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ISSN: 2329-9509
Journal of Osteoporosis and Physical Activity
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Osteoporosıs In Hemiplegic Patients

Nihal Ozaras*
Bezmialem Vakif University, Istanbul, Turkey
Corresponding Author : Nihal Ozaras
Bezmialem Vakif University, Istanbul, Turkey
Tel: 90 212 453 1700
E-mail: [email protected]
Received: May 25, 2015; Accepted: June 15, 2015; Published: June 22, 2015
Citation: Ozaras N (2015) Osteoporosıs In Hemiplegic Patients. J Osteopor Phys Act 3:144. doi:10.4172/2329-9509.1000144
Copyright: © 2015 Ozaras N. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
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Commentary
Each year approximately 795 000 people experience stroke in the United States. Despite the declining mortality by improving health care, two thirds of the patients have motor deficits (usually hemiplegia) and they are faced with many complications [1,2].
Hip fracture is a serious complication seen in stroke patients with an incidence of 2-4 times higher than the population and it generally affects the paretic side. Increased falls caused by the motor impairments and osteoporosis are the risk factors for the hip fracture [3-6]. Any types of immobilization results in osteoporosis [7]. Several studies investigating bone metabolism in stroke patients revealed that bone mineral density (BMD) was decreased at the hemiplegic side more than the normal side. Higher motor impairment causes a higher BMD loss and the amount of weight borne on the paretic lower extremity is the determinant of its bone loss [8,9]. While unloading is the main mechanism blamed, hemi osteoporosis was present even if the patients that could be able to walk early after the stroke [3,9-11]. A similar unexplained osteoporosis is seen at the upper extremities of the paraplegic patients which have normal loading and innervation [12]. The hormonal changes, neuropeptides or local factors may have a role in its mechanism but this mystery needs more researches to be solved.
Although the etiology of the osteoporosis in hemiplegic patients is not releaved completely, it can be prevented and treated by bisphosphonates [13,14].
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