Abstract:
OBJECTIVE:The management of osteoporosis in spinal cord injury that is a recurring issue in daily practice, but unfortunately, no standard protocol is provided by the literature review, either for screening or for a strategy of prevention and even for therapy. We assessed the practices of the physicians in physical medicine and rehabilitation from all over France, with the ultimate aim to propose a consensus for preventive and curative cares of that osteoporosis. METHODS:A questionnaire was sent to practitioners engaged with spinal cord injury (SCI) patients residing in the center and patients in medical monitoring. The questionnaire consisted mainly of closed questions. RESULTS:Twenty-six questionnaires are analyzed. The screening for osteoporosis is made routinely by only 19.2% of the practitioners and after a fracture in only 80.2% of the cases. The diagnosis of osteoporosis is based on bone densitometry (DEXA) (96%). Standing still remains a means of prevention for 88% of physicians in the acute phase and for 77% in the chronic phase. Ninety-two percent of practitioners treat at the stage of established osteoporosis. CONCLUSION:There is generally no standardized management of osteoporosis in practice for SCI patients. The searching for osteoporosis is usually performed after a fracture. All the literature data and results of the questionnaire led us to propose a protocol consisting in a systematic monitoring of the bone mineral density for the screening of osteoporosis, but also a procedure for early diagnosis and for preventive treatment of osteoporosis in the acute phase.
journal_name
Ann Phys Rehabil Medjournal_title
Annals of physical and rehabilitation medicineauthors
Phaner V,Charmetant C,Condemine A,Fayolle-Minon I,Lafage-Proust MH,Calmels P,groupe de travail Sofmer-AFIGAP.doi
10.1016/j.rehab.2010.09.007subject
Has Abstractpub_date
2010-12-01 00:00:00pages
615-20issue
10eissn
1877-0657issn
1877-0665pii
S1877-0657(10)00261-7journal_volume
53pub_type
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journal_title:Annals of physical and rehabilitation medicine
pub_type: 杂志文章
doi:10.1016/j.rehab.2012.11.004
更新日期:2013-03-01 00:00:00
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journal_title:Annals of physical and rehabilitation medicine
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abstract:BACKGROUND:The role of microRNAs (miRs) in hormone therapy (HT) is of keen interest in developing biomarkers and treatments for individuals with breast cancer. Although miRs are often moderate regulators under homeostatic conditions, their function is changed more in response to physical activity. OBJECTIVE:This singl...
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journal_title:Annals of physical and rehabilitation medicine
pub_type: 共识发展会议,杂志文章
doi:10.1016/j.rehab.2008.12.016
更新日期:2009-03-01 00:00:00
abstract:UNLABELLED:Osteoporosis is a common complication in children with motor impairments. They have a higher risk of fractures (20% during their lifetime) mostly at femoral level. Furthermore, these children have pain yet no clear relation has been established between osteoporosis and pain. The efficacy of bisphosphonates h...
journal_title:Annals of physical and rehabilitation medicine
pub_type: 杂志文章
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更新日期:2011-09-01 00:00:00
abstract:OBJECTIVES:To describe the frequency with which members of the French general population in the 30-to-69 age class sought care for lower back pain (LBP) from various healthcare professionals and to identify associated parameters. MATERIAL AND METHODS:Data were collected in the 2002-2003 Décennale Santé survey, which i...
journal_title:Annals of physical and rehabilitation medicine
pub_type: 杂志文章
doi:10.1016/j.rehab.2010.03.006
更新日期:2010-05-01 00:00:00
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journal_title:Annals of physical and rehabilitation medicine
pub_type: 杂志文章
doi:10.1016/j.rehab.2013.10.003
更新日期:2013-12-01 00:00:00
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journal_title:Annals of physical and rehabilitation medicine
pub_type: 杂志文章
doi:10.1016/j.rehab.2012.02.006
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journal_title:Annals of physical and rehabilitation medicine
pub_type: 杂志文章
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更新日期:2011-02-01 00:00:00
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journal_title:Annals of physical and rehabilitation medicine
pub_type: 杂志文章
doi:10.1016/j.rehab.2015.09.003
更新日期:2015-12-01 00:00:00
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journal_title:Annals of physical and rehabilitation medicine
pub_type: 杂志文章
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更新日期:2018-09-01 00:00:00
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journal_title:Annals of physical and rehabilitation medicine
pub_type: 临床试验,杂志文章
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更新日期:2013-07-01 00:00:00
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journal_title:Annals of physical and rehabilitation medicine
pub_type: 杂志文章
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更新日期:2017-07-01 00:00:00
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journal_title:Annals of physical and rehabilitation medicine
pub_type: 杂志文章
doi:10.1016/j.rehab.2011.10.001
更新日期:2011-11-01 00:00:00
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journal_title:Annals of physical and rehabilitation medicine
pub_type: 杂志文章
doi:10.1016/j.rehab.2013.10.004
更新日期:2014-02-01 00:00:00
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journal_title:Annals of physical and rehabilitation medicine
pub_type: 杂志文章,评审
doi:10.1016/j.rehab.2009.11.007
更新日期:2010-02-01 00:00:00
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journal_title:Annals of physical and rehabilitation medicine
pub_type: 杂志文章
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journal_title:Annals of physical and rehabilitation medicine
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更新日期:2020-01-01 00:00:00
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journal_title:Annals of physical and rehabilitation medicine
pub_type: 杂志文章
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更新日期:2018-01-01 00:00:00
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journal_title:Annals of physical and rehabilitation medicine
pub_type: 杂志文章,评审
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更新日期:2015-10-01 00:00:00
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journal_title:Annals of physical and rehabilitation medicine
pub_type: 杂志文章
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更新日期:2010-11-01 00:00:00
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journal_title:Annals of physical and rehabilitation medicine
pub_type: 杂志文章
doi:10.1016/j.rehab.2009.12.005
更新日期:2010-03-01 00:00:00
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journal_title:Annals of physical and rehabilitation medicine
pub_type: 杂志文章,评审
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更新日期:2016-09-01 00:00:00
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journal_title:Annals of physical and rehabilitation medicine
pub_type: 杂志文章,评审
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更新日期:2013-10-01 00:00:00
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journal_title:Annals of physical and rehabilitation medicine
pub_type: 杂志文章
doi:10.1016/j.rehab.2017.09.005
更新日期:2018-01-01 00:00:00
abstract::This document is part of the "Care Pathways in Physical and Rehabilitation Medicine" series developed by the French Physical and Rehabilitation Medicine Society (Sofmer) and the French Physical and Rehabilitation Medicine Federation (Fedmer). For a given patient profile, each concise document describes the patient's n...
journal_title:Annals of physical and rehabilitation medicine
pub_type: 杂志文章
doi:10.1016/j.rehab.2012.08.010
更新日期:2012-11-01 00:00:00
abstract:BACKGROUND:Amyotrophic lateral sclerosis (ALS) has long been considered a pure motor neurodegenerative disease. However, now, extra-motor manifestations such as cognitive-behavioral disorders are considered not rare and are even a severity factor of the disease. Experiencing anosognosia (i.e., the inability to recogniz...
journal_title:Annals of physical and rehabilitation medicine
pub_type: 杂志文章
doi:10.1016/j.rehab.2020.08.004
更新日期:2020-10-13 00:00:00