Evaluation of a program for rehabilitation of osteoporotic patients (PRO): 4-year follow-up

Abstract

The value of a program for the rehabilitation of osteoporotic patients (PRO) was assessed from a 4-year follow up of 139 patients referred to the program over its initial 2 years of operation. The program consisted of educational seminars, social activities and regular exercise supervision. Patients had annual clinical assessments, and bone mass measurements by neutron activation analysis (reported as CaBI). Fitness was assessed by performance on a treadmill (reported in terms of VO2max, ml/kg/min). Seventy-eight of the 139 patients remained in the program over the 4-year follow-up. This unusually high level of commitment to the program is indicative of the psychological value that patients have derived from it. The effect of the program on the osteoporosis process was inconclusive. Group 2, the 37 patients who obtained the greatest improvement in fitness (VO2max > 6 ml/kg/min), had a significantly greater reduction in back pain than did group 1, the 36 with less significant improvement (VO2max < or = 6 ml/kg/min). The bone mass and incidence of vertebral fractures on entry into the program were not significantly different between the two groups. Group 2 had on average a greater increase in bone mass over the 4 years; mean increases in CaBI, (+/- SD) were 0.09 +/- 0.09 and 0.05 +/- 0.10 for groups 2 and 1 respectively. Group 2 had on average fewer new vertebral fractures (0.08 +/- 0.36 and 0.28 +/- 0.75 for groups 2 and 1 respectively).(ABSTRACT TRUNCATED AT 250 WORDS)

Effects of exercise programmes on quality of life in osteoporotic and osteopenic postmenopausal women: a systematic review and meta-analysis

“…Home-based exercise takes less time, is inexpensive and can fit any lifestyle, but they are certainly less attractive than a group programme and do not include crucial social interactions. 30 There are some limitations in this study. First, although all included studies reported that the examiners were blinded, no study reported that the patients were blinded.…”

Adverse events and safety issues associated with physical activity and exercise for adults with osteoporosis and osteopenia: A systematic review of observational studies and an updated review of interventional studies

“…were randomised controlled trials (n=6). The remaining 14 articles comprising 13 unique studies met the inclusion criteria and were included in the review [19][20][21][22][23][24][25][26][27][28][29][30][31][32] . Table 1 summarizes the characteristics of the studies included in the review.…”

Beeinflussung der Knochenqualität durch extreme körperliche Belastung

“…Bisher ist im wesentlichen der Einfluß sportlicher Aktivität auf die Knochenqualität bei Ausdauersportlern untersucht worden (Bilanin 1989). Um daher Trainingsmethoden und Rehabilitationsmethoden, die zur Osteoporoseprävention eingesetzt werden sollten (Riggs 1992, Harrison 1993, optimieren zu können, sind weitere Untersuchungen über Art und Intensität der erforderlichen körperlichen Belastung notwendig (Pruitt 1992, Pirnay 1987.…”