Physiatrists’ Opinions and Practice Patterns for Bone Health after SCI

Spinal Cord, 2009 · DOI: 10.1038/sc.2008.104 · Published: March 1, 2009

Spinal Cord Injury Rehabilitation Musculoskeletal Medicine

Simple Explanation

This study investigates how physiatrists in Canada manage bone health for patients with spinal cord injuries (SCI). Bone health is a critical concern after SCI due to increased fracture risk. The study found that most physiatrists believe they should manage bone health issues in SCI patients, often alongside family physicians. They typically assess and treat these issues. However, many physiatrists feel current treatments for low bone mass are not very effective, with more confidence in medications than rehabilitation methods.

Study Duration

Not specified

Participants

22 physiatrists working in teaching rehabilitation centers in Canada

Evidence Level

Self-report survey

Key Findings

1
Most physiatrists believe they should manage bone health issues after SCI in conjunction with family physicians.
2
Just over one-third of physiatrists reported that current treatment options are not effective for low bone mass.
3
There was more support for pharmacological treatments (bisphosphonates, calcium/vitamin D) than for rehabilitation modalities.

Research Summary

This survey of Canadian physiatrists reveals their opinions and practices regarding bone health management after spinal cord injury (SCI). The study highlights that while physiatrists recognize the importance of bone health after SCI and are actively involved in its management, there are concerns about the effectiveness of current treatment options, particularly rehabilitation modalities. The findings underscore the need for further research and discussion to improve assessment and treatment strategies for low bone mass in individuals with SCI and to develop specific guidelines for this population.

Practical Implications

Improved Treatment Strategies

The study suggests a need for more effective treatment options for low bone mass after SCI, potentially focusing on rehabilitation modalities.

Enhanced Collaboration

The importance of collaboration between physiatrists and family physicians in managing bone health after SCI is emphasized.

Development of Specific Guidelines

The study calls for the development of specific clinical practice guidelines for bone health management in individuals with SCI, as current guidelines are geared towards the general population.

Study Limitations

1
The survey was limited to physiatrists in Canada.
2
The study only approached rehabilitation centers that were considered teaching facilities.
3
The study did not approach family physicians about bone health issues after SCI.

Your Feedback

Was this summary helpful?

Back to Spinal Cord Injury