Archives of Physical Medicine and Rehabilitation
Volume 87, Issue 10 , Pages 1376-1381 , October 2006

Peripheral Quantitative Computed Tomography: Measurement Sensitivity in Persons With and Without Spinal Cord Injury

,Accepted 6 July 2006.

  • Image Result

    Location of pQCT slices. (A) Scans were obtained at 4% of the distal tibia length, at 3mm distal to 4% (D), and at 3mm proximal to 4% (P). (B) Schematic detail of region surrounding the pQCT slices. H

    Location of pQCT slices. (A) Scans were obtained at 4% of the distal tibia length, at 3mm distal to 4% (D), and at 3mm proximal to 4% (P). (B) Schematic detail of region surrounding the pQCT slices. Heavy lines indicate the center of each slice. Dashed lines denote the slice thickness (2.2mm).

  • Image Result
    (A) Mean tibia length ± SE for 7 able-bodied subjects measured by 4 raters over 2 trials. (B) Mean absolute error ± SE in tibia length and percent error in tibia length for 7 able-bodied subjects meas

    (A) Mean tibia length ± SE for 7 able-bodied subjects measured by 4 raters over 2 trials. (B) Mean absolute error ± SE in tibia length and percent error in tibia length for 7 able-bodied subjects measured by 4 raters (trials 1 and 2 combined).

  • Image Result
    Representative examples of pQCT scans from the 4% tibia site in an SCI and an able-bodied subject. Note the extensive loss of trabecular lattice and the degree of muscular atrophy in the SCI limb.

    Representative examples of pQCT scans from the 4% tibia site in an SCI and an able-bodied subject. Note the extensive loss of trabecular lattice and the degree of muscular atrophy in the SCI limb.

  • Image Result
    pQCT BMD results. Dark gray bars are mean ± SE for the able-bodied subjects. Light gray bars are mean ± SE for the SCI subjects. (A) Trabecular BMD at the distal (D), 4%, and proximal (P) measurement

    pQCT BMD results. Dark gray bars are mean ± SE for the able-bodied subjects. Light gray bars are mean ± SE for the SCI subjects. (A) Trabecular BMD at the distal (D), 4%, and proximal (P) measurement sites. *Significant difference (P<.05) from the corresponding SCI slice. (B) Difference in BMD from the 4% slice for the distal (D) and proximal (P) sites. *Significant difference from the 4% BMD value (P<.05).

 Supported by the National Center for Medical Rehabilitation Research (grant no. R01-HD 39445), the Christopher Reeve Paralysis Foundation, and the Foundation for Physical Therapy Inc (scholarship).No commercial party having a direct financial interest in the results of the research supporting this article has or will confer a benefit upon the author(s) or upon any organization with which the author(s) is/are associated.

PII: S0003-9993(06)00843-4

doi: 10.1016/j.apmr.2006.07.257

Archives of Physical Medicine and Rehabilitation
Volume 87, Issue 10 , Pages 1376-1381 , October 2006