Erschienen in:
25.08.2017 | Skeletal Biology and Regulation (M Forwood and A Robling, Section Editors)
Musculoskeletal Health in the Context of Spinal Cord Injury
verfasst von:
Jillian M. Clark, David M. Findlay
Erschienen in:
Current Osteoporosis Reports
|
Ausgabe 5/2017
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Abstract
Purpose of Review
This review assembles recent understanding of the profound loss of muscle and bone in spinal cord injury (SCI). It is important to try to understand these changes, and the context in which they occur, because of their impact on the wellbeing of SC-injured individuals, and the urgent need for viable preventative therapies.
Recent Findings
Recent research provides new understanding of the effects of age and systemic factors on the response of bone to loading, of relevance to attempts to provide load therapy for bone in SCI. The rapidly growing dataset describing the biochemical crosstalk between bone and muscle, and the cell and molecular biology of myokines signalling to bone and osteokines regulating muscle metabolism and mass, is reviewed. The ways in which this crosstalk may be altered in SCI is summarised.
Summary
Therapeutic approaches to the catabolic changes in muscle and bone in SCI require a holistic understanding of their unique mechanical and biochemical context.