Please use this identifier to cite or link to this item: http://hdl.handle.net/10397/89283
PIRA download icon_1.1View/Download Full Text
DC FieldValueLanguage
dc.contributorDepartment of Rehabilitation Sciencesen_US
dc.creatorYang, FZen_US
dc.creatorJehu, DAMen_US
dc.creatorOuyang, Hen_US
dc.creatorLam, FMHen_US
dc.creatorPang, MYCen_US
dc.date.accessioned2021-03-05T07:39:14Z-
dc.date.available2021-03-05T07:39:14Z-
dc.identifier.issn0937-941Xen_US
dc.identifier.urihttp://hdl.handle.net/10397/89283-
dc.language.isoenen_US
dc.publisherSpringeren_US
dc.rights© International Osteoporosis Foundation and National Osteoporosis Foundation 2019en_US
dc.rightsThis is a post-peer-review, pre-copyedit version of an article published in Osteoporosis International. The final authenticated version is available online at: https://doi.org/10.1007/s00198-019-05175-4en_US
dc.subjectBone propertiesen_US
dc.subjectMuscle functionen_US
dc.subjectMuscle spasticityen_US
dc.subjectOsteoporosisen_US
dc.subjectStrokeen_US
dc.titleThe impact of stroke on bone properties and muscle-bone relationship : a systematic review and meta-analysisen_US
dc.typeJournal/Magazine Articleen_US
dc.identifier.spage211en_US
dc.identifier.epage224en_US
dc.identifier.volume31en_US
dc.identifier.issue2en_US
dc.identifier.doi10.1007/s00198-019-05175-4en_US
dcterms.abstractTo systematically review available evidence related to the characteristics of bone changes post-stroke and the relationship between various aspects of muscle function (e.g., strength, spasticity) and bone properties after stroke onset. An extensive online database search was undertaken (last search in January 2019). Articles that examined the bone properties in stroke patients were included. The quality of the studies was evaluated with the National Institutes of Health (NIH) Study Quality Assessment Tools. Publication bias of meta-analyses was assessed using the Egger’s regression asymmetry test. The selection and evaluation of the articles were conducted by two independent researchers. Fifty-nine studies were identified. In subacute and chronic stroke studies, the skeletal sites in the paretic limbs sustained a more pronounced decline in bone quality than did their counterparts in the non-paretic limbs. The rate of changes showed a decelerating trend as post-stroke duration increased, but the timing of achieving the steady rate differed across skeletal sites. The magnitude of bone changes in the paretic upper limb was more pronounced than the paretic lower limb. There was a strong relationship between muscle strength/mass and bone density/strength index. Muscle spasticity seemed to have a negative impact on bone integrity in the paretic upper limb, but its influence on bone properties in the paretic lower limb was uncertain. Substantial bone changes in the paretic limbs occurred particularly in the first few months after stroke onset. Early intervention, muscle strength training, and long-term management strategies may be important to enhance bone health post-stroke. This review has also revealed the knowledge gaps which should be addressed in future research.en_US
dcterms.accessRightsopen accessen_US
dcterms.bibliographicCitationOsteoporosis international, Feb. 2020, v. 31, no. 2, p. 211-224en_US
dcterms.isPartOfOsteoporosis internationalen_US
dcterms.issued2020-02-
dc.identifier.scopus2-s2.0-85075214377-
dc.identifier.pmid31720713-
dc.identifier.eissn1433-2965en_US
dc.description.validate202103 bcvcen_US
dc.description.oaAccepted Manuscripten_US
dc.identifier.FolderNumbera0590-n40-
dc.identifier.SubFormID364-
dc.description.fundingSourceRGCen_US
dc.description.fundingTextP0004794en_US
dc.description.pubStatusPublisheden_US
Appears in Collections:Journal/Magazine Article
Files in This Item:
File Description SizeFormat 
a0590-n40_systematic review one bone and stroke_final_v5.pdfPre-Published version559.21 kBAdobe PDFView/Open
Open Access Information
Status open access
File Version Final Accepted Manuscript
Access
View full-text via PolyU eLinks SFX Query
Show simple item record

Page views

61
Last Week
0
Last month
Citations as of Mar 24, 2024

Downloads

32
Citations as of Mar 24, 2024

SCOPUSTM   
Citations

16
Citations as of Mar 28, 2024

WEB OF SCIENCETM
Citations

12
Citations as of Mar 28, 2024

Google ScholarTM

Check

Altmetric


Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.