Effect of combined treatment with focused mechanoacoustic vibration and pharmacological therapy on bone mineral density and muscle strength in post-menopausal women

Abstract

SummaryIntroduction. Osteoporosis is a systemic disease of the skeleton characterized by a reduction in bone mass and alterations in microarchitecture accompanied by increase in fracture risk, with a relevant decline in quality of life and important social, economic, and health implications, representing one of the most common causes of disability and a major financial item of health cost in many Countries. The best therapy for osteoporosis is prevention, consisting in measures to avoid or slow the onset of the disease. Treatment includes measures aimed at osteoporotic individuals, with or without previous fractures and a high risk of a first or additional fracture. Method. We enrolled thirty post-menopausal osteoporotic women, allocated in the first group underwent a 6-month personalized drug therapy and focused mechanoacoustic vibration (2 sessions per week, each lasting 15 minutes); women allocated in the second group underwent only 6-month personalized drug therapy. Patients were evaluated performing dual-energy X-ray absorptiometry (DXA) and isokinetic machine evaluation, and administration of Tinetti scale and ECOS-16 questionnaire. Result. Show improvement of bone mineral density (BMD) and T-score at the lumbar spine and femoral neck, handgrip strength and isokinetic strength of the knee estensors, balance and gait, and quality of life. Conclusion. Hence, the combined treatment with focused mechano-acoustic vibration and pharmacological therapy has a beneficial effect on BMD and T-score as well as on the muscle strength and quality of life of osteoporotic subjects.KEY WORDS: osteoporosis; post-menopausal women; focused vibration; bone mineral density; T-score; muscle strength.

Effect of Life-Style Modification Intervention Programme on Bone Mineral Density among Postmenopausal Women with Osteoporosis

“…Our study finding is consistent with a study that had 8-week physiotherapeutic education on back extensor muscle (BEM) strength, physical performance, balance, and QOL in postmenopausal women 21 . In addition, our findings are similar with a study where osteoporotic women underwent a 6-month personalized drug therapy and focused mechanoacoustic vibration which had a beneficial effect on BMD 22 . Another study also reported a significant increase in the bone mineral density of the participants after an intervention programme which included physical activity and diet supplementation 23 .…”

“…20 In addition, the study findings were similar to a study where osteoporotic women underwent a six-month personalised drug therapy and focused mechano-acoustic vibration, which had a beneficial effect on BMD. 21 Another study also reported a significant increase in the bone mineral density of the participants after an intervention programme, which included physical activity and diet supplementation. 22 Similarly, many other studies conducted on the effect of different exercises on bone mineral density found them to be effective.…”

Integration of focal vibration and intra-articular oxygen–ozone therapy in rehabilitation of painful knee osteoarthritis

“… 21 – 23 Although there is no universal consensus on the ideal protocol, the transmission of high- and low-intensity mechanical signals simulates the physiological stimuli that the human body encounters in daily life, ensuring safer effects than those of mild training programs. 50 , 51 Several groups have shown that mFV consistently alters the interaction between the vibrated muscle and its antagonists and increases motor coordination, thus likely improving joint performance. 52 , 53 Furthermore, the onset of the effects of mFV occurs as soon as 60 minutes after the end of the intervention.…”

A Novel Rehabilitative Protocol in the Treatment of Mixed Urinary Incontinence in Women: The Effects of Focused Mechano-Acoustic Vibration

“…The association between VISS and exercises that reinforce the GM muscle, tilting exercises for the pelvis, diaphragmatic breathing exercises, and instructions to walk at least 120 min per week showed encouraging positive results in improving MUI. Compared with previous studies, 25,26 mechanical focal vibration can be a good approach for rehabilitating the PFMs; it is also simpler and less invasive than other techniques used.…”

“…This instrument consists of a 32,000revolution turbine with a flow rate of 35 m 3 /h that generate air waves with a pressure of up to 250 mbar and a flow modulator that vibrates air with a pressure of up to 630 mbar and frequency of up to 980 Hz (however, a frequency up to 300 Hz is recommended) for producing mechano-acoustic waves. 25 Whole patients as in the EX and CT (waiting list) received postural ergonomic instructions that were to be put into practice in everyday life to improve urinary incontinence symptoms; trained with respect to isometric contraction exercises for the GM, tilting exercises for the pelvis, and diaphragmatic breathing exercises; and instructed to walk at least 120 min per week. Every patient was given a pamphlet to explain the home exercises ( Fig.…”