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Titre : | Differences in Tibia Morphology Between the Sound and Affected Sides in Ankle-Foot Orthosis-Using Survivors of Stroke (2013) |
Auteurs : | Kyle A. Sherk ; Vanessa D. Sherk ; Mark A. Anderson ; et al. |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (2013/3, 2013) |
Article en page(s) : | pp. 510-515 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Accident vasculaire cérébral (AVC) ; Ostéoporose ; Rééducation et réadaptation ; Tibia |
Mots-clés: | Orthotic Devices ; Orthèses ; Osteoporosis ; Stroke |
Résumé : |
"Objective To examine differences in tibia and proximal femur morphology between the affected and sound limbs in ankle-foot orthosis (AFO)-using survivors of stroke. Design Observational study. Setting A university bone density laboratory. Participants Ambulatory, AFO-using survivors of stroke (N=9; age range, 5574y; poststroke duration, 13.5+4.4y; AFO use, 6.5+1.4y). Interventions Not applicable. Main Outcome Measures Total body and hip areal bone mineral density (aBMD) and bone mineral content (BMC) were assessed by dual-energy x-ray absorptiometry. The 4%, 38%, and 66% sites of both tibias were measured with peripheral quantitative computed tomography for total, cortical, and trabecular volumetric BMD (vBMD) and BMC. Bone geometry, bone strength index (BSI), strength strain index (SSI), and minimum and maximum rotated moments of inertia (Imin, Imax) were determined. Results Total hip and trochanter BMC and aBMD were 7% to 19% greater on the sound side (P<.05 total bmc and vbmd were to greater on the sound limb depending site. trabecular bsi values higher at cortical thickness side sites. area bone strength imin endosteal circumferences affected> Conclusions Interlimb differences in bone characteristics after a stroke persist despite returning to ambulatory status with AFO use." |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/journal/archives-of-physical-medicine-and-rehabilitation |