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

MedStar author(s):
Citation: Journal of Rehabilitation Research & Development. 49(2):221-6, 2012.PMID: 22773524Institution: MedStar National Rehabilitation Network | MedStar Washington Hospital CenterDepartment: Physical Medicine and RehabilitationForm of publication: Journal ArticleMedline article type(s): Case Reports | Journal Article | Research Support, U.S. Gov't, Non-P.H.S.Subject headings: *Exercise Therapy/mt [Methods] | *Gait | *Lower Extremity/pp [Physiopathology] | *Osteoporosis/co [Complications] | *Spinal Cord Injuries/co [Complications] | Absorptiometry, Photon | Adult | Bone Density | Follow-Up Studies | Humans | Male | Osteoporosis/di [Diagnosis] | Osteoporosis/rh [Rehabilitation] | Severity of Illness Index | Spinal Cord Injuries/pp [Physiopathology] | Spinal Cord Injuries/rh [Rehabilitation] | Treatment Outcome | Weight-BearingLocal holdings: Available online from MWHC library: 2000 - presentISSN:
  • 0748-7711
Name of journal: Journal of rehabilitation research and developmentAbstract: 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.All authors: Groah S, Lichy AMDate added to catalog: 2013-09-17
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Journal Article MedStar Authors Catalog Article Available 22773524

Available online from MWHC library: 2000 - present

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.

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