The Bone Mineral Densities in Patients with Hemiplegic Stroke.

, Park, Gi Young; , Kim, Jong Min; , Lee, Sang Do; , Jung, Doo Kyo; , Lee, In Kyu

Original Article

Journal of the Korean Academy of Rehabilitation Medicine 2003;27(1):13-20.

Park, Gi Young , Kim, Jong Min , Lee, Sang Do , Jung, Doo Kyo , Lee, In Kyu

¹Department of Rehabilitation Medicine, Dongsan Medical Center, Keimyung University College of Medicine, Korea.
²Department of Neurology, Dongsan Medical Center, Keimyung University College of Medicine, Korea.
³Department of Internal Medicine, Dongsan Medical Center, Keimyung University College of Medicine, Korea.

뇌졸중 편마비 환자의 골밀도

박기영, 김종민, 이상도¹, 정두교¹, 이인규²

계명대학교 의과대학 재활의학교실, ¹신경과학교실, ²내과학교실

Abstract

Objective
Stroke patient are prone to fall and, therefore, frequently get fractures, especially at the hip joint of the hemiplegic side, which is often osteoporotic. So osteoporosis in hemiplegic stroke patients is an important clinical problem. The aim of this study was to investigate the mode of the development of osteoporosis in hemiplegic stroke patients and define the relationship between functional status and bone mineral densities (BMDs).

Method
The subjects were 21 hemiplegic stroke patients, 11 men, 10 women, age 60.3⁑8.4 years and 21 age and sex matched controls. We measured BMDs in patients, and compared BMDs of the affected and unaffected sides, and compared BMDs of each affected and unaffected sides with controls, and evaluate the relationship between BMDs with functional parameters.

Results
Stroke patients have high prevalence of osteoporosis and osteopenia, and affected side BMDs of patients were lower in upper and lower limbs compared with the controls. BMDs of the affected side were lower for the upper and lower limbs compared with the unaffected side.

Conclusion
Stroke patients have high prevalence of osteoporosis. Therefore early rehabilitative care, including weight- bearing and outdoor ambulation, is essential for hemiplegic stroke patients in order to prevent possible complications, especially osteoporotic fractures. (J Korean Acad Rehab Med 2003; 27: 13-20)

Key Words: Stroke, Hemiplegia, Osteoporosis