Knowledge Level and Awareness About Osteoporosis in Patients with Spinal Cord Injury
PDF
Cite
Share
Request
Original Investigation
P: 188-192
December 2022

Knowledge Level and Awareness About Osteoporosis in Patients with Spinal Cord Injury

Turk J Osteoporos 2022;28(3):188-192
1. Sağlık Bilimleri Üniversitesi, Adana Şehir Eğitim ve Araştırma Hastanesi, Fizik Tedavi ve Rehabilitasyon Kliniği, Adana, Türkiye
No information available.
No information available
Received Date: 26.02.2022
Accepted Date: 18.04.2022
Publish Date: 29.11.2022
PDF
Cite
Share
Request

ABSTRACT

Objective:

Osteoporosis (OP) is a skeletal disease characterized by decreased bone strength and increased fracture risk. Spinal cord injury (SCI) is accepted as a risk factor for OP. The aim of this study was to evaluate the OP knowledge and awareness level in patients with SCI.

Materials and Methods:

Seventy patients with SCI in the risk group for OP were included in the study. The clinical and demographic characteristics of the patients were evaluated. The OP knowledge and awareness level of the patients were evaluated with questions about OP knowledge and the osteoporosis awareness scale (OAS).

Results:

Fifty-three (75.7%) male and 17 female patients with a mean age of 40.8±16.5 (18-79) were included in the study. While 13 (18.6%) patients included in the study knew that they were in the risk group for OP, 57 (81.4%) had no information on this subject. There was a significant correlation between total OAS score and education level (r=0.537, p<0.001). No correlation was found between the OAS score and age and duration of disease. The total OAS score was found to be significantly higher in women (59.8±11.4 vs. 52.5±11.7) (p=0.031).

Conclusion:

It has been shown that patients with SCI have a low level of knowledge about OP. To reduce morbidity, mortality and treatment costs, more information should be given to ensure that patients in the risky group come to regular controls.

References

1
Varacallo M, Seaman TJ, Jandu JS, Pizzutillo P. Osteopenia. StatPearls 2021.
2
Varacallo MA, Fox EJ. Osteoporosis and its complications. Med Clin North Am 2014;98:817-31.
3
Battaglino RA, Lazzari AA, Garshick E, Morse LR. Spinal cord injury-induced osteoporosis: pathogenesis and emerging therapies. Curr Osteoporos Rep 2012;10:278-85. 
4
Zehnder Y, Lüthi M, Michel D, Knecht H, Perrelet R, Neto I, et al. Long-term changes in bone metabolism, bone mineral density, quantitative ultrasound parameters, and fracture incidence after spinal cord injury: a cross-sectional observational study in 100 paraplegic men. Osteoporos Int 2004;15:180-9. 
5
Szollar SM, Martin EM, Sartoris DJ, Parthemore JG, Deftos LJ. Bone mineral density and indexes of bone metabolism in spinal cord injury. Am J Phys Med Rehabil 1998;77:28-35.
6
Nuño-Solinis R, Rodríguez-Pereira C, Alonso-Morán E, Orueta JF. Comorbidity and healthcare expenditure in women with osteoporosis living in the basque country (Spain). J Osteoporos 2014;2014:205954. 
7
Aksu A, Zinnuroğlu M, Karaoğlan B, Akın S, Kutsal YG, Atalay F, et al. Osteoporoz, eğitim durumu farkındalık düzeyi araştırma sonuçları. Turk J Osteoporoz 2005;11:36-40.
8
Şahin E, Dilek B, Baydar M, Kösehanoğulları M, Uçku R, Öncel S. Kırk beş yaş ve üzeri hastalarda radius distal uç kırıklarından sonra osteoporoz farkındalığı ve etkileyen faktörler. Türk Fiz Tıp Rehab Derg 2013;59:52-6.
9
Juby AG, Davis P. A prospective evaluation of the awareness, knowledge, risk factors and current treatment of osteoporosis in a cohort of elderly subjects. Osteoporos Int 2001;12:617-22. 
10
Frotzler A, Krebs J, Göhring A, Hartmann K, Tesini S, Lippuner K. Osteoporosis in the lower extremities in chronic spinal cord injury. Spinal Cord 2020;58:441-8. 
11
Aktürk SO, Meseri R, Özentürk MG. The Psychometric Property Evaluation of the Turkish Version of the Osteoporosis Awareness Scale. Turk J Osteoporos 2021;27:151-8.
12
Garland DE, Adkins RH, Stewart CA. Bone Impairment and Spinal Cord Injury. In: Stone JH, Blouin M, editors. International Encyclopedia of Rehabilitation; 2013.
13
Soleyman-Jahi S, Yousefian A, Maheronnaghsh R, Shokraneh F, Zadegan SA, Soltani A, et al. Evidence-based prevention and treatment of osteoporosis after spinal cord injury: a systematic review. Eur Spine J 2018;27:1798-814. 
14
Wilmet E, Ismail AA, Heilporn A, Welraeds D, Bergmann P. Longitudinal study of the bone mineral content and of soft tissue composition after spinal cord section. Paraplegia 1995;33:674-7. 
15
Hachem LD, Ahuja CS, Fehlings MG. Assessment and management of acute spinal cord injury: From point of injury to rehabilitation. J Spinal Cord Med 2017;40:665-75. 
16
Özişler Z, Delialioğlu SÜ, Özel S, Onat ŞŞ, Şahin AY, Dolmuş M. Yaşlılarda osteoporoz farkındalığı: yaşlılarımız nerede? Turk J Osteoporos 2015;21:69-72.
17
Kurt EE, Koçak FA, Tuncay F, Erdem HR, Kıranatoglu F. Kırsal Bölgede Yaşayan Risk Grubu Kadınların Osteoporoz Bilgi ve Farkındalık Düzeyi Turk J Osteoporos 2015;21:63-8.
18
Altın E, Karadeniz B, Türkyön F, Baldan F, Akkaya N, Atalay NŞ, ve ark. Kadın ve Erkek Yetişkinlerde Osteoporoz Bilgi ve Farkındalık Düzeyinin Karşılaştırılması. Türk Osteoporoz Dergisi 2014;20:98-103.
19
Gemalmaz A, Oge A. Knowledge and awareness about osteoporosis and its related factors among rural Turkish women. Clin Rheumatol 2008;27:723-8. 
20
Chan CY, Subramaniam S, Chin KY, Ima-Nirwana S, Muhammad N, Fairus A, et al. Levels of Knowledge, Beliefs, and Practices Regarding Osteoporosis and the Associations with Bone Mineral Density among Populations More Than 40 Years Old in Malaysia. Int J Environ Res Public Health 2019;16:4115.
21
Lulla D, Teo CW, Shen X, Loi ZBJ, Quek KW, Lis HLA, et al. Assessing the knowledge, attitude and practice of osteoporosis among Singaporean women aged 65 years and above at two SingHealth polyclinics. Singapore Med J 2021;62:190-4. 
22
Tan CO, Battaglino RA, Morse LR. Spinal Cord Injury and Osteoporosis: Causes, Mechanisms, and Rehabilitation Strategies. Int J Phys Med Rehabil 2013;1:127.
23
Morse LR, Battaglino RA, Stolzmann KL, Hallett LD, Waddimba A, Gagnon D, et al. Osteoporotic fractures and hospitalization risk in chronic spinal cord injury. Osteoporos Int 2009;20:385-92. 
24
Carbone LD, Chin AS, Burns SP, Svircev JN, Hoenig H, Heggeness M, et al. Mortality after lower extremity fractures in men with spinal cord injury. J Bone Miner Res 2014;29:432-9. 
25
Frotzler A, Cheikh-Sarraf B, Pourtehrani M, Krebs J, Lippuner K. Long-bone fractures in persons with spinal cord injury. Spinal Cord 2015;53:701-4. 
26
Gifre L, Vidal J, Carrasco J, Portell E, Puig J, Monegal A, et al. Incidence of skeletal fractures after traumatic spinal cord injury: a 10-year follow-up study. Clin Rehabil 2014;28:361-9. 
27
Akhigbe T, Chin AS, Svircev JN, Hoenig H, Burns SP, Weaver FM, et al. A retrospective review of lower extremity fracture care in patients with spinal cord injury. J Spinal Cord Med 2015;38:2-9.
28
Okumuş M, Ceceli E, Akdoğan S, Kocaoğlu S, Taşbaş O, Borman P. Premenopozal ve postmenopozal kadınların osteoporoz hakkında bilgi ve eğitimleri. 3.Ulusal Osteoporoz Kongresi; 2008 Ekim15-19 ; Antalya, Türkiye. Osteoporoz Dünyasından 2008;14: Poster no 6.
29
Çıtıl R, Özdemir M, Poyrazoğlu S, Balcı E, Aykut M, Öztürk Y. Kayseri Melikgazi Sağlık Grup Başkanlığı bölgesindeki kadınların osteoporoza yönelik bilgi ve davranışları. Turk J Osteoporos 2007;13:60-6.
30
McLeod KM, Johnson CS. A systematic review of osteoporosis health beliefs in adult men and women. J Osteoporos 2011;2011:197454.
31
Doheny MO, Sedlak CA, Estok PJ, Zeller RA. Bone density, health beliefs, and osteoporosis preventing behaviors in men. Orthop Nurs 2011;30:266-72.
32
Kutsal YG, Atalay A, Arslan S, Başaran A, Cantürk F, Cindaş A, et al. Awareness of osteoporotic patients. Osteoporos Int 2005;16:128-33. 
33
NIH Consensus Development Panel on Osteoporosis Prevention, Diagnosis, and Therapy. Osteoporosis prevention, diagnosis, and therapy. JAMA 2001;285:785-95.
34
Johnell O. Advances in osteoporosis: better identification of risk factors can reduce morbidity and mortality. J Intern Med 1996;239:299-304. 
35
Park KS, Yoo JI, Kim HY, Jang S, Park Y, Ha YC. Education and exercise program improves osteoporosis knowledge and changes calcium and vitamin D dietary intake in community dwelling elderly. BMC Public Health 2017;17:966.