基于射频回波多谱勒测量严重运动障碍和智力障碍患者的骨质密度:为严重脊柱侧弯和髋关节脱位患者提供机会

IF 2.1 Q3 ENDOCRINOLOGY & METABOLISM
Tomoko Sakai , Masanobu Hirao , Yusuke Takashina , Ryo Kitagawa , Tsutomu Oishi
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引用次数: 0

摘要

目的射频回声多谱勒测定法(REMS)是目前用于骨质疏松症骨密度测定的一种超声技术,并已与双能 X 射线吸收测定法进行了对比验证。然而,在严重运动障碍和智力障碍(SMID)患者中使用 REMS 进行骨密度测量的情况仍未见报道。本研究旨在探讨 REMS 技术是否可用于对伴有髋关节脱位和严重脊柱侧弯的重度运动与智力障碍患者的骨密度测量进行评估。结果我们纳入了 29 名男性和 34 名女性(平均年龄:52.6 岁)。所有患者均成功扫描了股骨颈(82.5%)或腰椎(95.2%)。使用 REMS 测量的 BMD 值较低,股骨颈的平均 BMD、T 值和 Z 值分别为 0.67 g/cm2、-2.39 标准差 (SD) 和 - 1.38 SD,腰椎的平均 BMD、T 值和 Z 值分别为 0.66 g/cm2、-2.70 SD 和 - 1.87 SD。腰椎的平均 Cobb 角为 34.0°;此外,在成功测量 BMD 和未成功测量 BMD 的人群中,脱位率没有显著差异(p = 0.073)。结论所有 SMID 患者都能接受脊柱或股骨颈 BMD 测量;此外,77.7% 的患者接受了腰椎和股骨的测量。我们的数据表明,REMS 可用于测量居住在医疗机构的 SMID 患者的 BMD。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Radiofrequency echographic multi-spectrometry-based measurement of bone mineral density in patients with severe motor and intellectual disability: An opportunity for patients with severe scoliosis and hip dislocation

Purpose

Radiofrequency echographic multi-spectrometry (REMS) is an ultrasound technology currently used for the densitometric evaluation of osteoporosis and has been validated against dual-energy X-ray absorptiometry. However, the use of REMS for bone densitometry in patients with severe motor and intellectual disabilities (SMID) remains to be reported. This study aimed to investigate whether REMS technology can be used for densitometric evaluation of osteoporosis in patients with SMID with hip dislocation and severe scoliosis.

Methods

Sixty-five patients with SMID, who resided in a long-term care facility and received comprehensive medical and rehabilitation care, underwent REMS scans of the femoral neck and/or lumbar spine. Data regarding anthropometric parameters (height and weight), bone mineral density (BMD), clinical diagnostic classification, physical ability, presence of scoliosis and hip dislocation, and frontal radiographs of both hip joints were obtained.

Results

We included 29 men and 34 women (mean age: 52.6 years). All patients underwent successful scanning at either the femoral neck (82.5 %) or lumbar spine (95.2 %). BMD measurements obtained using REMS revealed low values, with a mean BMD, T-score, and Z-score of 0.67 g/cm2, −2.39 standard deviation (SD), and − 1.38 SD, respectively, at the femoral neck and 0.66 g/cm2, −2.70 SD, and − 1.87 SD, respectively, at the lumbar spine. The average Cobb angle of the lumbar spine was 34.0°; furthermore, dislocation rates did not significantly differ between those with and without successful BMD measurements (p = 0.073). Lumbar BMD T-scores were significantly correlated with femoral neck BMD T-scores (p < 0.001, r = 0.530).

Conclusion

All patients with SMID were able to undergo measurements of either spinal or femoral neck BMD; furthermore, 77.7 % of the patients underwent measurements at both the lumbar spine and femur. Our data suggest that REMS is useful for measuring BMD in patients with SMID who are residing in institutions.

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来源期刊
Bone Reports
Bone Reports Medicine-Orthopedics and Sports Medicine
CiteScore
4.30
自引率
4.00%
发文量
444
审稿时长
57 days
期刊介绍: Bone Reports is an interdisciplinary forum for the rapid publication of Original Research Articles and Case Reports across basic, translational and clinical aspects of bone and mineral metabolism. The journal publishes papers that are scientifically sound, with the peer review process focused principally on verifying sound methodologies, and correct data analysis and interpretation. We welcome studies either replicating or failing to replicate a previous study, and null findings. We fulfil a critical and current need to enhance research by publishing reproducibility studies and null findings.
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