Trunk Impairment Scale for Predicting Lumbar Spine Bone Mineral Density in Young Male Patients With Subacute Stroke

Yeon Hee Cho; Hyun Seok; Sang-Hyun Kim; Seung Yeol Lee; Hyun Jung Kim

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자료유형: 학술저널

저자정보: Yeon Hee Cho (Department of Physical Medicine and Rehabilitation Soonchunhyang University Bucheon Hospital Soonchunhyang University College of Medicine Bucheon Korea) Hyun Seok (Department of Physical Medicine and Rehabilitation Soonchunhyang University Bucheon Hospital Soonchunhyang University College of Medicine Bucheon Korea) Sang-Hyun Kim (Department of Physical Medicine and Rehabilitation Soonchunhyang University Bucheon Hospital Soonchunhyang University College of Medicine Bucheon Korea) Seung Yeol Lee (Department of Physical Medicine and Rehabilitation Soonchunhyang University Bucheon Hospital Soonchunhyang University College of Medicine Bucheon Korea) Hyun Jung Kim (Department of Physical Medicine and Rehabilitation Soonchunhyang University Bucheon Hospital Soonchunhyang University College of Medicine Bucheon Korea)

저널정보: 대한재활의학회 Annals of Rehabilitation Medicine Annals of Rehabilitation Medicine 제47권 제2호

발행연도: 2023.4

수록면: 98 - 107 (10page)

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Objective To investigate the relationship between Trunk Impairment Scale (TIS) and lumbar spine bone mineral density (BMD) in subacute stroke patients. Methods Twenty-three subacute male stroke patients under the age of 65 were prospectively enrolled to exclude both postmenopausal and senile effects on BMD. The TIS, Berg Balance Scale, the Korean version of the Modified Barthel Index, and manual muscle test were measured at admission and 3 months after stroke onset. BMD of the bilateral lower extremities and lumbar vertebrae was measured by dual-energy X-ray absorptiometry 3 months after stroke onset. Results TIS at baseline (TIS_B) and TIS at 3 months after stroke (TIS_3m) showed significant correlations with lumbar BMD (TIS_B, r=0.522; TIS_3m, r=0.517). Through multiple regression analysis, the TIS_B was associated with lumbar BMD (adjusted R2=0.474). However, BMD of the bilateral lower extremities was not correlated with any clinical measurements except body mass index. Conclusion We found a relationship between TIS_B and lumbar BMD in subacute young male stroke patients. Stroke patients with poor trunk control in the early subacute stage would have low BMD of vertebral bones at 3 months. The TIS can be useful for estimating bone fragility in the lumbar vertebrae of subacute stroke patients.

#Osteoporosis #Stroke #Core stability #Male #Spine

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