Site-Specific Bone Mineral Density Is Unaltered Despite Differences in Fat-Free Soft Tissue Mass Between Affected and Nonaffected Sides in Hemiplegic Paralympic Athletes with Cerebral Palsy: Preliminary Findings

被引：8

作者：

Runciman, Phoebe ^{[1
,5
]}

Tucker, Ross ^{[6
]}

Ferreira, Suzanne ^{[2
]}

Albertus-Kajee, Yumna ^{[1
]}

Micklesfield, Lisa ^{[1
,4
]}

Derman, Wayne ^{[1
,3
,5
]}

机构：

[1] Univ Cape Town, Div Exercise Sci & Sports Med, ZA-7700 Rondebosch, South Africa

[2] Univ Stellenbosch, Dept Sport Sci, Stellenbosch, South Africa

[3] Int Olymp Comm Res Ctr, Cape Town, South Africa

[4] Univ Witwatersrand, Fac Hlth Sci, Dept Paediat, MRC Wits Dev Pathways Hlth Res Unit, Johannesburg, South Africa

[5] Univ Stellenbosch, Inst Sport & Exercise Med, Div Orthopaed Surg, Stellenbosch, South Africa

[6] Univ Free State, Dept Med, Bloemfontein, South Africa

来源：

AMERICAN JOURNAL OF PHYSICAL MEDICINE & REHABILITATION | 2016年 / 95卷 / 10期

关键词：

Disability; Body Composition; Athletic; Elite; Muscle; Rehabilitation; AMBULATORY CHILDREN; PERFORMANCE; CLASSIFICATION; ADOLESCENTS; ENDURANCE; STRENGTH; PLAYERS; FATIGUE; SPRINT; SPORT;

D O I：

10.1097/PHM.0000000000000532

中图分类号：

R49 [康复医学];

学科分类号：

100215 ;

摘要：

Objective This study investigated bone mineral density (BMD, g/cm(2)), fat mass (FM, kg), and fat-free soft tissue mass (FFSTM, kg) in Paralympic athletes with cerebral palsy (CP) using dual-energy x-ray absorptiometry. Methods Bone mineral density, BMD Z scores (standard deviations), FM, and FFSTM were measured for the whole body and at the lumbar spine, femoral neck, and total hip sites on both nonaffected and affected sides of 6 athletes with hemiplegic CP. Results There were no differences between nonaffected and affected sides with respect to site-specific BMD and BMD Z scores and FM. Fat-free soft tissue mass was significantly lower on the affected side in both upper and lower limbs (15% lower; P < 0.05). Conclusion The present study is the first to describe similar BMD between sides, symmetry in FM, and asymmetry in FFSTM in Paralympic athletes with CP. These findings have important consequences for rehabilitation, as they indicate the potential for positive physiological adaptation as a result of exercise training over long periods of time.

引用

页码：771 / 778

页数：8