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This case report presents the results of multiple dual-energy X-ray absorptiometry scans conducted over 14 years, highlighting changes in bone mineral density (BMD). The individual studied maintained a healthy lifestyle, preventing secondary complications associated with SCI. The focus is on the participant\u2019s engagement in various therapies, including functional electrical stimulation, lower-extremity cycling, and walking with a robotic exoskeleton. Remarkably, the findings indicate that, rather than losing BMD, this individual not only maintained but, in some areas, also even increased their BMD in the lower extremities. This observation contradicts the expected trend for individuals with chronic complete SCI, suggesting that activity-based therapies may yield positive outcomes. <\/jats:p>","DOI":"10.1177\/2050313x241301870","type":"journal-article","created":{"date-parts":[[2024,11,25]],"date-time":"2024-11-25T11:43:38Z","timestamp":1732535018000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["The positive role of physical therapy and appropriate technology in the reduction of bone mineral density loss associated with complete spinal cord injury: A case report"],"prefix":"10.1177","volume":"12","author":[{"given":"Marcie","family":"Kern","sequence":"first","affiliation":[{"name":"Center for Wearable Exoskeletons, Neurorecovery Research Center at TIRR Memorial Hermann, Houston, TX, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9173-2044","authenticated-orcid":false,"given":"Shuo-Hsiu","family":"Chang","sequence":"additional","affiliation":[{"name":"Center for Wearable Exoskeletons, Neurorecovery Research Center at TIRR Memorial Hermann, Houston, TX, USA"},{"name":"Department of Physical Medicine and Rehabilitation, The University of Texas Health Science Center at Houston, Houston, TX, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2024,11,25]]},"reference":[{"key":"bibr1-2050313X241301870","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2015.6250"},{"key":"bibr2-2050313X241301870","doi-asserted-by":"publisher","DOI":"10.1016\/j.rehab.2010.10.001"},{"key":"bibr3-2050313X241301870","doi-asserted-by":"publisher","DOI":"10.1007\/s40141-020-00268-2"},{"key":"bibr4-2050313X241301870","doi-asserted-by":"publisher","DOI":"10.1016\/j.jocd.2018.10.006"},{"key":"bibr5-2050313X241301870","doi-asserted-by":"publisher","DOI":"10.1007\/s00198-016-3627-2"},{"key":"bibr6-2050313X241301870","doi-asserted-by":"publisher","DOI":"10.1038\/sj.sc.3100648"},{"key":"bibr7-2050313X241301870","doi-asserted-by":"publisher","DOI":"10.1002\/jbmr.2050"},{"issue":"1","key":"bibr8-2050313X241301870","first-page":"26","volume":"21","author":"Abdelrahman S","year":"2021","journal-title":"J Musculoskelet Neuronal Interact"},{"key":"bibr9-2050313X241301870","doi-asserted-by":"publisher","DOI":"10.1007\/s11914-012-0117-0"},{"key":"bibr10-2050313X241301870","doi-asserted-by":"publisher","DOI":"10.1097\/PHM.0000000000001937"},{"issue":"9","key":"bibr11-2050313X241301870","volume":"11","author":"Kim S","year":"2016","journal-title":"PLoS One"},{"issue":"251","key":"bibr12-2050313X241301870","first-page":"1","author":"Looker AC","year":"2012","journal-title":"Vital Health Stat 11"},{"key":"bibr13-2050313X241301870","doi-asserted-by":"publisher","DOI":"10.2340\/16501977-2173"}],"container-title":["SAGE Open Medical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/2050313X241301870","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/2050313X241301870","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/2050313X241301870","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,3,1]],"date-time":"2025-03-01T23:20:22Z","timestamp":1740871222000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/2050313X241301870"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,1]]},"references-count":13,"alternative-id":["10.1177\/2050313X241301870"],"URL":"https:\/\/doi.org\/10.1177\/2050313x241301870","relation":{},"ISSN":["2050-313X","2050-313X"],"issn-type":[{"type":"print","value":"2050-313X"},{"type":"electronic","value":"2050-313X"}],"subject":[],"published":{"date-parts":[[2024,1]]},"article-number":"2050313X241301870"}}