PMID- 21765270
OWN - NLM
STAT- MEDLINE
DCOM- 20110914
LR  - 20181201
IS  - 1537-7385 (Electronic)
IS  - 0894-9115 (Linking)
VI  - 90
IP  - 6
DP  - 2011 Jun
TI  - Utility of quantitative ultrasound of the calcaneus in diagnosing osteoporosis in 
      spinal cord injury patients.
PG  - 477-81
LID - 10.1097/PHM.0b013e31821a7386 [doi]
AB  - OBJECTIVE: : The aim of this study was to assess the utility of quantitative 
      ultrasound of the calcaneus in diagnosing osteoporosis in spinal cord injury 
      patients in a Brazilian Teaching Hospital. DESIGN: : This is a diagnostic test 
      criterion standard comparison study. Between January 2008 and October 2009, the 
      bone density of 15 spinal cord injury patients was assessed for analysis before 
      beginning rehabilitation using muscle stimulation. The bone density was assessed 
      using bone densitometry examination (DEXA) and ultrasound examination of the 
      calcaneus (QUS). The measurements acquired using QUS and DEXA were compared 
      between patients with spinal cord injury and a control group of ten healthy 
      individuals. RESULTS: : The T-score values for femoral neck using DEXA (P < 
      0.0022) and those using QUS of the calcaneus (P < 0.0005) differed significantly 
      between the groups, and the means in the normal subjects were higher than those 
      in spinal cord injury patients who would receive electrical stimulation. In 
      spinal cord injury patients, the significant differences were found between the 
      QUS T-score for calcaneus and the DEXA scores for the lumbar spine and femoral 
      neck. CONCLUSIONS: : Because of the low level of mechanical stress on the 
      calcaneus, the results of the QUS could not be correlated with the DEXA results 
      for diagnosing osteoporosis. Therefore, QUS seems to be not a good choice for 
      diagnosis and follow-up.
FAU - Bittar, Cintia Kelly
AU  - Bittar CK
AD  - Orthopaedics Department, State University of Campinas (UNICAMP), Campinas, 
      Brazil.
FAU - Cliquet, Alberto Jr
AU  - Cliquet A Jr
FAU - Dos Santos Floter, Michelle
AU  - Dos Santos Floter M
LA  - eng
PT  - Comparative Study
PT  - Journal Article
PL  - United States
TA  - Am J Phys Med Rehabil
JT  - American journal of physical medicine & rehabilitation
JID - 8803677
SB  - IM
MH  - Absorptiometry, Photon/statistics & numerical data
MH  - Adult
MH  - Age Factors
MH  - Bone Density/physiology
MH  - Calcaneus/*diagnostic imaging
MH  - Cohort Studies
MH  - Follow-Up Studies
MH  - Humans
MH  - Injury Severity Score
MH  - Male
MH  - Monitoring, Physiologic/methods
MH  - Osteoporosis/*diagnosis/etiology
MH  - Paraplegia/complications/physiopathology
MH  - Quadriplegia/complications/physiopathology
MH  - Reproducibility of Results
MH  - Risk Assessment
MH  - Sensitivity and Specificity
MH  - Severity of Illness Index
MH  - Sex Factors
MH  - Spinal Cord Injuries/*complications/diagnosis/rehabilitation
MH  - Ultrasonography, Doppler/statistics & numerical data
MH  - Young Adult
EDAT- 2011/07/19 06:00
MHDA- 2011/09/15 06:00
CRDT- 2011/07/19 06:00
PHST- 2011/07/19 06:00 [entrez]
PHST- 2011/07/19 06:00 [pubmed]
PHST- 2011/09/15 06:00 [medline]
AID - 00002060-201106000-00005 [pii]
AID - 10.1097/PHM.0b013e31821a7386 [doi]
PST - ppublish
SO  - Am J Phys Med Rehabil. 2011 Jun;90(6):477-81. doi: 10.1097/PHM.0b013e31821a7386.