Bone health post-stroke: a survey of stroke care physiatrists in Canada

People who have experienced stroke are at a high risk for falls, fractures, and osteoporosis. Bone health post-stroke is often overlooked. The goal of this study was to understand current practice perspectives and barriers to bone health care post-stroke among physiatrists.

We conducted an online survey of English-speaking stroke physiatrists practicing in Canada from October 2023 to April 2024. We recruited participants through the Canadian Association of Physical Medicine and Rehabilitation newsletter and direct contact via hospital or university email. The survey included demographic and multiple-choice questions as well as open-ended queries. Data were summarized using frequencies and percentages, and open-ended questions were assessed qualitatively for themes.

Twenty-two physiatrists completed the survey. Female physiatrists made up 45.5% of respondents, and 36.4% were in their first 5 years of practice. Most worked in an academic hospital (81.8%). The majority (81.9%) of respondents felt there is a need for post-stroke bone health guidelines. Important themes that emerged from open-ended questions included a lack of awareness, research, and resources.

In this study of Canadian physiatrists, most respondents feel post-stroke bone health guidelines would be beneficial. More research and resources focused upon bone health in this population is needed.