REMS & Motor disability

“​Radiofrequency echographic multi-spectrometry-based measurement of bone mineral density in patients with severe motor and intellectual disability: An opportunity for patients with severe scoliosis and hip dislocation.”

Tomoko Sakai, Masanobu Hirao, Yusuke Takashina, Ryo Kitagawa, Tsutomu Oishi

Department of Rehabilitation Medicine, Tokyo Medical and Dental University, Tokyo, Japan
Department of Pediatrics, Akitsu Ryoikuen, Aobacho Higashimurayama, Tokyo, Japan

HIGHLIGHT:

The  important  japanese study “Radiofrequency  echographic multi-spectrometry-based measurement of bone mineral density in patients with severe motor and intellectual disability: An opportunity for patients with severe scoliosis and hip dislocation”, has been recently published on the on the prestigious “Bone Reports” journal.The researches from the Department of Rehabilitation Medicine, Tokyo Medical and Dental University, in Japan, stated that “REMS can be used to measure BMD in the lumbar spine and femoral neck of patients with Severe Motor and Intellectual Disabilities (SMID), in whom BMD measurements by DXA are often discontinued due to severe scoliosis or hip dislocation. This study aimed to investigate whether REMS technology could be used for densitometric evaluation of osteoporosis in patients with SMID with hip dislocation and severe scoliosis who reside in institutions. Sixty-five patients with SMID, both women and men, who resided in a long-term care facility and received comprehensive medical and rehabilitation care, underwent REMS scans of the femoral neck and/or lumbar spine. All patients underwent successful scanning at either the femoral neck (82.5 %) or lumbar spine (95.2 %). BMD measurements obtained using REMS revealed low BMD and T-score values, at both femoral neck and lumbar spine . The obtained data suggest that REMS is useful for measuring BMD in patients with SMID who are residing in institutions. All patients diagnosed with SMID could undergo BMD measurements at either the lumbar spine or femoral neck, with about 80 % of patients undergoing successful measurements at both sites.