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KMID : 0361420090330020165
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Journal of Korean Academy of Rehabilitation Medicine
2009 Volume.33 No. 2 p.165 ~ p.171
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The Effect of Asymmetric Dynamic and Static Weight-bearing Force on Bone Mineral Density in Hemiplegic Stroke Patients : Preliminary Study
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Im Sun
Ko Young-Jin
Lee Jong-In
Kim Hye-Won
Chung Myung-Eun
Lim Seong-Hoon
Kang Eu-Gene
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Abstract
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OBJECTIVE: To measure the foot force and contact area distribution between the paretic and nonparetic sides during static and dynamic weight-bearing states, and to determine their relationship with BMD (bone mineral density).
METHOD: Sixteen stroke patients (mean age=63.5+/-7.46 years) were included and BMDs of bilateral femurs were evaluated. Foot force and total foot contact areas were measured using the F-scan insole system. All values were expressed in ratio of paretic versus nonparetic sides.
RESULTS: The paretic side showed significantly smaller values in BMD, foot force and total contact area than the nonparetic sides (p<0.05). Femoral BMD ratio correlated significantly with dynamic weight bearing force ratio (r=0.58, p<0.05) and time elapsed since stroke as well (r=-0.17, p<0.05), while it did not correlate with either static weight-bearing force ratio (r=0.25, p>0.05), or total contact area ratio during both dynamic and static weight-bearing state (r=0.23, r=0.12, p>0.05). Multiple regression analysis showed that dynamic weight-bearing force ratio and time elapsed since stroke were independently related to BMD ratio (t=3.25, p<0.001 and t=-4.89, p<0.001).
CONCLUSION: The present study showed that foot force differences in the dynamic weight-bearing state significantly correlated to post-stroke BMD while foot contact area in both the static and dynamic weight-bearing state did not correlate to post-stroke BMD.
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KEYWORD
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Bone mineral density, Stroke, Weight-bearing
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