Determining the Effects of a 4-Week Structured Strength and Flexibility Exercise Program on Functional Status of Subjects with Osteoporosis.
activity-specific balance
balance test
chair stand test
functional status
osteoporosis
timed up and go
Journal
HSS journal : the musculoskeletal journal of Hospital for Special Surgery
ISSN: 1556-3316
Titre abrégé: HSS J
Pays: United States
ID NLM: 101273938
Informations de publication
Date de publication:
Oct 2019
Oct 2019
Historique:
received:
11
01
2019
accepted:
09
04
2019
entrez:
19
10
2019
pubmed:
19
10
2019
medline:
19
10
2019
Statut:
ppublish
Résumé
Osteoporosis is a systemic disease resulting in low bone mineral density, increased risk of fractures, and falls, muscle weakness, and compromised balance. Nutrition and physical exercise have been shown to be effective in the treatment of low bone mineral density and, with more severe osteoporosis, as adjuncts to pharmaceutical treatments. However, living with osteoporosis may diminish an individual's ability and confidence to perform activities that enhance bone density. This study investigated the following question: In women with osteoporosis, will there be a greater improvement in balance, lower-extremity strength, mobility, and confidence in performing ambulatory activities after participating in a structured exercise program as compared to a control group? This was a prospective comparative trial in which 48 women who had a confirmed diagnosis of osteoporosis were enrolled in either an exercise group (a 4-week exercise program) or a control group (no structured exercise). Functional outcomes using valid and reliable tools were measured before and after exercise in the study group and at comparable times in the control group. Differences in function were assessed by paired Of the 48 women recruited, 45 completed the study. Women in the exercise group ( This study showed that women with osteoporosis demonstrated improved balance and lower-extremity strength after participating in a structured exercise program. These changes may be important in improving overall functional status.
Sections du résumé
BACKGROUND
BACKGROUND
Osteoporosis is a systemic disease resulting in low bone mineral density, increased risk of fractures, and falls, muscle weakness, and compromised balance. Nutrition and physical exercise have been shown to be effective in the treatment of low bone mineral density and, with more severe osteoporosis, as adjuncts to pharmaceutical treatments. However, living with osteoporosis may diminish an individual's ability and confidence to perform activities that enhance bone density.
QUESTIONS/PURPOSES
OBJECTIVE
This study investigated the following question: In women with osteoporosis, will there be a greater improvement in balance, lower-extremity strength, mobility, and confidence in performing ambulatory activities after participating in a structured exercise program as compared to a control group?
METHODS
METHODS
This was a prospective comparative trial in which 48 women who had a confirmed diagnosis of osteoporosis were enrolled in either an exercise group (a 4-week exercise program) or a control group (no structured exercise). Functional outcomes using valid and reliable tools were measured before and after exercise in the study group and at comparable times in the control group. Differences in function were assessed by paired
RESULTS
RESULTS
Of the 48 women recruited, 45 completed the study. Women in the exercise group (
CONCLUSION
CONCLUSIONS
This study showed that women with osteoporosis demonstrated improved balance and lower-extremity strength after participating in a structured exercise program. These changes may be important in improving overall functional status.
Identifiants
pubmed: 31624479
doi: 10.1007/s11420-019-09686-y
pii: 9686
pmc: PMC6778170
doi:
Types de publication
Journal Article
Langues
eng
Pagination
241-246Informations de copyright
© Hospital for Special Surgery 2019.
Déclaration de conflit d'intérêts
Conflict of InterestPayal Sahni, PT, DPT, MCMT, and Jeri W. Nieves, PhD, declare that they have no conflicts of interest.
Références
Arch Phys Med Rehabil. 1999 Jul;80(7):825-8
pubmed: 10414769
J Phys Ther Sci. 2018 Feb;30(2):248-251
pubmed: 29545687
J Gerontol A Biol Sci Med Sci. 2004 Nov;59(11):1207-12
pubmed: 15602077
J Manag Care Pharm. 2012 May;18(4 Suppl B):S1-15; discussion S13
pubmed: 22716221
J Geriatr Phys Ther. 2017 Apr/Jun;40(2):102-111
pubmed: 26859463
Res Q Exerc Sport. 1999 Jun;70(2):113-9
pubmed: 10380242
Bone. 2008 Mar;42(3):467-75
pubmed: 18180210
Age Ageing. 2015 Jul;44(4):573-9
pubmed: 25906791
Ann Intern Med. 2017 Jun 6;166(11):818-839
pubmed: 28492856
Physiother Res Int. 2008 Sep;13(3):141-52
pubmed: 18697226
Medicine (Baltimore). 2018 Aug;97(34):e11918
pubmed: 30142802
Eur J Phys Rehabil Med. 2010 Dec;46(4):481-7
pubmed: 21224783
J Bone Miner Res. 2010 Jan;25(1):64-71
pubmed: 19580459
J Physiother. 2015 Jan;61(1):46
pubmed: 25476663
Percept Mot Skills. 2006 Aug;103(1):215-22
pubmed: 17037663
Cochrane Database Syst Rev. 2011 Jul 06;(7):CD000333
pubmed: 21735380
Am J Hum Biol. 2006 May-Jun;18(3):418-21
pubmed: 16634026
J Am Geriatr Soc. 2015 Jul;63(7):1306-13
pubmed: 26115073
Clin Interv Aging. 2017 Mar 14;12:505-513
pubmed: 28352163