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  4. Knowledge and awareness assessment of bone loss and fracture risk after spinal cord injury

Knowledge and awareness assessment of bone loss and fracture risk after spinal cord injury

The Journal of Spinal Cord Medicine, 2024 · DOI: 10.1080/10790268.2023.2254445 · Published: January 1, 2024

Spinal Cord InjuryPatient ExperienceMusculoskeletal Medicine

Simple Explanation

Bone loss is a common issue after spinal cord injury, especially below the injury site. This can lead to fractures. The study looked at how much people with SCI know about bone loss and how to prevent it. The study found that many people with SCI want to learn more about preventing bone loss and treating it. This suggests that providing education about bone health is important to people with SCI. While many participants had received some information about bone health post-SCI, most expressed a desire for more information on prevention and treatment. This highlights bone health education as a significant patient priority in this population.

Study Duration
Not specified
Participants
138 adults with SCI
Evidence Level
Cross-sectional analysis

Key Findings

  • 1
    Approximately 20% of participants had never heard of bone mineral density (BMD).
  • 2
    Only 30% of participants believed they had adequate knowledge on the subject, while 70% believed their knowledge was inadequate or were unsure.
  • 3
    Most participants (73%) reported being concerned about the risks of low BMD after SCI and were interested in learning more about prevention (76%) and treatment options (78%).

Research Summary

This study explored the knowledge and awareness of bone loss and fracture risk among adults with SCI. It revealed that a significant portion of participants were unfamiliar with BMD and felt their knowledge on the subject was inadequate. The study also found that most participants were concerned about the risks of low BMD and were interested in learning more about prevention and treatment options. This indicates that bone health education is a patient priority in this population. The results suggest that while some information regarding bone health is provided in post-SCI care, there is a need for more structured and comprehensive educational programs to increase awareness of the causes and consequences of bone loss following injury.

Practical Implications

Educational Programs

Development and implementation of structured educational programs on bone health for individuals with SCI.

Knowledge Assessment Tools

Creation and validation of knowledge assessment tools specific to bone health in the SCI population.

Fracture Risk Reduction

Focus on strategies to reduce fracture risk in individuals with SCI, considering the high incidence of low energy/impact fractures.

Study Limitations

  • 1
    Limited generalizability due to the majority of participants being white and located in North America.
  • 2
    The survey was not a previously validated measurement tool of knowledge and awareness of bone health following SCI.
  • 3
    The study's cross-sectional design limits the ability to establish causal relationships between knowledge, awareness, and bone health outcomes.

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