TY  - BOOK
AU  - Groah, Suzanne L
AU  - Lichy, Alison M
TI  - Asymmetric lower-limb bone loss after spinal cord injury: case report
SN  - 0748-7711
KW  - *Exercise Therapy/mt [Methods]
KW  - *Gait
KW  - *Lower Extremity/pp [Physiopathology]
KW  - *Osteoporosis/co [Complications]
KW  - *Spinal Cord Injuries/co [Complications]
KW  - Absorptiometry, Photon
KW  - Adult
KW  - Bone Density
KW  - Follow-Up Studies
KW  - Humans
KW  - Male
KW  - Osteoporosis/di [Diagnosis]
KW  - Osteoporosis/rh [Rehabilitation]
KW  - Severity of Illness Index
KW  - Spinal Cord Injuries/pp [Physiopathology]
KW  - Spinal Cord Injuries/rh [Rehabilitation]
KW  - Treatment Outcome
KW  - Weight-Bearing
KW  - MedStar National Rehabilitation Network
KW  - MedStar Washington Hospital Center
KW  - Physical Medicine and Rehabilitation
KW  - Case Reports
KW  - Journal Article
KW  - Research Support, U.S. Gov't, Non-P.H.S
N1  - Available online from MWHC library: 2000 - present
N2  - 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
ER  -