Journal of Clinical Densitometry
Volume 13, Issue 2 , Pages 175-180 , April 2010

Skeletal and Body Composition Changes in Hemiplegic Patients

  • Olga Lazoura

      Affiliations

    • Department of Radiology, National Rehabilitation Centre, Athens, Greece
    • Department of Radiology, University Hospital of Larissa, Larissa, Greece
    • ,
  • Paraskevi J. Papadaki

      Affiliations

    • Department of Radiology, National Rehabilitation Centre, Athens, Greece
    • ,
  • Eleftheria Antoniadou

      Affiliations

    • Department of Rehabilitation Medicine, National Rehabilitation Centre, Athens, Greece
    • ,
  • Nikolaos Groumas

      Affiliations

    • Department of Rehabilitation Medicine, National Rehabilitation Centre, Athens, Greece
    • ,
  • Alexandros Papadimitriou

      Affiliations

    • Department of Neurology, University Hospital of Larissa, Larissa, Greece
    • ,
  • Paschal Thriskos

      Affiliations

    • Department of Radiology, University Hospital of Larissa, Larissa, Greece
    • ,
  • Ioannis V. Fezoulidis

      Affiliations

    • Department of Radiology, University Hospital of Larissa, Larissa, Greece
    • ,
  • Marianna Vlychou

      Affiliations

    • Department of Radiology, University Hospital of Larissa, Larissa, Greece
    • Corresponding Author InformationAddress correspondence to: Marianna Vlychou, M.D., Ph.D., 43 Himaras Street 15669, Athens, Greece.

Received 14 June 2009 ,Revised 18 December 2009 ,Accepted 11 January 2010.

References 

  1. Iversen E, Hassager C, Christiansen C. The effect of hemiplegia on bone mass and soft tissue body composition. Acta Neurol Scand. 1989;79(2):155–159
  2. Jorgensen L, Jacobsen BK, Wilsgaard T, Magnus JH. Walking after stroke: does it matter? Changes in bone mineral density within the first 12 months after stroke. A longitudinal study. Osteoporos Int. 2000;11(5):381–387
  3. Yavuzer G, Ataman S, Suldur N, Atay M. Bone mineral density in patients with stroke. Int J Rehabil Res. 2002;25(3):235–239
  4. Lazoura O, Groumas N, Antoniadou E, et al. Bone mineral density alterations in upper and lower extremities 12 months after stroke measured by peripheral quantitative computed tomography and DXA. J Clin Densitom. 2008;11(4):511–517
  5. Poole KE, Reeve J, Warburton EA. Falls, fractures, and osteoporosis after stroke: time to think about protection?. Stroke. 2002;33(5):1432–1436
  6. Hachisuka K, Umezu Y, Ogata H. Disuse muscle atrophy of lower limbs in hemiplegic patients. Arch Phys Med Rehabil. 1997;78(1):13–18
  7. Jorgensen L, Jacobsen BK. Changes in muscle mass, fat mass, and bone mineral content in the legs after stroke: a 1 year prospective study. Bone. 2001;28(6):655–659
  8. Metoki N, Sato Y, Satoh K, et al. Muscular atrophy in the hemiplegic thigh in patients after stroke. Am J Phys Med Rehabil. 2003;82(11):862–865
  9. Celik B, Ones K, Ince N. Body composition after stroke. Int J Rehabil Res. 2008;31(1):93–96
  10. Hafer-Macko CE, Ryan AS, Ivey FM, Macko RF. Skeletal muscle changes after hemiparetic stroke and potential beneficial effects of exercise intervention strategies. J Rehabil Res Dev. 2008;45(2):261–272
  11. Ryan AS, Dobrovolny CL, Smith GV, et al. Hemiparetic muscle atrophy and increased intramuscular fat in stroke patients. Arch Phys Med Rehabil. 2002;83(12):1703–1707
  12. Sato Y, Fujimatsu Y, Honda Y, et al. Accelerated bone remodeling in patients with poststroke hemiplegia. J Stroke Cerebrovasc Dis. 1998;7(1):58–62
  13. Sato Y. Abnormal bone and calcium metabolism in patients after stroke. Arch Phys Med Rehabil. 2000;81(1):117–121
  14. Watanabe Y. An assessment of osteoporosis in stroke patients on rehabilitation admission. Int J Rehabil Res. 2004;27(2):163–166
  15. Goodpaster BH, Chomentowski P, Ward BK, et al. Effects of physical activity on strength and skeletal muscle fat infiltration in older adults: a randomized controlled trial. J Appl Physiol. 2008;105(5):1498–1503
  16. Crepaldi G, Romanato G, Tonin P, Maggi S. Osteoporosis and body composition. J Endocrinol Invest. 2007;30(6 Suppl):42–47
  17. del Puente A, Pappone N, Mandes MG, et al. Determinants of bone mineral density in immobilization: a study on hemiplegic patients. Osteoporos Int. 1996;6(1):50–54
  18. Haderslev KL, HP, Staun M. 2005 Accuracy of body composition measurements by dual energy x-ray absorptiometry in underweight patients with chronic intestinal disease and in lean subjects. Dyn Med 4;4(1):1. doi: 10.1186/1476-5918-4-1
  19. Bohannon RW, Smith MB. Interrater reliability of a modified Ashworth scale of muscle spasticity. Phys Ther. 1987;67(2):206–207
  20. Holden MK, Gill KM, Magliozzi MR. Gait assessment for neurologically impaired patients. Standards for outcome assessment. Phys Ther. 1986;66(10):1530–1539
  21. Team RDC . R: a language and environment for statistical computing. Vienna, Austria: R Foundation for Statistical Computing; 2007;
  22. Ramnemark A, Nyberg L, Lorentzon R, et al. Hemiosteoporosis after severe stroke, independent of changes in body composition and weight. Stroke. 1999;30(4):755–760
  23. Sotillo C, Lopez-Jurado M, Martin E, et al. Body composition assessed by anthropometry and bioelectric impedance analysis in older persons recovering from cerebrovascular accident. Int J Vitam Nutr Res. 2003;73(1):32–38
  24. Demirbag D, Ozdemir F, Kokino S, Berkarda S. The relationship between bone mineral density and immobilization duration in hemiplegic limbs. Ann Nucl Med. 2005;19(8):695–700
  25. Rittweger J, Gerrits K, Altenburg T, et al. Bone adaptation to altered loading after spinal cord injury: a study of bone and muscle strength. J Musculoskelet Neuronal Interact. 2006;6(3):269–276
  26. Eser P, Frotzler A, Zehnder Y, et al. Relationship between the duration of paralysis and bone structure: a pQCT study of spinal cord injured individuals. Bone. 2004;34(5):869–880
  27. Beaupre GS, Lew HL. Bone-density changes after stroke. Am J Phys Med Rehabil. 2006;85(5):464–472
  28. Duque G. Bone and fat connection in aging bone. Curr Opin Rheumatol. 2008;20(4):429–434
  29. Liu M, Tsuji T, Higuchi Y, et al. Osteoporosis in hemiplegic stroke patients as studied with dual-energy X-ray absorptiometry. Arch Phys Med Rehabil. 1999;80(10):1219–1226
  30. Melton LJ. The prevalence of osteoporosis: gender and racial comparison. Calcif Tissue Int. 2001;69(4):179–181

PII: S1094-6950(10)00009-0

doi: 10.1016/j.jocd.2010.01.008

Journal of Clinical Densitometry
Volume 13, Issue 2 , Pages 175-180 , April 2010

Article Tools

* Image Usage & Resolution