Abstract
Haziza M, Kremer R, Benedetti A, Trojan DA. Osteoporosis in a postpolio clinic population.
Objectives
To determine (1) the frequency of osteoporosis at the hip and lumbar spine in a postpolio
clinic population and (2) the association of lower-extremity muscle strength and other
potential contributing factors to osteoporosis with bone density measured at the hip.
Design
Cross-sectional study involving a chart review.
Setting
A university-affiliated hospital postpolio clinic.
Participants
Patient charts (N=379) were reviewed; 164 (26%) were included, and 215 (74%) were
not included primarily (74%) because of the unavailability of bone density results.
Interventions
Not applicable.
Main Outcome Measures
Bone density (in g/cm2) and T score were assessed at the femoral neck and lumbar spine. Muscle strength
was evaluated by manual muscle testing in 7 bilateral lower-extremity muscles.
Results
The occurrence of osteoporosis at the hip and lumbar spine was 20 (32%) of 62 and
6 (10%) of 61 in men, 3 (9%) of 33 and 2 (6%) of 32 in premenopausal women, and 18
(27%) of 67 and 7 (11%) of 65 in postmenopausal women, respectively. In a logistic
regression model, the presence of osteoporosis at the hip was significantly associated
with strength sum score in the same extremity in which the bone density was performed
after adjusting for other important risk factors (age, body mass index, time since
polio).
Conclusions
Osteoporosis occurred commonly at the hip in a postpolio clinic population. Hip bone
density was associated with muscle strength in the same lower extremity.
Key Words
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References
- Post-poliomyelitis syndrome.Muscle Nerve. 2005; 31: 6-19
- Epidemiology of osteoporosis.Best Pract Res Clin Rheumatol. 2002; 16: 795-806
- Assessment of fracture risk and its application to screening for post menopausal osteoporosis. WHO, Geneva1994 (WHO technical report series 843.)
- Fractures in an aging population of poliomyelitis survivors: a community-based study in Olmsted County, Minnesota.Mayo Clin Proc. 1994; 69: 333-339
- Risk factors for hip fracture in white women.N Engl J Med. 1995; 332: 767-773
- Lifetime fracture risk: an approach to hip fracture risk assessment based on bone mineral density and age.J Clin Epidemiol. 1988; 41: 985-994
- The diagnosis of osteoporosis.J Bone Miner Res. 1994; 9: 1137-1141
- Osteoporosis—prevention, diagnosis and treatment: a systematic review. Swedish Council on Technology Assessment in Health Care, Stockholm2003 (Report No. 2 vols, 165/1+2.)
- Guidelines for diagnosis and management of osteoporosis.Osteoporos Int. 1997; 7: 390-406
- Predictive factors for post-poliomyelitis syndrome.Arch Phys Med Rehabil. 1994; 75: 770-777
- How many women have osteoporosis now?.J Bone Miner Res. 1995; 10: 175-177
- Estimation of the prevalence of low bone density in Canadian women and men using a population-specific DXA reference standard: the Canadian Multicentre Osteoporosis Study (CaMos).Osteoporos Int. 2000; 11: 897-904
- Interobserver agreement in the assessment of muscle strength and functional abilities in Guillain Barré syndrome.Muscle Nerve. 1991; 14: 1103-1109
- Osteoporosis in men: prevalence and investigation.Clin Cornerstone. 2006; 8: S20-S25
- Prevention and management of osteoporosis: consensus statements from the Scientific Advisory Board of the Osteoporosis Society of Canada.CMAJ. 1996; 155: 924-929
- How hip and whole-body bone mineral density predict hip fracture in elderly women: the EPIDOS prospective study.Osteoporos Int. 1998; 8: 247-254
- Impact of spinal degenerative changes on the evaluation of bone mineral density with dual-energy X-ray absorptiometry (DXA).Calcif Tissue Int. 1997; 60: 430-433
- The relationship between bone mineral density and immobilization duration in hemiplegic limbs.Ann Nucl Med. 2005; 19: 695-700
- Osteoporosis after spinal cord injury (published erratum in: Osteoporos Int 2006;17:1278-81).Osteoporosis Int. 2006; 17: 180-192
- Spinal cord injury-induced osteoporosis in veterans.J Spinal Disord Tech. 2006; 19: 114-117
- Treatable and untreatable risk factors for hip fracture.Bone. 1996; 18: 165S-167S
- Can exercise prevent osteoporosis?.J Musculoskelet Neuronal Interact. 2006; 6: 162-166
Article info
Footnotes
Supported by the Polio Quebec Association and the Montreal Neurological Institute (salary support).
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.
Reprints are not available from the author.
Identification
Copyright
© 2007 American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation. Published by Elsevier Inc. All rights reserved.
