title: [Measurement of total body and leg bone mineral densities by dual energy X-ray absorptiometry in severely handicapped children and adults].
abstract: Total body and leg bone mineral densities (BMD) were measured in 42 severely handicapped children and adults using a dual energy X-ray absorptiometry (DEXA) (LUNAR Radiation Corp., DPX). Despite the differences in motor ability and nursing history, about 95% of patients, except for 2 cases, were diagnosed as having osteopenia. The degree of osteopenia was dependent on the motor disabilities of their original disease. Therefore we should bear in mind a precaution and therapy from early period. Because BMD of the legs in females were less than -3 SD of the age-matched control values, we should be careful for a possible fracture of femur. Since X-ray hazard of DEXA for patients is considerable to be negligible, this will provide an effective means for quantifying bone mineral in severely handicapped patients.
authors.affiliation: Department of Pediatrics, Shiga University of Medical Science, Ohtsu.
authors.forename: J
authors.initials: J
authors.lastname: Uematsu
authors.forename: C
authors.initials: C
authors.lastname: Ishizuka
authors.forename: K
authors.initials: K
authors.lastname: Yanagi
authors.forename: Y
authors.initials: Y
authors.lastname: Tomita
authors.forename: K
authors.initials: K
authors.lastname: Takaya
authors.forename: M
authors.initials: M
authors.lastname: Shimada
mesh_terms: D015502:Absorptiometry, Photon; D000293:Adolescent; D000328:Adult; D015519:Bone Density; D001851:Bone Diseases, Metabolic / Q000175:diagnosis; D002648:Child; D006233:Persons with Disabilities; D005260:Female; D006801:Humans; D007866:Leg; D008297:Male; D008875:Middle Aged