Ibolya Mikó1, Imre Szerb2, Anna Szerb3, Gyula Poor1. 1. 1 National Institute of Rheumatology and Physiotherapy, Budapest, Hungary. 2. 2 Uzsoki Hospital, Budapest, Hungary. 3. 3 The London School of Economics and Political Science, London, UK.
Abstract
OBJECTIVE: To investigate the effect of a 12-month sensomotor balance exercise programme on postural control and the frequency of falling in women with established osteoporosis. DESIGN: Randomized controlled trial where the intervention group was assigned the 12-month Balance Training Programme and the control group did not undertake any intervention beyond regular osteoporosis treatment. SUBJECTS: A total of 100 osteoporotic women - at least with one osteoporotic fracture - aged 65 years old and above. MAIN MEASURES: Balance was assessed in static and dynamic posture both with performance-based measures of balance, such as the Berg Balance Scale and the Timed Up and Go Test, and with a stabilometric computerized platform. INTERVENTIONS: Patients in the intervention group completed the 12-month sensomotor Balance Training Programme in an outpatient setting, guided by physical therapists, three times a week, for 30 minutes. RESULTS: The Berg Balance Scale and the Timed Up and Go Test showed a statistically significant improvement of balance in the intervention group ( p = 0.001 and p = 0.005, respectively). Balance tests using the stabilometer also showed a statistically significant improvement in static and dynamic postural balance for osteoporotic women after the completion of the Balance Training Programme. As a consequence, the one-year exercise programme significantly decreased the number of falls in the exercise group compared with the control group. CONCLUSION: The Balance Training Programme significantly improved the balance parameters and reduced the number of falls in postmenopausal women who have already had at least one fracture in the past.
RCT Entities:
OBJECTIVE: To investigate the effect of a 12-month sensomotor balance exercise programme on postural control and the frequency of falling in women with established osteoporosis. DESIGN: Randomized controlled trial where the intervention group was assigned the 12-month Balance Training Programme and the control group did not undertake any intervention beyond regular osteoporosis treatment. SUBJECTS: A total of 100 osteoporoticwomen - at least with one osteoporotic fracture - aged 65 years old and above. MAIN MEASURES: Balance was assessed in static and dynamic posture both with performance-based measures of balance, such as the Berg Balance Scale and the Timed Up and Go Test, and with a stabilometric computerized platform. INTERVENTIONS:Patients in the intervention group completed the 12-month sensomotor Balance Training Programme in an outpatient setting, guided by physical therapists, three times a week, for 30 minutes. RESULTS: The Berg Balance Scale and the Timed Up and Go Test showed a statistically significant improvement of balance in the intervention group ( p = 0.001 and p = 0.005, respectively). Balance tests using the stabilometer also showed a statistically significant improvement in static and dynamic postural balance for osteoporoticwomen after the completion of the Balance Training Programme. As a consequence, the one-year exercise programme significantly decreased the number of falls in the exercise group compared with the control group. CONCLUSION: The Balance Training Programme significantly improved the balance parameters and reduced the number of falls in postmenopausal women who have already had at least one fracture in the past.
Entities:
Keywords:
Established osteoporosis; balance training programme; prevention of falls; stabilometer
Authors: Setor K Kunutsor; Sarah Leyland; Dawn A Skelton; Laura James; Matthew Cox; Nicola Gibbons; Julie Whitney; Emma M Clark Journal: J Frailty Sarcopenia Falls Date: 2018-12-01
Authors: Nicky Wilson; Emailie Hurkmans; Jo Adams; Margot Bakkers; Petra Balážová; Mark Baxter; Anne-Birgitte Blavnsfeldt; Karine Briot; Catharina Chiari; Cyrus Cooper; Razvan Dragoi; Gabriele Gäbler; Willem Lems; Erika Mosor; Sandra Pais; Cornelia Simon; Paul Studenic; Simon Tilley; Jenny de la Torre; Tanja A Stamm Journal: RMD Open Date: 2020-01
Authors: Christopher A C M Ng; Nicola Fairhall; Geraldine Wallbank; Anne Tiedemann; Zoe A Michaleff; Catherine Sherrington Journal: BMJ Open Sport Exerc Med Date: 2019-12-16