Balance and muscle strength tests in patients with osteoporotic vertebral fractures to develop tailored rehabilitation programs

Makarova, Ekaterina; Marchenkova, Larisa; Eremushkin, M. A.; Styazkina, Elena M.; Chesnikova, Еkaterina I.

doi:10.4081/ejtm.2020.9236

Cited by 7 publications

(9 citation statements)

References 23 publications

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“…Pain control could promote adherence to rehabilitation treatment with putative improvement of muscle impairments that are commonly observed in patients with severe osteoporosis, including those with multiple vertebral fractures [ 33 , 34 ]. In a real practice prospective study, including osteoporotic women with vertebral fractures (50% of participants had at least three fractures) and chronic back pain, 1-year denosumab administration resulted to be effective in reducing back pain related disability and QoL after 6 months of treatment [ 20 ].…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of Rehabilitative Intervention on Pain, Postural Balance, and Quality of Life in Women with Multiple Vertebral Fragility Fractures: A Prospective Cohort Study

Scaturro

Rizzo

Sanfilippo

et al. 2021

JFMK

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Patients with vertebral fragility fractures often experience chronic pain, postural and balance disorders, and poor quality of life (QoL). Although several studies have investigated the role of rehabilitation in severe osteoporosis, the effectiveness of this intervention in patients with multiple vertebral fractures is poorly known. The aim of our longitudinal cohort study is to evaluate the effectiveness of rehabilitation, including postural training, resistance exercises, and visual stabilization exercises, for a 7-week period, on the pain, postural balance, and QoL of subjects with at least two vertebral fragility fractures receiving denosumab and vitamin D. We investigated, before (T0) and after (T1, at 7 weeks) rehabilitation, the following outcome measures on 28 patients: pain (Numerical Rating Scale (NRS)), self-perceived QoL (36-Item Short Form Survey (SF-36) and Mini-Osteoporosis Quality of Life Questionnaire (Mini-OQOL)), dizziness (Dizziness Handicap Inventory (DHI-I)), mobility (Timed-Up and Go (TUG) test), and instrumental posturographic assessment (FreeMed posturography system). At the end of the treatment, improvements of pain and QoL were recorded. Pain relief was highly obtained in patients with more than two vertebral fractures. Moreover, a significant functional improvement (TUG test) was found in those with two vertebral fractures, without any statistically significant change reported for other outcomes. Our findings suggest that combined intervention, including anti-osteoporotic drugs and postural rehabilitation, should be proposed to osteoporotic patients with multiple vertebral fractures.

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Section: Discussionmentioning

confidence: 99%

Effectiveness of Rehabilitative Intervention on Pain, Postural Balance, and Quality of Life in Women with Multiple Vertebral Fragility Fractures: A Prospective Cohort Study

Scaturro

Rizzo

Sanfilippo

et al. 2021

JFMK

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“…This phenomenon emphasizes the validity of training on special equipment aimed at training the deep stabilization system of the spine, and can also be considered as a point of application of rehabilitation measures. 27 General weakening of the muscle strength and muscular corset, in particular, degenerative changes in bone tissue and joints, deformities of skeleton after fractures and formation of hyperkyphosis, impaired proprioceptive sensitivity and vestibular apparatus. All this leads to impaired coordination of motor abilities in patients with osteoporotic VF, 28,29 which is also confirmed by our data.…”

Section: Discussionmentioning

confidence: 99%

Efficiency of back muscles training and balance therapy in rehabilitation of patients with osteoporotic vertebral fractures

et al. 2021

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Medical rehabilitation of patients with osteoporotic vertebral fractures (VF) remains an insufficiently developed topic and requires additional research. Aim of the study was to assess the efficiency of back muscles training and balance therapy in rehabilitation of patients with osteoporotic vertebral fractures. Prospective, interventional, open-label, controlled study in two parallel groups, performed in inpatient department settings at “National Medical Research Center of Rehabilitation and Balneology” during 2018. The study involved 120 patients (11 men and 109 women) aged 40-80 (mean age 65.4±9.1 years) who were admitted for medical rehabilitation for systemic OP and VF. The rehabilitation program in the main group included: 1) Mechanotherapy on the Back-Therapy-Center Dr. Wolf complex with biofeedback (Germany); 2) Balance therapy on a double unstable COBS platform, with biofeedback (Germany); 3) Hydrokinesiotherapy in a pool; 4) Gymnastic exercises (Gorinevskaya-Dreving method). Results. The use of the three-week program of physical rehabilitation using mechanotherapy, balance therapy and special complexes of physiotherapy exercises in the gym and in the pool in patients with osteoporotic VF significantly increases the strength of the muscle corset, helps to eliminate the existing muscle deficit in TE and TF and results in a more physiological distribution of the strength ratio between TE and TF. The rehabilitation program improves the function of static and dynamic balance, both with closed and open eyes, which can be observed in the return of the center of gravity to a physiological position and in improved reaction speed to changes in body position. Usage of mechanotherapeutic methods in rehabilitation of patients with osteoporotic VF is effective for basic motor function improvement and disability reduction.

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“…A tailored rehabilitation program based on balance and muscle strength tests has recently been proposed as an effective treatment option for basic motor function improvement and disability reduction [ 29 , 30 ]. A retrospective observational study found that compliance with a home exercise program was 62.86%, with several causes of non-compliance, including the absence of supervision by health personnel and a lack of motivation [ 31 ].…”

Section: Conservative Treatmentmentioning

confidence: 99%

Management of Osteoporotic Vertebral Fracture: Review Update 2022

Jang

Kim²,

Lee

et al. 2022

Asian Spine J

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A vertebral fracture is the most common type of osteoporotic fracture. Osteoporotic vertebral fractures (OVFs) cause a variety of morbidities and deaths. There are currently few “gold standard treatments” outlined for the management of OVFs in terms of quantity and quality. Conservative treatment is the primary treatment option for OVFs. The treatment of pain includes short-term bed rest, analgesic medication, anti-osteoporotic medications, exercise, and a brace. Numerous reports have been made on studies for vertebral augmentation (VA), including vertebroplasty and kyphoplasty. There is still debate and controversy about the effectiveness of VA in comparison with conservative treatment. Until more robust data are available, current evidence does not support the routine use of VA for OVF. Despite the fact that the majority of OVFs heal without surgery, 15%–35% of patients with an unstable fracture, persistent intractable back pain, or severely collapsed vertebra that causes a neurologic deficit, kyphosis, or chronic pseudarthrosis frequently require surgery. Because no single approach can guarantee the best surgical outcomes, customized surgical techniques are required. Surgeons must stay current on developments in the osteoporotic spine field and be open to new treatment options. Osteoporosis management and prevention are critical to lowering the risk of future OVFs. Clinical studies on bisphosphonate’s effects on fracture healing are lacking. Teriparatide was intermittently administered, which dramatically improved spinal fusion and fracture healing while lowering mortality risk. According to the available literature, there are no standard management methods for OVFs. More multimodal approaches, including conservative and surgical treatment, VA, and medications that treat osteoporosis and promote fracture healing, are required to improve the quality of the majority of guidelines.

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Balance and muscle strength tests in patients with osteoporotic vertebral fractures to develop tailored rehabilitation programs

Cited by 7 publications

References 23 publications

Effectiveness of Rehabilitative Intervention on Pain, Postural Balance, and Quality of Life in Women with Multiple Vertebral Fragility Fractures: A Prospective Cohort Study

Effectiveness of Rehabilitative Intervention on Pain, Postural Balance, and Quality of Life in Women with Multiple Vertebral Fragility Fractures: A Prospective Cohort Study

Efficiency of back muscles training and balance therapy in rehabilitation of patients with osteoporotic vertebral fractures

Management of Osteoporotic Vertebral Fracture: Review Update 2022

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