Dept. of Rehabilitation Medicine (재활의학); Dept. of Neurology (신경과학); Dept. of Internal Medicine (내과학)
대한재활의학회지, Vol.27(1) : 13-20, 2003
Objective: Stroke patient are prone to fall and, therefore,
frequently get fractures, especially at the hip joint of the
hemiplegic side, which is often osteoporotic. So osteoporosis
in hemiplegic stroke patients is an important clinical
problem. The aim of this study was to investigate the mode
of the development of osteoporosis in hemiplegic stroke patients
and define the relationship between functional status
and bone mineral densities (BMDs).
Method: The subjects were 21 hemiplegic stroke patients,
11 men, 10 women, age 60.3±8.4 years and 21 age and
sex matched controls. We measured BMDs in patients, and
compared BMDs of the affected and unaffected sides, and
compared BMDs of each affected and unaffected sides with
controls, and evaluate the relationship between BMDs with
Results: Stroke patients have high prevalence of osteoporosis
and osteopenia, and affected side BMDs of patients
were lower in upper and lower limbs compared with the
controls. BMDs of the affected side were lower for the upper
and lower limbs compared with the unaffected side.
Conclusion: Stroke patients have high prevalence of osteoporosis.
Therefore early rehabilitative care, including weightbearing
and outdoor ambulation, is essential for hemiplegic
stroke patients in order to prevent possible complications,
especially osteoporotic fractures.