AA

Standing

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Table 11: Treatment Studies Using Standing or Walking for Bone Health after SCI

Discussion

There is inconclusive evidence for Reciprocating Gait Orthosis, long leg braces or passive standing as a treatment for low bone mass after SCI. One mixed cross-sectional and longitudinal study (Dudley-Javoroski et al. 2012) found that participants who underwent quadriceps activation in stance with 150% body weight compressive load had significantly higher BMD than participants who underwent quadriceps activation in stance with 40% body weight compressive load and passive standing. One cross-sectional study (Goemaere et al. 1994) used a self-report physical activity measure to highlight the potential for standing to reduce bone loss at the femoral shaft; patients with long leg braces had a significantly higher trochanter and total BMD compared with standing frame or standing wheelchair.  In contrast, another cross-sectional investigation of bone outcomes and self-report physical activity measures found no effect of activity on lower extremity bone parameters (Jones et al. 2002).

Conclusion

  • There is inconclusive evidence for Reciprocating Gait Orthosis, long leg braces, passive standing or self-reported physical activity as a treatment for low bone mass.

    There is level 4 (Dudley-Javoroski et al. 2012) evidence for quadriceps activation in stance with 150% body weight compressive load to increase BMD.

  • There is inconclusive evidence for Reciprocating Gait Orthosis, long leg braces, passive standing or self-reported physical activity as a treatment for low bone mass.