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- Mölsä, Jouko, et al.
(författare)
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Spinal cord injuries in ice hockey in Finland and Sweden from 1980 to 1996
- 1999
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Ingår i: International Journal of Sports Medicine. - : Georg Thieme Verlag KG. - 0172-4622 .- 1439-3964. ; 20:1, s. 64-67
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Tidskriftsartikel (refereegranskat)abstract
- Traumatic spinal cord injury (SCI) in the cervical or thoracic region is one of the most catastrophic types of sport injuries. This study was designed to determine incidence and mechanisms of major SCI in ice hockey in Finland and Sweden from 1980 to 1996 in order to find possibilities for prevention. Retrospective analysis of injury occurrence were carried out. Medical case records were reviewed and injured players were interviewed to complete the data. From 1980 to 1996, there were 16 accidents involving spinal cord injury with permanent disability. All players were male. The mean age was 21.1 years (range = 14 to 33 yr). In 50% of the cases the mechanism was body checking from behind and a blow to the head from the boards. In 69% of the cases the vertebral injury was fracture or/and luxation between C5 and C7. The neurological endstate was tetraplegia/paresis in 10 cases and paraplegia/paresis of the lower extremities in 6 cases. Ice hockey is one of the most popular sports in Europe, and the number of participants is still increasing. The typical mechanism in SCI is body checking from behind, falling down and a head-first blow from the boards. These serious injuries may be prevented by changing the rules (banning body checking near the boards) with strict refereeing and education of trainers and players
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- Valtonen, Kirsi, 1975, et al.
(författare)
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Osteoporosis in adults with meningomyelocele: an unrecognized problem at rehabilitation clinics.
- 2006
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Ingår i: Arch Phys Med Rehabil. - : Elsevier BV. ; 87:3, s. 376-382
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Forskningsöversikt (refereegranskat)abstract
- Abstract Valtonen KM, Goksör L-Å, Jonsson O, Mellström D, Alaranta HT, Viikari-Juntura ER. Osteoporosis in adults with meningomyelocele: an unrecognized problem at rehabilitation clinics. Objectives To assess the prevalence of osteoporosis and osteopenia in adults with meningomyelocele and to explore whether neurologic level, ambulatory status, and other medical problems are associated with bone mineral density (BMD). Design A cross-sectional study, including a self-administered questionnaire and clinical assessment. Setting Outpatient referral clinic in Sweden. Participants Twenty-one adults (mean age, 30y) with meningomyelocele admitted to the Young Adult Teams in Göteborg and Bo̊ras, Sweden. Interventions Not applicable. Main Outcome Measures BMD in the lumbar spine and hip and forearm measured with dual x-ray absorptiometry. Results Seven (33%) subjects had osteoporosis in at least 1 of the measured sites. Three patients had osteopenia and 2 had osteoporosis in the lumbar spine. Among the 15 subjects whose BMD of the hip region could be reliably measured, 7 (47%) had osteoporosis in the femoral neck or trochanteric region of the hip. Subjects with other medical problems commonly occurring in meningomyelocele had lower BMD in the femoral neck and trochanteric region of the hip than subjects without such factors. Ambulation alone showed only a tendency to be associated with BMD of the femoral neck, whereas the effect of other medical risk factors on BMD of the femoral neck was stronger among the nonambulators than the ambulators. Conclusions Our results show that osteoporosis is a medical problem to be considered when treating and rehabilitating patients with meningomyelocele.
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