Gait speed and spasticity are independently associated with estimated failure load in the distal tibia after stroke: an HR-pQCT study.
Tiev MillerLing QinVivian Wing-Yin HungMichael T C YingCharlotte S L TsangHui Xi OuyangRaymond C K ChungMarco Yiu Chung PangPublished in: Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA (2021)
The paretic distal tibia showed more compromised vBMD, cortical area, cortical thickness, and estimated failure load than the non-paretic tibia. Gait speed and spasticity were independently associated with estimated failure load. As treatment programs focusing on these potentially modifiable stroke-related impairments are feasible to administer, future studies are needed to determine the efficacy of such intervention strategies for improving bone strength in individuals with chronic stroke.