Does standing protect bone density in patients with chronic spinal cord injury?


Goktepe A. S., Tugcu I., YILMAZ B., Alaca R., Gunduz S.

Journal of Spinal Cord Medicine, cilt.31, sa.2, ss.197-201, 2008 (SCI-Expanded, Scopus)

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 31 Sayı: 2
  • Basım Tarihi: 2008
  • Doi Numarası: 10.1080/10790268.2008.11760712
  • Dergi Adı: Journal of Spinal Cord Medicine
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.197-201
  • Anahtar Kelimeler: spinal cord injuries, standing, bone mineral density, osteoporosis, dual energy x-ray absorptiometry, immobilization
  • Sağlık Bilimleri Üniversitesi Adresli: Evet

Özet

Background/Objective: To compare the t-scores of proximal femur and lumbar spine of patients with spinal cord injury (SCI) with different levels of weight bearing. Methods: Cross-sectional study comparing 3 groups of patients with SCI: patients with daily standing times of more than 1 hour, patients with daily standing times of less than 1 hour, and nonstanding patients. Seventy-one patients with chronic SCI were recruited. They were assigned to 1 of 3 groups according totheir reported daily standing time. The bone density of lumbar and proximal femoral regions was measured with dual-energy x-ray absorptiometry. Results: The 3 groups were similar in terms of demographics and clinical variables. No significant difference was found among the mean t-scores of lumbar and proximal femoral regions of the groups. However, the patients in the group that stood more than 1 hour daily had a slight tendency to have higher t-scores than those in the control group. Conclusions: There was no significant difference among the 3 groups. However, standing might be partially helpful in protecting the bone density in SCI by opposing the effects of immobilization. © 2008 by the American Paraplegia Society.