<p>Effectiveness of a Mini-Trampoline Training Program on Balance and Functional Mobility, Gait Performance, Strength, Fear of Falling and Bone Mineral Density in Older Women with Osteopenia</p>

Abstract

Purpose: To evaluate the effectiveness of a combined balance-, strength-, and jumpingexercise intervention on a mini-trampoline performed by older women with osteopenia on static balance and functional mobility, gait speed, strength of the upper and lower limbs, fear of falling, as well as to investigate its influence on bone mineral density (BMD). Patient and methods: Using a randomized controlled study design, participants (range: 56-83 years) were assigned either to the intervention group (IG; n=20, mean age 69.6 ± 5.3 years) performing a specifically tailored intervention on a mini-trampoline or to the control group (CG; n=20, 67.4 ± 6.8 years), that did not undertake any intervention beyond regular osteopenia treatment. The intervention was performed twice a week for 12 weeks, each session lasting 45-60 mins and consisted of balance, strength and jumping exercises. Static balance and functional mobility was measured by one-leg stance (OLS) and timed up and go test (TUG). Upper and lower limb strength was evaluated by the arm curl test (ACT) and the 30-s chair stand test (CST) whereas gait speed was measured by the 6 m walking test (WT). Fear of falling was measured using the Falls Efficacy Scale-International (FES-I). BMD was measured at the lumbar spine and femoral neck using Dual-energy X-ray absorptiometry (DXA). Results: Significant interactions (group x time) were found for all parameters (p<0.001) except for BMD, measured at the lumbar spine (p=0.064) and femoral neck (p=0.073). All test parameters of balance and functional mobility tests (OLS, TUG), strength tests (ACT, CST), WT, FES-I and BMD (femoral neck) showed significant improvement in the IG (p<0.05). Conclusion: The combined 12-week intervention was highly effective in improving balance and functional mobility, strength, gait performance and fear of falling in patients with osteopenia.

Effects of Nonpharmacological Interventions on Balance Function in Patients with Osteoporosis or Osteopenia: A Network Meta-Analysis of Randomized Controlled Trials

“…Studies. Among the 10 identified RCTs, three studies were in English [16][17][18] and seven in Chinese [19][20][21][22][23][24][25]. Publication year ranged from 2009 [17] to 2019 [21], and all studies were two-arm trials.…”

“…Eight studies specifically described adequate random sequence generation methods, including envelope method and random number table [16][17][18][19][20][22][23][24]. Given the particularity of nonpharmacological interventions, it was extremely difficult to blind both the patients and the personnel to treatment, and only three studies described sufficient allocation concealment and the specific implementation methods for blind evaluation of outcome measures [16][17][18]. Six studies reported loss of follow-up during treatment, explaining the number of lost cases and specific reasons [16-19, 22, 23].…”

Utilisation of Post-Activation Performance Enhancement in Elderly Adults

“…While in the case of post-CA exercise, trampoline-based plyometric exercise (with the supporting bars or on the sledge) [ 53 , 61 ] can be considered as the safest option for the elderly, suitable for the first stage of periodisation in longitude complex training. Then, this could be progressed by the introduction of suspension exercises (e.g., jump squats using suspension straps).…”

The influence of HRT on bone mineral dencity, condition of parodontal complex tissue, clinical implications of articulated syndrome in postmenopausal women

“…Определена МПКТ при помощи двухэнергетической рентгеновской абсорбциометрии на аппарате HOLOGIС по шейке бедра и поясничному отделу позвоночника в начале исследования и через 12 месяцев [9].…”