CSCM Bone Health CPG -5-22 - 176

Shields, 2006b
Prospective
Controlled trial
USA
N: 7 (6 complied)
Level: 2 cervical, 5 thoracic; C5- T10; complete
AIS:__
Etiology:__
Age: mean 29.1, range 21 - 43 years
Duration: mean <4.5 months
% Female: 0 %
Ambulation: __
BMD: __
Osteoporosis: __
Ambulation: Untrained
limb was with-in subject
control.
Intervention: Unilateral
NMES of soleus using
isometric plantar flexion
protocol for ~30min/day
(4 bouts with 5-min rest
between bouts), 5 days/
week, and for a mean
of 2.42 years (Range
1.87 -3.05 years). Mean
estimated compressive
loads delivered to the tibia
were ~1-1.5 times body
weight.
Comparing: trained leg vs.
untrained leg
Complications: unclear
monitoring, not reported
Time Bins:
1. 0 to 6 weeks
2. 6 months
3. 12 months
4. 18 months
5. 24 months
6. 30 months
1. Trabecular BMD at 4% tibia site was 40mg/
cm3 or 31% higher for the trained limb than
the untrained limb.
2. No significant differences in BMDcort of the
tibia at the 38% and the 66% sites.
Data Source: clinical examination using pQCT
pQCT Model: Stratec XCT-20
Outcomes: cortical vBMD of the tibia at the 4%, 38%,
and 66% sites and trabecular vBMD of the tibia at 4%
site
Varzi et al. 2015
Retrospective
Cohort Study
Scotland
N: 25 (only 19 participants with 12 month
femur data and 17 participants with 12
month tibia data)
Level: Femur - Para (9), Tetra (10); Tibia - Para
(8), Tetra (9)
AIS:__ Femur: 14 A, 5 B; Tibia: 12 A, 5 B
Etiology: all traumatic
Age: median age of 33.0 (Inter-quartile range
= 20.0-50.5) ranging from 16 to 76 years.
Duration: 12 months
% Female: 21%
Osteoporosis: __
Objective: To examine
12-month total and
trabecular BMD loss using
multiple linear regression.
Comparing:
Differences in BMD bone
loss at baseline vs. 12
months as measured at the
distal femur and proximal
tibia (%)
Timeline: Participants were scanned at the distal
femur and proximal tibia using peripheral Quantitative
Computed Tomography at baseline 5 weeks, 4, 8- and
12-months post-injury.
Data Source: Clinical examination using XCT 3000
peripheral Quantitative Computed Tomography
(pQCT) scanner (Stratec Medizintechnik GmbH).
Outcomes:
BMD bone loss at 12 months as measured at the distal
femur and proximal tibia (%) and statistical shape
modelling (SSM) of bone morphology
Precision Measures
1. In the femur, there were no significant
differences in bone loss (total BMD,
trabecular BMD) when comparing sex, injury
status (AIS and injury level) and no significant
correlations with age.
2. Tetraplegics had a significantly smaller
12-month total BMD loss compared with
paraplegics (-33.5% vs. -19.6%; p=0.049).
3. Age was significantly correlated with total
BMD (r = 0.66, P = 0.004) trabecular BMD (r =
0.70, P = 0.002)
Bone Health and Osteoporosis Management in Individuals with Spinal Cord Injury | 162

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