nach oben

Osteoporosis International

Erschienen in:

01.10.2007 | Original Article

Effect of low-intensity back exercise on quality of life and back extensor strength in patients with osteoporosis: a randomized controlled trial

verfasst von: M. Hongo, E. Itoi, M. Sinaki, N. Miyakoshi, Y. Shimada, S. Maekawa, K. Okada, Y. Mizutani

Erschienen in: Osteoporosis International | Ausgabe 10/2007

Einloggen, um Zugang zu erhalten

Abstract

Summary

Randomized controlled study in 80 postmenopausal women with osteoporosis was conducted to investigate the effect of a home-based, simple, low-intensity exercise. Low-intensity back-strengthening exercise was effective in improving the quality of life and back extensor strength.

Introduction and hypothesis

Back-strengthening exercise is effective in increasing back extensor strength and decreasing risk of vertebral fractures. We hypothesized that a home-based, simple, low-intensity exercise could enhance back extensor strength and improve the quality of life and/or spinal range of motion in postmenopausal women in a short-term follow-up.

Methods

Eighty postmenopausal women with osteoporosis were randomly assigned to a control group (n = 38) or an exercise group (n = 42). Subjects were instructed to lift their upper trunk from a prone position antigravity and maintain the neutral position. Isometric back extensor strength, spinal range of motion, and scores for quality of life were evaluated at baseline and 4 months.

Results

Back extensor strength significantly increased both in the exercise group (26%) and in the control group (11%). Scores for quality of life increased in the exercise group (7%), whereas it remained unchanged in the control group (0%). There was a significant difference in quality of life score between the groups (p = 0.012).

Conclusions

Low-intensity back-strengthening exercise was effective in improving the quality of life and back extensor strength in patients with osteoporosis.

Lyles KW, Gold DT, Shipp KM et al (1993) Association of osteoporotic vertebral compression fractures with impaired functional status. Am J Med 94:595–601PubMedCrossRef

Ryan SD, Fried LP (1997) The impact of kyphosis on daily functioning. J Am Geriatr Soc 45:1479–1486PubMed

Takahashi T, Ishida K, Hirose D et al (2005) Trunk deformity is associated with a reduction in outdoor activities of daily living and life satisfaction in community-dwelling older people. Osteoporos Int 16:273–279PubMedCrossRef

Leidig-Bruckner G, Minne HW, Schlaich C et al (1997) Clinical grading of spinal osteoporosis: quality of life components and spinal deformity in women with chronic low back pain and women with vertebral osteoporosis. J Bone Miner Res 12:663–675PubMedCrossRef

Cortet B, Houvenagel E, Puisieux F et al (1999) Spinal curvatures and quality of life in women with vertebral fractures secondary to osteoporosis. Spine 24:1921–1925PubMedCrossRef

van Schoor NM, Smit JH, Twisk JW et al (2005) Impact of vertebral deformities, osteoarthritis, and other chronic diseases on quality of life: a population-based study. Osteoporos Int 16:749–756PubMedCrossRef

Hallberg I, Rosenqvist AM, Kartous L et al (2004) Health-related quality of life after osteoporotic fractures. Osteoporos Int 15:834–841PubMedCrossRef

Lynn SG, Sinaki M, Westerlind KC (1997) Balance characteristics of persons with osteoporosis. Arch Phys Med Rehabil 78:273–277PubMedCrossRef

Sinaki M, Khosla S, Limburg PJ et al (1993) Muscle strength in osteoporotic versus normal women. Osteoporos Int 3:8–12PubMedCrossRef

10.

Sinaki M, Itoi E, Rogers JW et al (1996) Correlation of back extensor strength with thoracic kyphosis and lumbar lordosis in estrogen-deficient women. Am J Phys Med Rehabil 75:370–374PubMedCrossRef

11.

Mika A, Unnithan VB, Mika P (2005) Differences in thoracic kyphosis and in back muscle strength in women with bone loss due to osteoporosis. Spine 30:241–246PubMedCrossRef

12.

Iki M, Saito Y, Dohi Y et al (2002) Greater trunk muscle torque reduces postmenopausal bone loss at the spine independently of age, body size, and vitamin D receptor genotype in Japanese women. Calcif Tissue Int 71:300–307PubMedCrossRef

13.

Sinaki M, McPhee MC, Hodgson SF et al (1986) Relationship between bone mineral density of spine and strength of back extensors in healthy postmenopausal women. Mayo Clin Proc 61:116–122PubMed

14.

Gold DT, Shipp KM, Pieper CF et al (2004) Group treatment improves trunk strength and psychological status in older women with vertebral fractures: results of a randomized, clinical trial. J Am Geriatr Soc 52:1471–1478PubMedCrossRef

15.

Miyakoshi N, Hongo M, Maekawa S et al (2005) Factors related to spinal mobility in patients with postmenopausal osteoporosis. Osteoporos Int

16.

Miyakoshi N, Itoi E, Kobayashi M et al (2003) Impact of postural deformities and spinal mobility on quality of life in postmenopausal osteoporosis. Osteoporos Int 14:1007–1012PubMedCrossRef

17.

Sinaki M, Wollan PC, Scott RW et al (1996) Can strong back extensors prevent vertebral fractures in women with osteoporosis? Mayo Clin Proc 71:951–956PubMedCrossRef

18.

Itoi E, Sinaki M (1994) Effect of back-strengthening exercise on posture in healthy women 49 to 65 years of age. Mayo Clin Proc 69:1054–1059PubMed

19.

Sinaki M, Itoi E, Wahner HW et al (2002) Stronger back muscles reduce the incidence of vertebral fractures: a prospective 10 year follow-up of postmenopausal women. Bone 30:836–841PubMedCrossRef

20.

Sinaki M, Wahner HW, Offord KP et al (1989) Efficacy of nonloading exercises in prevention of vertebral bone loss in postmenopausal women: a controlled trial. Mayo Clin Proc 64:762–769PubMed

21.

Hongo M, Itoi E, Sinaki M et al (2005) Effects of reducing resistance, repetitions, and frequency of back-strengthening exercise in healthy young women: a pilot study. Arch Phys Med Rehabil 86:1299–1303PubMedCrossRef

22.

Sinaki M (1982) Postmenopausal spinal osteoporosis: physical therapy and rehabilitation principles. Mayo Clin Proc 57:699–703PubMed

23.

Kanis JA, Melton LJ 3rd, Christiansen C et al (1994) The diagnosis of osteoporosis. J Bone Miner Res 9:1137–1141PubMedCrossRef

24.

Sinaki M, Grubbs NC (1989) back-strengthening exercises: quantitative evaluation of their efficacy for women aged 40 to 65 years. Arch Phys Med Rehabil 70:16–20PubMed

25.

Limburg PJ, Sinaki M, Rogers JW et al (1991) A useful technique for measurement of back strength in osteoporotic and elderly patients. Mayo Clin Proc 66:39–44PubMed

26.

Post RB, Leferink VJ (2004) Spinal mobility: sagittal range of motion measured with the SpinalMouse, a new non-invasive device. Arch Orthop Trauma Surg 124:187–192PubMedCrossRef

27.

Takahashi H, Iwaya C, Iba K (2001) The Japanese osteoporosis QOL questionnaire (JOQOL): 2000 edn. J Jpn Soc Bone Miner Res 18:85–101 (in Japanese)

28.

Randell AG, Bhalerao N, Nguyen TV et al (1998) Quality of life in osteoporosis: reliability, consistency, and validity of the Osteoporosis Assessment Questionnaire. J Rheumatol 25:1171–1179PubMed

29.

Lips P, Cooper C, Agnusdei D et al (1997) Quality of life as outcome in the treatment of osteoporosis: the development of a questionnaire for quality of life by the European Foundation for Osteoporosis. Osteoporos Int 7:36–38PubMedCrossRef

30.

Swezey RL, Swezey A, Adams J (2000) Isometric progressive resistive exercise for osteoporosis. J Rheumatol 27:1260–1264PubMed

31.

Vincent KR, Braith RW, Feldman RA et al (2002) Resistance exercise and physical performance in adults aged 60 to 83. J Am Geriatr Soc 50:1100–1107PubMedCrossRef

32.

Dhillon V, Hurst N, Hannan J et al (2005) Association of low general health status, measured prospectively by Euroqol EQ5D, with osteoporosis, independent of a history of prior fracture. Osteoporos Int 16:483–489PubMedCrossRef

33.

Pluijm SM, Tromp AM, Smit JH et al (2000) Consequences of vertebral deformities in older men and women. J Bone Miner Res 15:1564–1572PubMedCrossRef

34.

Liu-Ambrose TY, Khan KM, Eng JJ et al (2005) Both resistance and agility training reduce back pain and improve health-related quality of life in older women with low bone mass. Osteoporos Int

35.

Chien MY, Yang RS, Tsauo JY (2005) Home-based trunk-strengthening exercise for osteoporotic and osteopenic postmenopausal women without fracture-a pilot study. Clin Rehabil 19:28–36PubMedCrossRef

36.

Papaioannou A, Adachi JD, Winegard K et al (2003) Efficacy of home-based exercise for improving quality of life among elderly women with symptomatic osteoporosis-related vertebral fractures. Osteoporos Int 14:677–682PubMedCrossRef

37.

Sinaki M, Offord KP (1988) Physical activity in postmenopausal women: effect on back muscle strength and bone mineral density of the spine. Arch Phys Med Rehabil 69:277–280PubMed

38.

Lindsay R, Silverman SL, Cooper C et al (2001) Risk of new vertebral fracture in the year following a fracture. JAMA 285:320–323PubMedCrossRef

Titel: Effect of low-intensity back exercise on quality of life and back extensor strength in patients with osteoporosis: a randomized controlled trial
verfasst von: M. Hongo
E. Itoi
M. Sinaki
N. Miyakoshi
Y. Shimada
S. Maekawa
K. Okada
Y. Mizutani
Publikationsdatum: 01.10.2007
Verlag: Springer-Verlag
Erschienen in: Osteoporosis International / Ausgabe 10/2007
Print ISSN: 0937-941X
Elektronische ISSN: 1433-2965
DOI: https://doi.org/10.1007/s00198-007-0398-9

Arthropedia

Grundlagenwissen der Arthroskopie und Gelenkchirurgie. Erweitert durch Fallbeispiele, Videos und Abbildungen.
» Jetzt entdecken

Neu im Fachgebiet Orthopädie und Unfallchirurgie

23.04.2024 | Leitsymptom Rückenschmerzen | Nachrichten

Update Orthopädie und Unfallchirurgie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen

Live-Webinar: Aktuelle Leitlinien bei Herz-Kreislauf-Erkrankungen

Springer Medizin

Effect of low-intensity back exercise on quality of life and back extensor strength in patients with osteoporosis: a randomized controlled trial

Abstract

Summary

Introduction and hypothesis

Methods

Results

Conclusions

Arthropedia

Neu im Fachgebiet Orthopädie und Unfallchirurgie

Ärztliche Empathie hilft gegen Rückenschmerzen

Stereotaktische Radiatio schlägt konventionelle Bestrahlung

Vorsicht mit hohen NSAR-Dosen bei ankylosierender Spondylitis!

Brustkrebs in der Vorgeschichte macht Gelenkersatz komplikationsträchtiger

Update Orthopädie und Unfallchirurgie

Live-Webinar: Aktuelle Leitlinien bei Herz-Kreislauf-Erkrankungen

Springer Medizin

Abstract

Summary

Introduction and hypothesis

Methods

Results

Conclusions

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 10/2007

An evaluation of densitometric vertebral fracture assessment in men

Cardiovascular diseases and future risk of hip fracture in women

Glucocorticoid-induced osteoporosis: pathophysiology and therapy

Persistence with bisphosphonate therapy including treatment courses with multiple sequential bisphosphonates in the real world

Osteonecrosis of the jaw induced by orally administered bisphosphonates: incidence, clinical features, predisposing factors and treatment outcome

Homocysteine and fracture risk in postmenopausal women: the OFELY study

Arthropedia

Neu im Fachgebiet Orthopädie und Unfallchirurgie

Ärztliche Empathie hilft gegen Rückenschmerzen

Stereotaktische Radiatio schlägt konventionelle Bestrahlung

Vorsicht mit hohen NSAR-Dosen bei ankylosierender Spondylitis!

Brustkrebs in der Vorgeschichte macht Gelenkersatz komplikationsträchtiger

Update Orthopädie und Unfallchirurgie