Science & Technology Review
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2023, 41(23): 42-48
• Exclusive: Era Development in Rehabilitation Medicine and Chinese Strategies •
Risk factors and rehabilitation assessment of elderly high bone turnover osteoporosis
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ZHENG Xiaoxi1, HOU Jianlei2, QIU Xiaorong1, SHI Bing1, DU Peinan1, LIANG Zhenchang1, YE Mingxuan1, WU Jinying1, DING Yi2,3*
Affiliations
1. Department of Orthopedics, Zhongshan Rehabilitation Hospital, Zhongshan Shiqi Suhuazan Hospital, Zhongshan 528402, China
2. Department of Orthopedics, the Third Medical Center of PLA General Hospital, Beijing 100039, China
3. National Rehabilitation Assistants Research Center Affiliated Rehabilitation Hospital, Beijing 100176, China
Published: 2023-12-13
doi: 10.3981/j.issn.1000-7857.2023.23.006
Outline
Osteoporosis (OP) is common in the elderly population and can easily lead to brittle fractures. The bone formation and bone resorption processes of high bone turnover OP are both active, making treatment difficult and lacking effective treatment methods to improve bone density (BMD). This study focuses on patients with high bone turnover type OP and aims to identify independent prognostic factors through rehabilitation assessment and follow-up studies before treatment. The indicators include BMD, serum ferritin level, standing sit test (CRT) time for lower limb muscle strength, Berg balance function scale (BBS) score, etc. The results show that for every 1 unit increase in serum ferritin, the risk of brittle fracture is increased by 5.3%. For every 1 second extension of CRT, the risk of brittle fracture is increased by 4.12 times. The higher the patient's ferritin level and the longer the CRT, the lower the prognosis of BMD. However, for every 1 point increase in BBS, the risk of brittle fracture is decreased by 15.8%. The iron storage level, lower limb muscle strength, and balance ability are mutually independent factors that affect the prognosis of high bone turnover type OP.
osteoporosis
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high conversion type osteoporosis
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fragile fracture
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bone density
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serum ferritin
/
lower limb muscle strength
/
balance ability
/
prognosis of osteoporosis
ZHENG Xiaoxi, HOU Jianlei, QIU Xiaorong, SHI Bing, DU Peinan, LIANG Zhenchang, YE Mingxuan, WU Jinying, DING Yi.
Risk factors and rehabilitation assessment of elderly high bone turnover osteoporosis[J].
Science & Technology Review,
2023
, 41
(23)
: 42
-48
.
DOI: 10.3981/j.issn.1000-7857.2023.23.006
Year 2023 volume 41 Issue 23
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491
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Article Info
doi: 10.3981/j.issn.1000-7857.2023.23.006
- Receive Date:2023-02-20
- Online Date:2023-12-21
- Published:2023-12-13