Bone Density in Premenopausal Women and Men Under 50 Years of Age With Cerebral Palsy

Fowler, Eileen; Rao, Sandhya K.; Nattiv, Aurelia; Heberer, Kent; Oppenheim, William L.

doi:10.1016/j.apmr.2015.03.012

Cited by 17 publications

(15 citation statements)

References 23 publications

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“…The methodological quality results are shown in Table 2. Ten studies (63%) were classified as high-quality [3,12,30,31,35,37,38,[40][41][42] and six (37%) as low-quality [32][33][34]36,39,43]. The most common methodological shortcomings were (1) study samples that were not consecutive or an obviously representative series of cases (88%); and (2) the total number of cases was less than 50 (63%).…”

Section: Methodological Qualitymentioning

confidence: 99%

“…Fourteen studies reported BMD results of the lumbar spine [3,12,[30][31][32][33][34][35][36][37][38][39][40][41], nine of the femur [3,12,30,31,33,34,37,38,42], two of the calcaneus [30,36], two of the total body [37,42], and one of the radius and tibia [43]. Most studies focused on children, but five focused on adults [34,38,39] or a mixed age group [3,43]. The countries from which the participants were recruited were: Canada [3,12,42], Taiwan [30,31], USA [3,39], England [36], Turkey [32], Norway [37], Korea [33], Israel [43], and Pakistan [41].…”

Section: Characteristics Of Included Studiesmentioning

confidence: 99%

“…The countries from which the participants were recruited were: Canada [3,12,42], Taiwan [30,31], USA [3,39], England [36], Turkey [32], Norway [37], Korea [33], Israel [43], and Pakistan [41]. Four studies did not report the country from which the participants were recruited [34,35,38,40]. Five studies [12,30,31,40,42] reported only on persons with spastic CP, three studies [34,37,38] on other types of CP, and seven studies [3,32,33,35,36,39,41,43] did not report CP type.…”

Section: Characteristics Of Included Studiesmentioning

confidence: 99%

“…Four studies did not report the country from which the participants were recruited [34,35,38,40]. Five studies [12,30,31,40,42] reported only on persons with spastic CP, three studies [34,37,38] on other types of CP, and seven studies [3,32,33,35,36,39,41,43] did not report CP type.…”

Section: Characteristics Of Included Studiesmentioning

confidence: 99%

“…The high-quality study by Fowler et al [38] reported BMD results of the lumbar spine (spine level not reported) in adults with GMFCS level III (Tables 3 and 6); no low BMD was reported, neither regarding Z-score À2.0 nor regarding Z-score À1.0). According to the best-evidence synthesis (both regarding Z À2.0 and regarding Z À1.0), there was no evidence for low BMD of the lumbar spine in adults with GMFCS level III.…”

Section: Gmfcs IIImentioning

confidence: 99%

See 4 more Smart Citations

Low bone mineral density in ambulatory persons with cerebral palsy? A systematic review

Mus-Peters

Huisstede

Noten³

et al. 2018

Disability and Rehabilitation

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Although more high-quality research is needed, results indicate that deficits in bone mineral density are not restricted to non-ambulatory people with cerebral palsy. Implications for Rehabilitation Although more high-quality research is needed, including adults and fracture risk assessment, the current study indicates that deficits in bone mineral density are not restricted to non-ambulatory people with CP. Health care professionals should be aware that optimal nutrition, supplements on indication, and an active lifestyle, preferably with weight-bearing activities, are important in ambulatory people with CP, also from a bone quality point-of-view. If indicated, medication and fall prevention training should be prescribed.

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