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KMID : 1024720160060020048
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Geriatric Rehabilitation
2016 Volume.6 No. 2 p.48 ~ p.54
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The Clinical Manifestations of Osteoporosis in the Patients with Cerebral Stroke
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Yoo Seung-Don
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Abstract
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Stroke patients have high prevalence of osteoporosis and fracture. Low bone mineral density (BMD) and fracture may contribute to further functional loss. Osteoporosis after stroke can be produced by a complex interaction of factors. Poststroke osteoporosis is currently not adequately recognized and treated. Bone fracture in stroke patients occurs at different times during the recovery phase, prolonging recovery time. Most poststroke bone fractures occur in the lower extremities. Motor changes, including posture, mobility, and balance contribute to bone loss and thus increase risk of bone fracture. Approximately one in seven hip fractures occurs in older stroke survivors and is associated with poorer outcomes. Early application of fracture prevention strategies is needed. Guidelines for osteoporosis diagnosis and management do not include poststroke osteoporosis. Management of poststroke osteoporosis should start with a careful and comprehensive risk assessment. Vitamin D intake may prevent osteoporosis and fractures in patients with stroke. Drugs show some benefits in preventing osteoporosis, but additional clinical trials are needed to determine the most effective conditions for post-stroke application.
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KEYWORD
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Osteoporosis, Cerebral stroke
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