was not correlated with any clinical measurements except body mass index. Conclusion We found a relationship between TIS_B and lumbar BMD in subacute young male stroke patients. Stroke patients with poor trunk control in the early subacute stage would have low BMD of vertebral bones at 3 months. The TIS can be useful for estimating bone fragility in the lumbar vertebrae of subacute stroke patients.http://e-arm.org/upload/pdf/arm-23005.pdfosteoporosisstrokecore stabilitymalespine |
spellingShingle | Yeon Hee Cho Hyun Seok Sang-Hyun Kim Seung Yeol Lee Hyun Jung Kim Trunk Impairment Scale for Predicting Lumbar Spine Bone Mineral Density in Young Male Patients With Subacute Stroke Annals of Rehabilitation Medicine osteoporosis stroke core stability male spine |
title | Trunk Impairment Scale for Predicting Lumbar Spine Bone Mineral Density in Young Male Patients With Subacute Stroke |
title_full | Trunk Impairment Scale for Predicting Lumbar Spine Bone Mineral Density in Young Male Patients With Subacute Stroke |
title_fullStr | Trunk Impairment Scale for Predicting Lumbar Spine Bone Mineral Density in Young Male Patients With Subacute Stroke |
title_full_unstemmed | Trunk Impairment Scale for Predicting Lumbar Spine Bone Mineral Density in Young Male Patients With Subacute Stroke |
title_short | Trunk Impairment Scale for Predicting Lumbar Spine Bone Mineral Density in Young Male Patients With Subacute Stroke |
title_sort | trunk impairment scale for predicting lumbar spine bone mineral density in young male patients with subacute stroke |
topic | osteoporosis stroke core stability male spine |
url | http://e-arm.org/upload/pdf/arm-23005.pdf |
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