Τίτλος:
S1 Guidelines on Bone Impairment in Spinal Cord Injury
Γλώσσες Τεκμηρίου:
Αγγλικά
Περίληψη:
During the acute and chronic phase of spinal cord injury (SCI) bone
turnover and structure are affected. Bone mineral density of lower limbs
is decreased up to 28%-50% below that of age-matched peers at 12-18 mo
post injury. Coexisting secondary etiologies of osteoporosis may be
present, and during ageing additional loss of bone occurs. All these
compose a complex canvas of bone impairment after spinal cord injury and
make the therapeutical approach challenging. The risk of fragility
fractures is increased after the 2nd decade post SCI affecting the
functionality and quality of life of individuals with SCI. Diagnostic
flaws, lack of a ranking system to categorize the degree of bone
impairment similar to the one of World Health Organization, and
evidence-based clinical guidelines for management in SCI requires
interdisciplinary cooperation and appropriate planning of future
research and interventions. Spinal Cord Section of Hellenic Society of
Physical Rehabilitation Medicine convened an expert panel working group
on bone and spinal cord injury at the Pan-Hellenic Congress 2018 of PRM
in Athens Greece, to establish an evidence-based position statement for
bone loss in individuals with SCI of traumatic or non-traumatic
etiology. This was reviewed by an International Task Force and used to
create S1 Guidelines. This first version S1 guideline will work towards
to provide help with prophylactic basic osteoporosis therapy diagnostic
and therapeutic decisions in acute and chronic phase and rehabilitation
countermeasures against osteoporosis related with spinal cord injury.
Συγγραφείς:
Dionyssiotis, Yannis
Kalke, Yorck-Bernhard
Frotzler, Angela and
Moosburger, Jurgen
Trovas, Georgios
Kaskani, Evangelia and
Erhan, Belgin
Foti, Calogero
Papathanasiou, Jannis
Ferretti,
Jose Luis
Imamura, Marta
Rapidi, Anastasia-Christina and
HeSCOSPRM Bone Spinal Cord Injury
Περιοδικό:
Journal of Clinical Densitometry
Εκδότης:
EXCERPTA MEDICA INC-ELSEVIER SCIENCE INC
Λέξεις-κλειδιά:
Bone impairment; Consensus; Osteoporosis; Spinal cord injury
DOI:
10.1016/j.jocd.2021.03.009
