Effect of Exercises with Weight Vests and a Patient Education Programme for Women with Osteopenia and a Healed Wrist Fracture: a Randomized, Controlled Trial of the OsteoACTIVE Programme

Overview

Journal BMC Musculoskelet Disord

Publisher Biomed Central

Specialties Orthopedics
Physiology

Date 2015 Nov 19

PMID 26578370

Citations 6

Authors

K A Hakestad

M K Torstveit

L Nordsletten

M A Risberg

Affiliations

Soon will be listed here.

Abstract

Background: Exercise programmes have shown to be important for the prevention of fractures in patients with established osteoporosis. However, few studies have evaluated the effect of such programmes for women with low bone mineral density (BMD) (osteoporosis or osteopenia) who have already suffered a fracture. Studies have indicated that exercise programmes concentrating on muscular strength and dynamic balance have a positive effect on significant risk factors for falls such as quadriceps strength and balance. The aim of the present study was to assess the effect of a 6-month exercise programme and a patient education component (OsteoACTIVE) on quadriceps strength, BMD, dynamic balance, walking capacity, physical activity level and quality of life in postmenopausal women with osteopenia and a previous wrist fracture.

Methods: Eighty postmenopausal women with low BMD and a healed wrist fracture were randomized to OsteoACTIVE (n = 42) (age 65.5, range 51.2-79.2 years) or patient education only (control group) (n = 38) (age 63.9, range 52.7-86.8 years). Follow-up was conducted after 6 months (end of intervention) and 1 year. Outcome measures included quadriceps strength, BMD, dynamic balance, walking capacity, physical activity level and quality of life.

Results: Thirty-five participants (83 %) completed the OsteoACTIVE programme. Mean adherence to OsteoACTIVE was 87 % (range 48-100 %). Twenty-five participants (72 %) met the a priori goal of 80 % adherence to the program. No adverse events were reported. There were no significant differences between the two groups over the 1-year follow-up for any of the outcome measures.

Conclusion: The OsteoACTIVE rehabilitation programme revealed no significant effect on quadriceps strength, BMD, dynamic balance, walking capacity or self-reported functional outcomes over the 1-year follow-up.

Trial Registration: NCT01357278 at ClinicalTrials.gov (date of registration 2010-04-21).

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References

Pereira M, Kriska A, Day R, Cauley J, LaPorte R, Kuller L . A randomized walking trial in postmenopausal women: effects on physical activity and health 10 years later. Arch Intern Med. 1998; 158(15):1695-701. DOI: 10.1001/archinte.158.15.1695. View

Bergstrom I, Landgren B, Brinck J, Freyschuss B . Physical training preserves bone mineral density in postmenopausal women with forearm fractures and low bone mineral density. Osteoporos Int. 2007; 19(2):177-83. DOI: 10.1007/s00198-007-0445-6. View

Pasco J, Sanders K, Hoekstra F, Henry M, Nicholson G, Kotowicz M . The human cost of fracture. Osteoporos Int. 2005; 16(12):2046-52. DOI: 10.1007/s00198-005-1997-y. View

Loge J, Kaasa S . Short form 36 (SF-36) health survey: normative data from the general Norwegian population. Scand J Soc Med. 1998; 26(4):250-8. View

Dite W, Temple V . A clinical test of stepping and change of direction to identify multiple falling older adults. Arch Phys Med Rehabil. 2002; 83(11):1566-71. DOI: 10.1053/apmr.2002.35469. View

Hays R, Woolley J . The concept of clinically meaningful difference in health-related quality-of-life research. How meaningful is it?. Pharmacoeconomics. 2001; 18(5):419-23. DOI: 10.2165/00019053-200018050-00001. View

. ATS statement: guidelines for the six-minute walk test. Am J Respir Crit Care Med. 2002; 166(1):111-7. DOI: 10.1164/ajrccm.166.1.at1102. View

Borg G . Psychophysical bases of perceived exertion. Med Sci Sports Exerc. 1982; 14(5):377-81. View

Carter N, Khan K, Mallinson A, Janssen P, Heinonen A, Petit M . Knee extension strength is a significant determinant of static and dynamic balance as well as quality of life in older community-dwelling women with osteoporosis. Gerontology. 2002; 48(6):360-8. DOI: 10.1159/000065504. View

10.

Kelley G, Kelley K, Tran Z . Resistance training and bone mineral density in women: a meta-analysis of controlled trials. Am J Phys Med Rehabil. 2001; 80(1):65-77. DOI: 10.1097/00002060-200101000-00017. View

11.

Eitzen I, Hakestad K, Risberg M . Inter- and intrarater reliability of isokinetic thigh muscle strength tests in postmenopausal women with osteopenia. Arch Phys Med Rehabil. 2012; 93(3):420-7. DOI: 10.1016/j.apmr.2011.10.001. View

12.

Hakestad K, Torstveit M, Nordsletten L, Axelsson A, Risberg M . Exercises including weight vests and a patient education program for women with osteopenia: a feasibility study of the OsteoACTIVE rehabilitation program. J Orthop Sports Phys Ther. 2015; 45(2):97-105, C1-4. DOI: 10.2519/jospt.2015.4842. View

13.

Pfeifer M, Sinaki M, Geusens P, Boonen S, Preisinger E, Minne H . Musculoskeletal rehabilitation in osteoporosis: a review. J Bone Miner Res. 2004; 19(8):1208-14. DOI: 10.1359/JBMR.040507. View

14.

Bonaiuti D, Arioli G, Diana G, Franchignoni F, Giustini A, Monticone M . SIMFER Rehabilitation treatment guidelines in postmenopausal and senile osteoporosis. Eura Medicophys. 2006; 41(4):315-37. View

15.

Washburn R, Smith K, Jette A, Janney C . The Physical Activity Scale for the Elderly (PASE): development and evaluation. J Clin Epidemiol. 1993; 46(2):153-62. DOI: 10.1016/0895-4356(93)90053-4. View

16.

Snow C, Shaw J, Winters K, Witzke K . Long-term exercise using weighted vests prevents hip bone loss in postmenopausal women. J Gerontol A Biol Sci Med Sci. 2000; 55(9):M489-91. DOI: 10.1093/gerona/55.9.m489. View

17.

Li W, Chen Y, Yang R, Tsauo J . Effects of exercise programmes on quality of life in osteoporotic and osteopenic postmenopausal women: a systematic review and meta-analysis. Clin Rehabil. 2009; 23(10):888-96. DOI: 10.1177/0269215509339002. View

18.

Ware Jr J, Sherbourne C . The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Med Care. 1992; 30(6):473-83. View

19.

Gianoudis J, Bailey C, Ebeling P, Nowson C, Sanders K, Hill K . Effects of a targeted multimodal exercise program incorporating high-speed power training on falls and fracture risk factors in older adults: a community-based randomized controlled trial. J Bone Miner Res. 2013; 29(1):182-91. DOI: 10.1002/jbmr.2014. View

20.

Gold D, McClung B . Approaches to patient education: emphasizing the long-term value of compliance and persistence. Am J Med. 2006; 119(4 Suppl 1):S32-7. DOI: 10.1016/j.amjmed.2005.12.021. View