Association of vertebral compression fractures with physical performance measures among community-dwelling Japanese women aged 40 years and older

Abstract

BackgroundNumerous reported studies have shown that vertebral compression fractures are associated with impaired function or disability; however, few examined their association with objective measures of physical performance or functioning.MethodsWe examined the association of vertebral compression fractures with physical performance measures in 556 Japanese women aged 40–89 years. Lateral spine radiographs were obtained and radiographic vertebral compression fractures were assessed by quantitative morphometry, defined as vertebral heights more than 3 SD below the normal mean. Measures of physical performance included walking speed, chair stand time and functional reach. Adjusted means of performance-based measures according to the number and severity of vertebral compression fractures were calculated using general linear modeling methods.ResultsAfter adjusting for age, body mass index, back pain, number of painful joints, number of comorbidities and regular physical activities, the walking speed of women with two or more compression fractures (1.17 m/s) was significantly slower than that of women without compression fracture (1.24 m/s) (p = 0.03). Compared with women without compression fracture, chair stand time was longer in women with two or more compression fractures (p = 0.01), and functional reach was shorter (p = 0.01). No significant differences were observed in walking speed, chair stand time, or functional reach between women with one compression fracture and those without compression fracture.ConclusionsHaving multiple vertebral compression fractures affects physical performance in community-dwelling Japanese women. Poor physical functioning may lead to functional dependence, accelerated bone loss, and increased risk for falls, injuries, and fractures. Preventing vertebral compression fracture is considered important for preserving the independence of older adults.

Vertebral pain syndrome and physical performance assessing in older women with vertebral fractures

“…Thus, it was demonstrated [25] that walking speed in women with two or more compression fractures was signi icantly slower than that in persons without VF (correspondingly 1.17 and 1.24 m/sec, p=0.03; results were adjusted for age, body mass index, back pain level, number of pain joints, the number of concomitant diseases and level of regular physical activity). Women who had two or more VF had signi icantly higher (p=0.01) results of the <<chair stand time>> test (assessment of lower extremity strength) and signi icantly lower (p=0.01) test of functional reach (measure of balance and posture which was calculated as the difference between two measurements (average of three trials) as follows: subjects irst stood comfortably upright, facing forward, hand in a ist, with their arm extended next to a yardstick mounted on a wall [25]) compared to the corresponding indices of women without fractures. However, the authors did not establish the signi icant differences of these tests in women with one compression fracture comparing with persons without fractures.…”

Розробка Комплексів Фізичної Реабілітації Та Оцінка Їх Ефективності В Постменопаузальних Жінок З Остеопорозом Залежно Від Віку Та Кількості Вертебральних Переломів

“…У подальшому з метою оцінки ефективності розроблених нових комплексів фізичної реабілітації у хворих із системним остеопорозом та вертебральними переломами залежно від їх кількості обстежених розподілили відповідно на такі групи: І група -жінки з одним чи двома вертебральними переломами (n = 39); ІІ група -особи з трьома й більше переломами тіл хребців (n = 14). Подібний розподіл на групи був спричинений результатами літературних досліджень [28], в яких встановлено вірогідний взаємозв'язок між погіршенням ФА хворих та кількістю попередніх ВП (більше двох).…”

Opportunistic diagnosis of osteoporotic vertebral fractures on standard imaging performed for alternative indications

“… 8 VFs are a major cause of patient pain, reduced mobility and many patients who have sustained a VF suffer with the psychological fear of isolation and loss of independence. 9,10 Additionally, sustaining a VF is an independent risk factor for patient mortality, emphasising its significance as a major public health concern. 11 Studies show that patients with previous VFs are five times more likely to obtain an additional VF and are twice as likely to suffer a hip fracture with resulting morbidity and mortality.…”