Annals of Rehabilitation Medicine

Brain disorders

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; Ann Rehabil Med 2023;47(2):98-107. Published online April 18, 2023; DOI: https://doi.org/10.5535/arm.23005

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.

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Effects of shoulder brace usage on postural stability in stroke survivors: A pilot randomized controlled trial
Giovanni Morone, Alessandro Antonio Princi, Marco Iosa, Rebecca Montemurro, Irene Ciancarelli, Paola Coiro, Danilo Lisi, Riccardo Savo, Matteo Notturno Granieri, Domenico De Angelis, Marco Tramontano
NeuroRehabilitation.2024; 54(3): 449. CrossRef

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Change of Bone Mineral Density and Relationship to Clinical Parameters in Male Stroke Patients: Hui Dong Kim, Sae Hyun Kim, Dong Kyu Kim, Ho Joong Jeong, Young Joo Sim, Ghi Chan Kim; Ann Rehabil Med 2016;40(6):981-988. Published online December 30, 2016; DOI: https://doi.org/10.5535/arm.2016.40.6.981

Abstract
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Objective

To investigate the clinical characteristics that significantly contribute to a decreased bone mineral density (BMD), the BMD changes and clinical characteristics of men who experienced a stroke between the ages of 50 years and 65 years were studied between 3 months and 4 months after the stroke.

Methods

Subjects had a brain hemorrhage or a cerebral infarction. Only men aged 50 years to 65 years were included to eliminate postmenopausal osteoporosis and to eliminate the influence of senile osteoporosis. All subjects underwent a BMD test between 3 months and 4 months after their strokes. Also, patients with a medication history that might have caused a secondary osteoporosis before a stroke were excluded.

Results

The BMD for the lumbar spine and hemiplegic side of the femoral neck correlated significantly with the results of the manual muscle test (MMT) of the hemiplegic lower extremity and the Modified Barthel Index (MBI) score. This result suggests that the immobility from the decreased muscle strength and the weakened daily functionality might have reduced the BMD. According to a multiple linear regression analysis, the MBI score is significantly correlated with the lumbar BMD. The BMD of the hemiplegic femoral neck is significantly correlated with the MMT and the MBI score.

Conclusion

This study showed that BMD monitoring should be considered in male stroke patients, especially for patients with a high dependency in daily functions and a decreased muscle strength in the hemiplegic lower extremity.

Citations

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Elevated sclerostin levels contribute to reduced bone mineral density in non-ambulatory stroke patients
Hye Kyoung Lee, Geneva Rose Notario, Sun Young Won, Jung Hwan Kim, Su Min Lee, Ha Seong Kim, Sung-Rae Cho
Bone Reports.2025; 25: 101829. CrossRef
Changes in bone mineral density and clinical parameters after stroke in elderly patients with osteopenia
Yeong Kyun Bae, Myeong Hun Kang, Jae Hyun Lee, Young Joo Sim, Ho Joong Jeong, GhiChan Kim
Medicine.2024; 103(4): e37028. CrossRef
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
Annals of Rehabilitation Medicine.2023; 47(2): 98. CrossRef
Bone mineral density and its relationship with body composition indices in stroke patients
M.A. Bystrytska
PAIN, JOINTS, SPINE.2022; 12(1): 2. CrossRef
Frailty in Stroke—A Narrated Review
Ebrahim Bani Hassan, Steven Phu, Elyce Warburton, Nihara Humaith, Tissa Wijeratne
Life.2021; 11(9): 891. CrossRef
COL1A1 polymorphism and neurological complications in pediatric acute lymphoblastic leukemia patients and their associations with altered bone mineral density
Alaa A. Omran, Rania S. Nageeb, Ghada S. Nageeb, Manal A. Yosif, Yassir A. Mohammad, Alshimaa A. Ali, Mervat Atfy, Taghreed M. Azmy, Hanaa H. Elsaid
Egyptian Journal of Medical Human Genetics.2020;[Epub] CrossRef
Does Hip Bone Density Differ between Paretic and Non-Paretic Sides in Hemiplegic Stroke Patients? and Its Relationship with Physical Impairment
Hoo Young Lee, Jung Hyun Park, Hyanglim Lee, Tae-Woo Kim, Seung Don Yoo
Journal of Bone Metabolism.2020; 27(4): 237. CrossRef
The Changes of CTX, DPD, Osteocalcin, and Bone Mineral Density During the Postmenopausal Period
Seok Gyo Park, Seong Uk Jeong, Jae Hyun Lee, Sang Hyeong Ryu, Ho Joong Jeong, Young Joo Sim, Dong Kyu Kim, Ghi Chan Kim
Annals of Rehabilitation Medicine.2018; 42(3): 441. CrossRef

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Duchenne Muscular Dystrophy in a Girl with Turner Syndrome: A case report.: Yang, Myoung Seok , Lee, Do Kyoung , Oh, Ki Young , Choi, Ki Seob , Lee, Kyu Hoon; J Korean Acad Rehabil Med 2005;29(5):537-540.

Abstract
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Duchenne Muscular Dystrophy (DMD) is an X-linked, recessive disorder characterized by progressive muscular weakness, Gower sign, waddling gait and pseudohypertrophy of the calf muscles. Little is reported about DMD manifestations in females because of its' X-linked, recessive inheritance. The authors described a 12-year-old female with gait disturbance. Her symptoms were diminished muscle power, decreased deep tendon reflexes, Gower sign andpseudohypertrophy of calf muscle. Serum creatinine kinase level was elevated to 1,674 U/ml. Electromyographic findings were compatible with myopathy. Histopathologic examination of the muscles confirmed the diagnosis of DMD. The result of karyotyping was 45X, but multiplex PCR (Polymerase Chain Reaction) analysis showed normal findings. (J Korean Acad Rehab Med 2005; 29: 537-540)