Bone health post-stroke: a survey of stroke care physiatrists in Canada.

Jamie L Fleet, Nicole Billias, Alexandria Roa Agudelo, Ujjoyinee Barua, Sydney Knight, Robert Teasell, Kristin K Clemens
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Abstract

Objective: People who have experienced stroke are at a high risk for falls, fractures, and osteoporosis. Bone health post-stroke is often overlooked. The goal of this study was to understand current practice perspectives and barriers to bone health care post-stroke among physiatrists.

Methods: We conducted an online survey of English-speaking stroke physiatrists practicing in Canada from October 2023 to April 2024. We recruited participants through the Canadian Association of Physical Medicine and Rehabilitation newsletter and direct contact via hospital or university email. The survey included demographic and multiple-choice questions as well as open-ended queries. Data were summarized using frequencies and percentages, and open-ended questions were assessed qualitatively for themes.

Results: Twenty-two physiatrists completed the survey. Female physiatrists made up 45.5% of respondents, and 36.4% were in their first 5 years of practice. Most worked in an academic hospital (81.8%). The majority (81.9%) of respondents felt there is a need for post-stroke bone health guidelines. Important themes that emerged from open-ended questions included a lack of awareness, research, and resources.

Conclusions: In this study of Canadian physiatrists, most respondents feel post-stroke bone health guidelines would be beneficial. More research and resources focused upon bone health in this population is needed.

中风后的骨骼健康:加拿大中风护理医师的调查。
目的:中风患者发生跌倒、骨折和骨质疏松的风险较高。中风后的骨骼健康常常被忽视。本研究的目的是了解目前的实践观点和障碍,骨骼保健中风后的物理医生。方法:我们对2023年10月至2024年4月在加拿大执业的说英语的中风理疗师进行了在线调查。我们通过加拿大物理医学和康复协会的通讯以及通过医院或大学的电子邮件直接联系来招募参与者。该调查包括人口统计和多项选择题以及开放式问题。使用频率和百分比对数据进行总结,并对主题的开放式问题进行定性评估。结果:22名物理医师完成了调查。女物理医生占回答者的45.5%,其中36.4%为首5年执业。大多数在学术医院工作(81.8%)。大多数受访者(81.9%)认为有必要制定中风后骨骼健康指南。从开放式问题中出现的重要主题包括缺乏意识、研究和资源。结论:在这项加拿大理疗师的研究中,大多数受访者认为卒中后骨骼健康指南将是有益的。需要更多的研究和资源来关注这一人群的骨骼健康。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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