nach oben

Osteoporosis International

Erschienen in:

01.11.2006 | Original Article

A 19-week exercise program for people with chronic stroke enhances bone geometry at the tibia: a peripheral quantitative computed tomography study

verfasst von: M. Y. C. Pang, M. C. Ashe, J. J. Eng, H. A. McKay, A. S. Dawson

Erschienen in: Osteoporosis International | Ausgabe 11/2006

Einloggen, um Zugang zu erhalten

Abstract

Background

We assessed the impact of a 19-week exercise program on bone health in chronic stroke.

Results

Those who underwent the program reported significantly more gain in tibial trabecular bone content and cortical bone thickness on the affected side.

Conclusion

Regular exercise is thus beneficial for enhancing bone health in this population.

Kanis J, Oden A, Johnell O (2001) Acute and long-term increase in fracture risk after hospitalization for stroke. Stroke 32:702–706PubMed

Dennis MS, Lo KM, McDowell M et al (2002) Fractures after stroke: frequency, types and associations. Stroke 33:728–734PubMedCrossRef

Mayo NE, Wood-Dauphinee S, Ahmed S et al (1999) Disablement following stroke. Disabil Rehabil 21:258–268PubMedCrossRef

Pang MYC, Eng JJ, Dawson AS (2005) Relationship between ambulatory capacity and cardiorespiratory fitness in chronic stroke: influence of stroke-specific impairments. Chest 127:495–501PubMedCrossRef

Jorgensen L, Jacobsen BK, Wilsgaard T et al (2000) Walking after stroke: does it matter? Changes in bone mineral density within the first 12 months after stroke. A longitudinal study. Osteoporos Int 11:381–387PubMedCrossRef

Jorgensen L, Crabtree NJ, Reeve J et al (2000) Ambulatory level and asymmetrical weight bearing after stroke affects bone loss in the upper and lower part of the femoral neck differently: bone adaptation after decreased mechanical loading. Bone 27:701–707PubMedCrossRef

Hsu A-L, Tang P-F, Jan M-H (2003) Analysis of impairments influencing gait velocity and asymmetry of hemiplegic patients after mild and moderate stroke. Arch Phys Med Rehabil 84:1185–1193PubMedCrossRef

Jorgensen L, Jacobsen BK (2001) Changes in muscle mass, fat mass and bone mineral content in the legs after stroke: a 1 year prospective study. Bone 28:655–659PubMedCrossRef

Ramnemark A, Nyberg L, Lorentzon R et al (1999) Progressive hemiosteoporosis on the paretic side and increased bone mineral density in the nonparetic arm the first year after severe stroke. Osteoporos Int 9:269–275PubMedCrossRef

10.

Pang MYC, Eng JJ, McKay HA et al (2005) Physical fitness is related to hip bone mineral density and leg lean mass in ambulatory individuals with chronic stroke. Osteoporos Int 16:1769–1779PubMedCrossRef

11.

Poole KE, Reeve J, Warburton EA (2002) Falls, fractures and osteoporosis after stroke: time to think about protection? Stroke 33:1432–1436PubMedCrossRef

12.

Del Puente A, Pappone N, Mandes MG et al (1996) Determinants of bone mineral density in immobilization: a study on hemiplegic patients. Osteoporos Int 6:50–54PubMedCrossRef

13.

Takamoto A, Masuyama T, Nakajima M et al (1995) Alterations of bone mineral density of the femurs in hemiplegia. Calcif Tissue Int 56:259–262PubMedCrossRef

14.

Liu M, Tsuji T, Higuchi Y et al (1999) Osteoporosis in hemiplegic stroke patients as studied with dual-energy X-ray absorptiometry. Arch Phys Med Rehabil 80:1219–1226PubMedCrossRef

15.

Yavuzer G, Ataman S, Sulder N et al (2002) Bone mineral density in patients with stroke. Int J Rehabil Res 25:235–239PubMedCrossRef

16.

Ramnemark A, Nyberg L, Borssen B et al (1998) Fractures after stroke. Osteoporos Int 8:92–95PubMedCrossRef

17.

Turner CH, Robling AG (2003) Designing exercise regimens to increase bone strength. Exerc Sport Sci Rev 31:45–50PubMedCrossRef

18.

Ryan AS, Ivey FM, Hurlbut DE et al (2004) Regional bone mineral density after resistive training in young and older men and women. Scand J Med Sci Sports 14:16–23PubMedCrossRef

19.

Chien MY, Wu YT, Hsu AT et al (2000) Efficacy of a 24-week aerobic exercise program for osteopenic postmenopausal women. Calcif Tissue Int 67:443–448PubMedCrossRef

20.

Kemmler W, Lauber D, Weineck J et al (2004) Benefits of 2 years of intense exercise on bone density, physical fitness, and blood lipids in early postmenopausal osteopenic women; results of the Erlangen Fitness Osteoporosis Prevention Study (EFOPS). Arch Int Med 164:1084–1091CrossRef

21.

Kerr D, Ackland T, Maslen B et al (2001) Resistance training over 2 years increases bone mass in calcium-replete postmenopausal women. J Bone Miner Res 16:175–181PubMedCrossRef

22.

Vincent KR, Braith RW (2002) Resistance exercise and bone turnover in elderly men and women. Med Sci Sports Exerc 34:17–23PubMedCrossRef

23.

Jarvinen TL, Kannus P, Sievanen H (1999) Have the DXA-based exercise studies seriously underestimated the effects of mechanical loading on bone? J Bone Min Res 14:1634–1635CrossRef

24.

Melton LJ III (2001) The prevalence of osteoporosis: gender and racial comparison. Calcif Tissue Int 69:179–181PubMedCrossRef

25.

Pang MYC, Eng JJ, Dawson AS et al (2005) A community-based fitness and mobility exercise program for individuals with chronic stroke: a randomized controlled trial. J Am Geriatr Soc 53:1667–1674PubMedCrossRef

26.

Folstein MF, Folstein SE, McHugh PR (1975) Mini-Mental State: a practical method for grading the state of patients for the clinician. J Psychiatr Res 12:189–198PubMedCrossRef

27.

World Medical Association Declaration of Helsinki (1997) Recommendations guiding physicians in biomedical research involving human subjects. JAMA 277:925–926CrossRef

28.

Kelly-Hayes M, Robertson JT, Broderick JP et al (1998) The American Heart Association Stroke Outcome Classification: executive summary. Circulation 97:2474–2478PubMed

29.

Ashe MC, Khan KM, Kontulanien SA et al (2006) Accuracy of pQCT for evaluating the aged human radius: an ashing, histomorphometry and failure load investigation. Osteoporos Int 2006 May 9; [Epub ahead of print]

30.

Ashe MC, Liu-Ambrose T, Khan KM et al (2005) Optimizing results from pQCT: reliability of operator-dependent pQCT variables in cadavers and humans with low bone mass. J Clin Densitom 8:335–340PubMedCrossRef

31.

Washburn RA, Zhu W, McAuley E et al (2002) The physical activity scale for individuals with physical disabilities: development and evaluation. Arch Phys Med Rehabil 83:193–200PubMedCrossRef

32.

Cohen J (1988) The t test for means. In: Statistical power analysis for the behavioral sciences, 2nd edn. Lawrence Erlbaum, Hillsdale, NJ, pp 25–26

33.

Kim CM, Eng JJ (2003) Symmetry in vertical ground reaction force is accompanied by symmetry in temporal but not distance variables of gait in persons with stroke. Gait Posture 18:23–28PubMedCrossRef

34.

Bohannon RW, Larkin PA (1985) Lower extremity weight bearing under various standing conditions in independently ambulatory patients with hemiparesis. Phys Ther 65:1323–1325PubMed

35.

Winter DA (1991) The biomechanics and motor control of human gait: normal, elderly and pathological, 2nd edn. University of Waterloo Press, Waterloo

36.

Recker RR, Barger-Lux MJ (1996) Bone remodeling findings in osteoporosis. In: Marcus R, Feldman D, Kelsey J (eds) Osteoporosis, 2nd edn. Elsevier, Toronto, p 60

37.

Ward K, Alsop C, Caulton J et al (2004) Low magnitude mechanical loading is osteogenic in children with disabling conditions. J Bone Miner Res 19:360–369PubMedCrossRef

38.

Liu-Ambrose TYL, Khan KM Eng JJ, et al (2004) Both resistance and agility training increase cortical bone density in 75- to 85-year-old women with low bone mass. J Clin Densitom 7:390–398PubMedCrossRef

39.

Gresham GE, Fitzpatrick TE, Wolf PA et al (1975) Residual disability in survivors of stroke—The Framingham Study. N Eng J Med 293:954–956CrossRef

Titel: A 19-week exercise program for people with chronic stroke enhances bone geometry at the tibia: a peripheral quantitative computed tomography study
verfasst von: M. Y. C. Pang
M. C. Ashe
J. J. Eng
H. A. McKay
A. S. Dawson
Publikationsdatum: 01.11.2006
Verlag: Springer-Verlag
Erschienen in: Osteoporosis International / Ausgabe 11/2006
Print ISSN: 0937-941X
Elektronische ISSN: 1433-2965
DOI: https://doi.org/10.1007/s00198-006-0168-0

Arthropedia

Grundlagenwissen der Arthroskopie und Gelenkchirurgie. Erweitert durch Fallbeispiele, Videos und Abbildungen.
» Jetzt entdecken

Neu im Fachgebiet Orthopädie und Unfallchirurgie

Notfall-TEP der Hüfte ist auch bei 90-Jährigen machbar

26.04.2024 Hüft-TEP Nachrichten

Ob bei einer Notfalloperation nach Schenkelhalsfraktur eine Hemiarthroplastik oder eine totale Endoprothese (TEP) eingebaut wird, sollte nicht allein vom Alter der Patientinnen und Patienten abhängen. Auch über 90-Jährige können von der TEP profitieren.

Arthroskopie kann Knieprothese nicht hinauszögern

25.04.2024 Gonarthrose Nachrichten

Ein arthroskopischer Eingriff bei Kniearthrose macht im Hinblick darauf, ob und wann ein Gelenkersatz fällig wird, offenbar keinen Unterschied.

Therapiestart mit Blutdrucksenkern erhöht Frakturrisiko

25.04.2024 Hypertonie Nachrichten

Beginnen ältere Männer im Pflegeheim eine Antihypertensiva-Therapie, dann ist die Frakturrate in den folgenden 30 Tagen mehr als verdoppelt. Besonders häufig stürzen Demenzkranke und Männer, die erstmals Blutdrucksenker nehmen. Dafür spricht eine Analyse unter US-Veteranen.

Ärztliche Empathie hilft gegen Rückenschmerzen

23.04.2024 Leitsymptom Rückenschmerzen Nachrichten

Personen mit chronischen Rückenschmerzen, die von einfühlsamen Ärzten und Ärztinnen betreut werden, berichten über weniger Beschwerden und eine bessere Lebensqualität.

Update Orthopädie und Unfallchirurgie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen

Springer Medizin

Abstract

Background

Results

Conclusion

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 11/2006

Minimum sample size requirements for bone density precision assessment produce inconsistency in clinical monitoring

Fractures in adolescents: authors’ reply to Pluskiewicz and Halaba

Idiopathic juvenile osteoporosis – an analysis of the muscle-bone relationship

Racial disparity in treatment of osteoporosis after diagnosis

Young patients with hip fracture: a population-based study of bone mass and risk factors for osteoporosis