편마비 환자에서 마비측 상지의 골밀도 감소 양상
Characteristics of Bone Mineral Density in Hemiplegic Upper Extremity
1
조회
0
다운로드
2
인용
0
참고문헌
초록
Abstract
Objective: Bone mineral loss in the upper extremity of hemiplegic patients can increase the prevalence of fractures that interrupt the rehabilitation program and lower the level of activity. The aim of this study was to investigate any difference between the affected and unaffected forearm's bone mineral density (BMD) and evaluate the relationship between several clinical variables and osteoporosis of hemiplegic forearm. Method: Sixty-seven hemiplegic patients (42 males, 25 females, mean age 55.2 years) were enrolled. The BMD of radius was measured using dual energy X-ray absorptiometry in 67 hemiplegic subjects. Results: The BMD of affected forearm was significantly lower than unaffected side (p＜0.05). The reduction of BMD in the hemiplegic forearm well correlated with duration of hemiplegia, self care of functional independence measure score, complex regional pain syndrome-type 1 (CRPS-1) (p＜0.05). But, there was no correlation between BMD and modified Ashworth scale, muscle power of wrist extension. Conclusion: Hemiplegic forearm had high prevalence of osteoporosis like lower extremity. Therefore, increasing level of ADL and early detection of CRPS-1 was necessary for prevention of osteoporosis of forearm.
참고문헌 (21)
- "뇌졸중 편마비 환자의 골밀도.", 27, pp.13~20 (2003)
- "Changes in bone mineral content and density after stroke. Am J Phys Med Rehabil 1993"
- "Relationships between physical activity and metacarpal cortical bone mass and bone resorption in hemiplegic patients.", 6, pp.227~233 (2001)
- "Bone mineral density of metatarsus in hemiplegic subjects.", 78, pp.202~207 (1999)
- "Bone mineral density in acute stroke patients: low bone mineral density may predict first stroke in women.", 32, pp.47~51 (2001)
- "Changes in muscle mass, fat mass, and bone mineral content in the legs after stroke: a 1 year prospective study", 28, pp.655~659 (2001)
- "A study of bone densitometry in patients with complex regional pain syndrome after stroke.", 77, pp.519~522 (2001)
- "Osteoporosis in hemiplegic stroke patients as studied with dual-energy X-ray absorptiometry.", 80, pp.1219~1226 (1999)
- "Bone atrophy in complex regional pain syndrome patients measured by microdensitometry.", 45, pp.831~838 (1998)
- "Hip fracture in stroke patients. Epidemiology and rehabilitation. Acta Orthop Scand 1985", pp.226~227
- "Forearm bone loss in hemiplegia a model for the study of immobilization osteoporosis. J Bone Miner Res 1988", pp.305~310
- "Fractures after stroke.", 8, pp.92~95 (1998), Ramnemark A
- "Progressive hemiosteoporosis on the paretic side and increased bone mineral density in the nonparetic arm the first year after severe stroke.", 9, pp.269~275 (1999)
- "Hemiosteoporosis after severe stroke independent of changes in body composition and weight.", 30, pp.755~760 (1999)
- "Bone mineral density in patients with stroke.", 80, pp.592~596 (2001)
- "Abnormal bone and calcium metabolism in patients after stroke.", 81, pp.117~121 (2000)
- "Vitamin D deficiency and risk of hip fractures among disabled elderly stroke patients.", 31, pp.1673~1677 (2001)
- "Increased bone resorption during the first year after stroke.", 29, pp.1373~1377 (1998)
- "Reproducibility of dual-energy X-ray absorptiometry in the upper extremities in stroke patients.", 19, pp.523~527 (1997)
- "Bone loss in response to long-term immobilisation. J Bone Joint Surg Br 1978", pp.420~429
- "Time responses of cancellous and cortical bones to sciatic neurectomy in growing female rats.", 19, pp.13~21 (1996)