Bone density in myelomeningocele: the effects of ambulatory status and other factors / Byron D. ROSENSTEIN in Developmental Medicine & Child Neurology, 29-4 (August 1987)

Public ISBD [article]  inDevelopmental Medicine & Child Neurology > 29-4 (August 1987) . - p.486-494 Titre : Bone density in myelomeningocele: the effects of ambulatory status and other factors Type de document : Texte imprimé et/ou numérique Auteurs : Byron D. ROSENSTEIN, Auteur ; Walter B. GREENE, Auteur ; Robert T. HERRINGTON, Auteur ; Andrew S. BLUM, Auteur Année de publication : 1987 Article en page(s) : p.486-494 Langues : Anglais (eng) Index. décimale : PER Périodiques Résumé : Measurements were made of distal radius, mid-radius, tibia and metatarsal bone-density of 80 patients with myelomeningocele (17 thoracic, six L1/L2, 13 L3, 30 L4, 14 L5/sacral). For the upper extremity the bone density primarily was low in the thoracic patients, but in the tibia and metatarsal it showed a more linear correlation with neurological levels. The effect of age was highly significant at all sites; after controlling for this, the neurological level was a significant determinant of bone density at all sites, and this effect was greater in older children. Patients with impaired ambulation had decreased bone-density in the distal radius, tibia and metatarsal, but not in the mid-radius. Race had no significant effect on density after accounting for differences in neurological level. Weight for height and multiple fractures did not correlate with bone density. Although ambulatory status (weight-bearing stresses) and neurological status (muscle stresses) are both important factors in bone density, this study suggests that the latter is a more important determinant. Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=627 [article] Bone density in myelomeningocele: the effects of ambulatory status and other factors [Texte imprimé et/ou numérique] / Byron D. ROSENSTEIN, Auteur ; Walter B. GREENE, Auteur ; Robert T. HERRINGTON, Auteur ; Andrew S. BLUM, Auteur . - 1987 . - p.486-494. Langues : Anglais (eng) in Developmental Medicine & Child Neurology > 29-4 (August 1987) . - p.486-494 Index. décimale : PER Périodiques Résumé : Measurements were made of distal radius, mid-radius, tibia and metatarsal bone-density of 80 patients with myelomeningocele (17 thoracic, six L1/L2, 13 L3, 30 L4, 14 L5/sacral). For the upper extremity the bone density primarily was low in the thoracic patients, but in the tibia and metatarsal it showed a more linear correlation with neurological levels. The effect of age was highly significant at all sites; after controlling for this, the neurological level was a significant determinant of bone density at all sites, and this effect was greater in older children. Patients with impaired ambulation had decreased bone-density in the distal radius, tibia and metatarsal, but not in the mid-radius. Race had no significant effect on density after accounting for differences in neurological level. Weight for height and multiple fractures did not correlate with bone density. Although ambulatory status (weight-bearing stresses) and neurological status (muscle stresses) are both important factors in bone density, this study suggests that the latter is a more important determinant. Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=627

Effect Of Race And Gender On Neurological Level Myelomeningocele / Walter B. GREENE in Developmental Medicine & Child Neurology, 33-2 (February 1991)

Public ISBD [article]  inDevelopmental Medicine & Child Neurology > 33-2 (February 1991) . - p.110-117 Titre : Effect Of Race And Gender On Neurological Level Myelomeningocele Type de document : Texte imprimé et/ou numérique Auteurs : Walter B. GREENE, Auteur ; Roy C. TERRY, Auteur ; Ralph A. DEMASI, Auteur ; Robert T. HERRINGTON, Auteur Année de publication : 1991 Article en page(s) : p.110-117 Langues : Anglais (eng) Index. décimale : PER Périodiques Résumé : Effets de la race et du sexe sur le niveau neurologlyue d'un myéloméningocèle La liaison entre la race, le sexe et les niveaux neurologiques d'un myéloméningocèle a étéétudiée chez 251 patients. Globalement, le ratio blanc/noir était de 3,6 et le ratio homme/femme de 0,86. Cependant, la proportion de blancs et de femmes etait significativement plus forte pour le niveau dorsal (ratio blanchoir de 13,6, ratio homme/femme de 0,43), alors que les ratios étaient comparables à ceux de la population générale pour le niveau lombiaire. Il faut en conclure que le myéloméningocèle de niveau thoracique a une pathogénie différente de celui du niveau lombaire. Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=135 [article] Effect Of Race And Gender On Neurological Level Myelomeningocele [Texte imprimé et/ou numérique] / Walter B. GREENE, Auteur ; Roy C. TERRY, Auteur ; Ralph A. DEMASI, Auteur ; Robert T. HERRINGTON, Auteur . - 1991 . - p.110-117. Langues : Anglais (eng) in Developmental Medicine & Child Neurology > 33-2 (February 1991) . - p.110-117 Index. décimale : PER Périodiques Résumé : Effets de la race et du sexe sur le niveau neurologlyue d'un myéloméningocèle La liaison entre la race, le sexe et les niveaux neurologiques d'un myéloméningocèle a étéétudiée chez 251 patients. Globalement, le ratio blanc/noir était de 3,6 et le ratio homme/femme de 0,86. Cependant, la proportion de blancs et de femmes etait significativement plus forte pour le niveau dorsal (ratio blanchoir de 13,6, ratio homme/femme de 0,43), alors que les ratios étaient comparables à ceux de la population générale pour le niveau lombiaire. Il faut en conclure que le myéloméningocèle de niveau thoracique a une pathogénie différente de celui du niveau lombaire. Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=135

A modified isokinetic strengthening program for patients with severe hemophilia / Walter B. GREENE in Developmental Medicine & Child Neurology, 25-2 (April 1983)

Public ISBD [article]  inDevelopmental Medicine & Child Neurology > 25-2 (April 1983) . - p.189-196 Titre : A modified isokinetic strengthening program for patients with severe hemophilia Type de document : Texte imprimé et/ou numérique Auteurs : Walter B. GREENE, Auteur ; Elizabeth M. STRICKLER, Auteur Année de publication : 1983 Article en page(s) : p.189-196 Langues : Anglais (eng) Index. décimale : PER Périodiques Résumé : A modified isokinetic strengthening program for the knee flexors and extensors was evaluated in 32 patients with severe hemophilia. The program was effective in significantly strengthening the knee flexors and extensors; it did not increase the number of knee hemarthroses; and it could be done at home without special equipment. The greater increases in extensor and flexor strength among adolescents and adults were associated with less severe arthropathy, a 1 cm increase in thigh girth, and a greater number of days on which the exercises were done. Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=561 [article] A modified isokinetic strengthening program for patients with severe hemophilia [Texte imprimé et/ou numérique] / Walter B. GREENE, Auteur ; Elizabeth M. STRICKLER, Auteur . - 1983 . - p.189-196. Langues : Anglais (eng) in Developmental Medicine & Child Neurology > 25-2 (April 1983) . - p.189-196 Index. décimale : PER Périodiques Résumé : A modified isokinetic strengthening program for the knee flexors and extensors was evaluated in 32 patients with severe hemophilia. The program was effective in significantly strengthening the knee flexors and extensors; it did not increase the number of knee hemarthroses; and it could be done at home without special equipment. The greater increases in extensor and flexor strength among adolescents and adults were associated with less severe arthropathy, a 1 cm increase in thigh girth, and a greater number of days on which the exercises were done. Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=561

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