Knowledge and awareness assessment of bone loss and fracture risk after spinal cord injury

J Spinal Cord Med. 2024 Mar;47(2):306-312. doi: 10.1080/10790268.2023.2254445. Epub 2023 Nov 17.

Abstract

Methods: A cross-sectional analysis was conducted on a convenience sample of 138 adults with SCI, who completed a survey regarding knowledge and awareness of post-SCI bone health as part of a larger study. Self-reported demographic information and assessments of bone health knowledge were analyzed.

Results: Approximately 20% (n = 28) of participants had never heard of bone mineral density (BMD), 25% (n = 34) only vaguely remembered that BMD was mentioned during their hospitalization/rehabilitation after SCI, 36% (n = 50) clearly remembered that BMD was mentioned during their hospitalization/rehabilitation, and 17% (n = 24) reported having an individual or group education session on causes and management of low BMD during rehabilitation. Only 30% (n = 42) of participants believed they had adequate knowledge on the subject, while 70% (n = 96) believed their knowledge was inadequate or were unsure. Most participants (73%, n = 101) reported being concerned about the risks of low BMD after SCI and were interested in learning more about prevention (76%, n = 105) and treatment options (78%, n = 108).

Conclusions: While results suggest that most participants received some information regarding bone health in post-SCI care, over 70% of participants reported wanting more information about bone loss prevention and treatment, indicating bone health education is a patient priority in this population.

Keywords: Bone loss; Education; Knowledge; Spinal cord injury.

MeSH terms

  • Adult
  • Bone Density
  • Bone Diseases, Metabolic*
  • Bone and Bones
  • Cross-Sectional Studies
  • Fractures, Bone* / epidemiology
  • Fractures, Bone* / etiology
  • Humans
  • Spinal Cord Injuries* / complications

Grants and funding

Funding sources for the authors include: RESTORE.network, Compute Canada, Natural Sciences and Engineering Research Council, the Canadian Institutes of Health Research, Alberta Innovates Health Solutions, Brain Canada, Campus Alberta Neuroscience, the Libin Cardiovascular Institute, the Hotchkiss Brain Institute, the Edith Rodie Estate, and the Cumming Medical Research Fund. Doctoral student funding was provided to L.E. Crack by the University of Calgary Eyes High Doctoral Scholarship.