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The impact of adding weight-bearing exercise versus nonweight bearing programs to the medical treatment of elderly patients with osteoporosis.

Shanb AA, Youssef EF - J Family Community Med (2014)

Bottom Line: In addition, the QoL was measured by means of the HRQoL "ECOS-16" questionnaire.T-tests proved that mean values of BMD of the lumbar spine, right neck of femur and right distal radial head were significantly increased in both groups with greater improvement in the weight-bearing group.The QoL was significantly improved in both groups, but the difference between them was not significant.

View Article: PubMed Central - PubMed

Affiliation: Department of Physical Therapy, College of Applied Medical Sciences, University of Dammam, Dammam, Kingdom of Saudi Arabia.

ABSTRACT

Background: Osteoporosis is a major public health problem affecting the elderly population, particularly women. The objective of the study was to evaluate the effects of adding weight-bearing exercise as opposed to nonweight-bearing programs to the medical treatment of bone mineral density (BMD) and health-related quality of life (HRQoL) of elderly patients with osteoporosis.

Materials and methods: Participating in the study were 40 elderly osteoporotic patients (27 females and 13 males), with ages ranging from 60 to 67 years, who were receiving medical treatment for osteoporosis. They were assigned randomly into two groups: Group-I: Twenty patients practiced weight-bearing exercises. Group-II: Twenty patients did nonweight-bearing exercises. All patients trained for 45-60 min/session, two sessions/week for 6 months. BMD of the lumbar spine, right neck of femur, and right distal radial head of all patients were measured by dual-energy X-ray absorptiometry before and after both treatment programs. In addition, the QoL was measured by means of the HRQoL "ECOS-16" questionnaire.

Results: T-tests proved that mean values of BMD of the lumbar spine, right neck of femur and right distal radial head were significantly increased in both groups with greater improvement in the weight-bearing group. The QoL was significantly improved in both groups, but the difference between them was not significant.

Conclusion: Addition of weight-bearing exercise program to medical treatment increases BMD more than nonweight-bearing exercise in elderly subjects with osteoporosis. Furthermore, both weight-bearing and nonweight-bearing exercise programs significantly improved the QoL of patients with osteoporosis.

No MeSH data available.


Related in: MedlinePlus

Mean values of “T-score” of the L-spine, N-femur, and R-head of patients before and after weight-bearing exercise program (Group-I). L-spine: Lumbar spine; N-femur: Neck of femur; R-head: Right distal radial head. P = 0.02, 0.00, 0.01 of the L-spine, N-femur and R-head respectively
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Figure 1: Mean values of “T-score” of the L-spine, N-femur, and R-head of patients before and after weight-bearing exercise program (Group-I). L-spine: Lumbar spine; N-femur: Neck of femur; R-head: Right distal radial head. P = 0.02, 0.00, 0.01 of the L-spine, N-femur and R-head respectively

Mentions: This was measured after weight-bearing and nonweight-bearing exercise programs. There was a significant difference between mean values of “T-score” of the lumbar spine, neck of femur and right distal radial head after weight-bearing and nonweight-bearing exercise programs (P < 0.05) as shown in [Figures 1 and 2]. The results of the comparison between Group-I and Group-II before the start of the study, showed that there were nonsignificant differences between “T-score” of the lumbar spine, neck of femur and right distal radial head between the two groups (P > 0.05) [Table 2]. However, when after interventions Group-I (weight-bearing exercises) was compared with Group-II (nonweight-bearing exercise), there were significant differences in “T-score” of the lumbar spine, neck of femur and right distal radial head (P < 0.05) [Table 3] with higher percentages of improvements in Group-I than in Group-II [Figure 3].


The impact of adding weight-bearing exercise versus nonweight bearing programs to the medical treatment of elderly patients with osteoporosis.

Shanb AA, Youssef EF - J Family Community Med (2014)

Mean values of “T-score” of the L-spine, N-femur, and R-head of patients before and after weight-bearing exercise program (Group-I). L-spine: Lumbar spine; N-femur: Neck of femur; R-head: Right distal radial head. P = 0.02, 0.00, 0.01 of the L-spine, N-femur and R-head respectively
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4214007&req=5

Figure 1: Mean values of “T-score” of the L-spine, N-femur, and R-head of patients before and after weight-bearing exercise program (Group-I). L-spine: Lumbar spine; N-femur: Neck of femur; R-head: Right distal radial head. P = 0.02, 0.00, 0.01 of the L-spine, N-femur and R-head respectively
Mentions: This was measured after weight-bearing and nonweight-bearing exercise programs. There was a significant difference between mean values of “T-score” of the lumbar spine, neck of femur and right distal radial head after weight-bearing and nonweight-bearing exercise programs (P < 0.05) as shown in [Figures 1 and 2]. The results of the comparison between Group-I and Group-II before the start of the study, showed that there were nonsignificant differences between “T-score” of the lumbar spine, neck of femur and right distal radial head between the two groups (P > 0.05) [Table 2]. However, when after interventions Group-I (weight-bearing exercises) was compared with Group-II (nonweight-bearing exercise), there were significant differences in “T-score” of the lumbar spine, neck of femur and right distal radial head (P < 0.05) [Table 3] with higher percentages of improvements in Group-I than in Group-II [Figure 3].

Bottom Line: In addition, the QoL was measured by means of the HRQoL "ECOS-16" questionnaire.T-tests proved that mean values of BMD of the lumbar spine, right neck of femur and right distal radial head were significantly increased in both groups with greater improvement in the weight-bearing group.The QoL was significantly improved in both groups, but the difference between them was not significant.

View Article: PubMed Central - PubMed

Affiliation: Department of Physical Therapy, College of Applied Medical Sciences, University of Dammam, Dammam, Kingdom of Saudi Arabia.

ABSTRACT

Background: Osteoporosis is a major public health problem affecting the elderly population, particularly women. The objective of the study was to evaluate the effects of adding weight-bearing exercise as opposed to nonweight-bearing programs to the medical treatment of bone mineral density (BMD) and health-related quality of life (HRQoL) of elderly patients with osteoporosis.

Materials and methods: Participating in the study were 40 elderly osteoporotic patients (27 females and 13 males), with ages ranging from 60 to 67 years, who were receiving medical treatment for osteoporosis. They were assigned randomly into two groups: Group-I: Twenty patients practiced weight-bearing exercises. Group-II: Twenty patients did nonweight-bearing exercises. All patients trained for 45-60 min/session, two sessions/week for 6 months. BMD of the lumbar spine, right neck of femur, and right distal radial head of all patients were measured by dual-energy X-ray absorptiometry before and after both treatment programs. In addition, the QoL was measured by means of the HRQoL "ECOS-16" questionnaire.

Results: T-tests proved that mean values of BMD of the lumbar spine, right neck of femur and right distal radial head were significantly increased in both groups with greater improvement in the weight-bearing group. The QoL was significantly improved in both groups, but the difference between them was not significant.

Conclusion: Addition of weight-bearing exercise program to medical treatment increases BMD more than nonweight-bearing exercise in elderly subjects with osteoporosis. Furthermore, both weight-bearing and nonweight-bearing exercise programs significantly improved the QoL of patients with osteoporosis.

No MeSH data available.


Related in: MedlinePlus