MedStar Authors catalog › Details for: Asymmetric lower-limb bone loss after spinal cord injury: case report.
Normal view MARC view ISBD view

Asymmetric lower-limb bone loss after spinal cord injury: case report.

by Lichy, Alison M; Groah, Suzanne L.
Citation: Journal of Rehabilitation Research & Development. 49(2):221-6, 2012..Journal: Journal of rehabilitation research and development.ISSN: 0748-7711.Full author list: Lichy AM; Groah S.UI/PMID: 22773524.Subject(s): Absorptiometry, Photon | Adult | Bone Density | *Exercise Therapy/mt [Methods] | Follow-Up Studies | *Gait | Humans | *Lower Extremity/pp [Physiopathology] | Male | *Osteoporosis/co [Complications] | Osteoporosis/di [Diagnosis] | Osteoporosis/rh [Rehabilitation] | Severity of Illness Index | *Spinal Cord Injuries/co [Complications] | Spinal Cord Injuries/pp [Physiopathology] | Spinal Cord Injuries/rh [Rehabilitation] | Treatment Outcome | Weight-BearingInstitution(s): MedStar National Rehabilitation Network | MedStar Washington Hospital CenterDepartment(s): Physical Medicine and RehabilitationActivity type: Journal Article.Medline article type(s): Case Reports | Journal Article | Research Support, U.S. Gov't, Non-P.H.SOnline resources: Click here to access online Abbreviated citation: J Rehabil Res Dev. 49(2):221-6, 2012.Local Holdings: Available online from MWHC library: 2000 - present.Abstract: Osteoporosis is a significant secondary condition that occurs acutely after spinal cord injury (SCI). This article reports on a patient with motor incomplete SCI and asymmetric lower-limb bone loss as it correlates with lower-limb motor function and gait characteristics. A 32-year-old Caucasian male completed a comprehensive inpatient rehabilitation program, including 3 months of robotic body-weight-supported treadmill training three times a week. Bone mineral density (BMD) was monitored up to 1.5 years post-SCI by dual-energy X-ray absorptiometry. Ground reaction forces were measured through an instrumented treadmill for bilateral weight-bearing comparison. At 1.5 years postinjury, neurological examination revealed thoracic 4 American Spinal Injury Association Impairment Scale D SCI with less strength, reduced weight bearing, and lower BMD in the more neurologically impaired leg. These results suggest that osteoporosis may vary according to severity of impairment within individuals and that monitoring lower-limb BMD is especially important for patients who ambulate.

Powered by Koha