{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,24]],"date-time":"2026-08-24T23:10:04Z","timestamp":1787613004442,"version":"build-2736575974"},"reference-count":29,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2024,11,27]],"date-time":"2024-11-27T00:00:00Z","timestamp":1732665600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["PM&amp;R"],"published-print":{"date-parts":[[2025,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Poststroke osteoporosis, particularly of the hip, and an increased risk of fractures due to accidental falls are well known in people with stroke. Only a few of the current stroke guidelines recommend bone mineral density (BMD) measurements during follow\u2010up in this population and measurements are often performed unilaterally.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objectives<\/jats:title><jats:p>To compare femoral hip BMD between fallers and nonfallers among patients with stroke, while also assessing differences in balance, mobility, fear of falling, and exploring discrepancies between paretic and nonparetic sides within each group.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Cross\u2010sectional.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>Inpatient stroke rehabilitation unit of a tertiary university hospital.<\/jats:p><\/jats:sec><jats:sec><jats:title>Patients<\/jats:title><jats:p>Patients with unilateral hemiplegia hospitalized as a result of stroke.<\/jats:p><\/jats:sec><jats:sec><jats:title>Interventions<\/jats:title><jats:p>Not applicable.<\/jats:p><\/jats:sec><jats:sec><jats:title>Main Outcome Measures<\/jats:title><jats:p>The primary outcome was the femoral neck BMD measurement. Dual\u2010energy x\u2010ray absorptiometry was used to measure BMD. Secondary outcomes included Berg balance scale (BBS), timed up\u2010and\u2010go test (TUGT), functional ambulation classification (FAC), and falls efficacy scale\u2010international (FES\u2010I).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 44 patients were enrolled. Twenty\u2010two participants (50%) reported falling. There were no statistically significant differences in BMD (<jats:italic>p<\/jats:italic>\u2009=\u2009.504, <jats:italic>p<\/jats:italic>\u2009=\u2009.197, <jats:italic>p<\/jats:italic>\u2009=\u2009.667, respectively) and T\u2010scores (<jats:italic>p<\/jats:italic>\u2009=\u2009.457, <jats:italic>p<\/jats:italic>\u2009=\u2009.194, <jats:italic>p<\/jats:italic>\u2009=\u2009.693, respectively) of paretic, nonparetic femoral neck, and lumbar spine between nonfallers and fallers. The BBS (<jats:italic>p<\/jats:italic>\u2009=\u2009.033, 95% confidence interval [CI] 0.17\u201319.05) was significantly lower in the fallers. The FES\u2010I was statistically significantly higher in the fallers (<jats:italic>p<\/jats:italic>\u2009=\u2009.001, 95% CI \u221222.40 to \u22126.50). The BMD and T\u2010scores of femoral neck between the paretic and the nonparetic limbs did not differ significantly in the nonfallers (<jats:italic>n<\/jats:italic>\u2009=\u200922) (<jats:italic>p<\/jats:italic>\u2009=\u2009.908, 95% CI \u22120.03\u20130.03; <jats:italic>p<\/jats:italic>\u2009=\u2009.886, 95% CI \u22120.27\u20130.24) but did differ in the fallers (<jats:italic>n<\/jats:italic>\u2009=\u200922) (<jats:italic>p<\/jats:italic>\u2009=\u2009.007, 95% CI \u22120.06 to \u22120.01; <jats:italic>p<\/jats:italic>\u2009=\u2009.006, 95% CI \u22120.51 to \u22120.09).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>This study emphasizes that hip BMD may differ on paretic and nonparetic sides, especially in patients with stroke and a history of falls and balance problems. Fall\u2010related self\u2010efficacy and balance may be determinants of falls in these patients.<\/jats:p><\/jats:sec>","DOI":"10.1002\/pmrj.13290","type":"journal-article","created":{"date-parts":[[2024,11,28]],"date-time":"2024-11-28T07:35:24Z","timestamp":1732779324000},"page":"529-538","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["The relationship between falls and hip bone mineral density of paretic and nonparetic limbs after stroke"],"prefix":"10.1002","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1229-8679","authenticated-orcid":false,"given":"Tugba","family":"Atan","sequence":"first","affiliation":[{"name":"Gaziler Physical Therapy And Rehabilitation Training And Research Hospital University of Health Sciences  Ankara Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Umay","family":"Ekinci","sequence":"additional","affiliation":[{"name":"Gaziler Physical Therapy And Rehabilitation Training And Research Hospital University of Health Sciences  Ankara Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ayca","family":"Uran San","sequence":"additional","affiliation":[{"name":"Gaziler Physical Therapy And Rehabilitation Training And Research Hospital University of Health Sciences  Ankara Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yasin","family":"Demir","sequence":"additional","affiliation":[{"name":"Gaziler Physical Therapy And Rehabilitation Training And Research Hospital University of Health Sciences  Ankara Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Umut","family":"Guzelkucuk","sequence":"additional","affiliation":[{"name":"Gaziler Physical Therapy And Rehabilitation Training And Research Hospital University of Health Sciences  Ankara Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Serdar","family":"Kesikburun","sequence":"additional","affiliation":[{"name":"Gaziler Physical Therapy And Rehabilitation Training And Research Hospital University of Health Sciences  Ankara Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sinem","family":"Uyar Koylu","sequence":"additional","affiliation":[{"name":"Gaziler Physical Therapy And Rehabilitation Training And Research Hospital University of Health Sciences  Ankara Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arif Kenan","family":"Tan","sequence":"additional","affiliation":[{"name":"Gaziler Physical Therapy And Rehabilitation Training And Research Hospital University of Health Sciences  Ankara Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,11,27]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1682\/JRRD.2007.01.0014"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2005.12.027"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.phm.0000214275.69286.7a"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1093\/qjmed\/hcm067"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1161\/01.STR.31.7.1572"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1161\/hs0302.103621"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF02985119"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1310\/tsr1905-436"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.11005\/jbm.2020.27.4.237"},{"issue":"6","key":"e_1_2_9_11_1","first-page":"957","article-title":"Evidence\u2010based position paper on physical and rehabilitation medicine professional practice for persons with stroke. 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