Article

OBJECTIVE: To describe the prevalence of osteoporosis and its association with
functional electrical stimulation (FES) use in individuals with spinal cord
injury (SCI)-related paralysis. DESIGN: Retrospective cross-sectional evaluation.
SETTING: Clinic. PARTICIPANTS: Consecutive persons with SCI (N=364; 115 women,
249 men) aged between 18 and 80 years who underwent dual-energy x-ray
absorptiometry (DXA) examinations. INTERVENTIONS: Not applicable. MAIN OUTCOME
MEASURE: Prevalence of osteoporosis defined as DXA T score </=-2.5. RESULTS: The
prevalence of osteoporosis was 34.9% (n=127). Use of FES was associated with
31.2% prevalence of osteoporosis compared with 39.5% among persons not using FES.
In multivariate adjusted logistic regression analysis, FES use was associated
with 42% decreased odds of osteoporosis after adjusting for sex, age, body mass
index, type and duration of injury, Lower Extremity Motor Scores, ambulation,
previous bone fractures, and use of calcium, vitamin D, and anticonvulsant;
(adjusted odds ratio [OR]=.58; 95% confidence interval [CI], .35-.99; P=.039).
Duration of injury >1 year was associated with a 3-fold increase in odds of
osteoporosis compared with individuals with injury <1 year; (adjusted OR=3.02;
95% CI, 1.60-5.68; P=.001). CONCLUSIONS: FES cycling ergometry may be associated
with a decreased loss of bone mass after paralysis. Further prospective
examination of the role of FES in preserving bone mass will improve our understanding of this association.
CI - Copyright (c) 2014 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS