Effect of Resistance Exercises on Function in Older Adults with Osteoporosis or Osteopenia: A Systematic Review

Wilhelm, Mark; Roskovensky, Gregory; Emery, Karla; Manno, Christina; Valek, Katherine; Cook, Chad

doi:10.3138/ptc.2011-31bh

Cited by 45 publications

(35 citation statements)

References 38 publications

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“…Despite the effects of resistance training on bone mass and metabolism, a systematic review on the effects of resistance exercises on function in older adults with osteoporosis or osteopenia, revealed that interventions using resistance training have a beneficial effect on the domains of physical function and activities of daily life (19).…”

Section: Resistance Exercisesmentioning

confidence: 99%

Physical exercise and osteoporosis: effects of different types of exercises on bone and physical function of postmenopausal women

Moreira

Oliveira

Lirani-Galvão

et al. 2014

Arq Bras Endocrinol Metab

175

117

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Physical exercise is an important stimulus for osteoporosis prevention and treatment. However, it is not clear yet which modality would be better to stimulate bone metabolism and enhance physical function of postmenopausal women. This review paper aims to summarize and update present knowledge on the effects of different kinds of aquatic and ground physical exercises on bone metabolism and physical function of postmenopausal women. Moderate to intense exercises, performed in a high speed during short intervals of time, in water or on the ground, can be part of a program to prevent and treat postmenopausal osteoporosis. Mechanical vibration has proven to be beneficial for bone microarchitecture, improving bone density and bone strength, as well as increasing physical function. Although impact exercises are recognized as beneficial for the stimulation of bone tissue, other variables such as muscle strength, type of muscle contraction, duration and intensity of exercises are also determinants to induce changes in bone metabolism of postmenopausal women. Not only osteoanabolic exercises should be recommended; activities aimed to develop muscle strength and body balance and improve the proprioception should be encouraged to prevent falls and fractures. Arq Bras Endocrinol Metab. 2014;58(5):514-22

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Section: Resistance Exercisesmentioning

confidence: 99%

Physical exercise and osteoporosis: effects of different types of exercises on bone and physical function of postmenopausal women

Moreira

Oliveira

Lirani-Galvão

et al. 2014

Arq Bras Endocrinol Metab

175

117

View full text Add to dashboard Cite

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“…The statistical results demonstrated that effect sizes ranged from 0.08 to 1.74, suggesting trivial to large treatment effects on self-reported function and ADL. 109 The results suggest that resistance training can have a beneficial impact in individuals with osteopenia or osteoporosis. The authors also suggest that more high-quality studies are needed to substantiate this conclusion further.…”

Section: Osteoporosis/vertebral Fracturesmentioning

confidence: 94%

“…The authors also suggest that more high-quality studies are needed to substantiate this conclusion further. 109 In another recent systematic review published in the Cochrane Database, the authors discussed the effects of exercise in individuals following osteoporotic vertebral fracture. 110 Seven trials, which consisted of 488 participants, were included in the fi nal analysis.…”

Section: Osteoporosis/vertebral Fracturesmentioning

confidence: 99%

“…109 In this review, the authors' selected 5 papers that met the following inclusion criteria: a randomized controlled trial, participants with osteoporosis or osteopenia, resistance exercise as an intervention, and a self-report questionnaire with a domain of either physical function or ADL. These 5 studies selected all had Pedro scores ranging from 5 to 7 (out of 10).…”

Section: Osteoporosis/vertebral Fracturesmentioning

confidence: 99%

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Thoracic Spine Manual Therapy for Aging and Older Individuals

Masaracchio

Ojha

MacDonald

2015

Topics in Geriatric Rehabilitation

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With the advancement of medicine and technology, along with improvements in preventative medicine, the average age of the US population continues to rise. Research estimates that by the year 2050, there will be more than 65 million older adults living, with 19 million being older than 85 years. As the population ages, more individuals will seek out physical therapy services for spine-related pathologies. Little evidence is currently available on the safety and effectiveness of manual therapy interventions in older adults. The purpose of this review was to discuss the safety and effectiveness of manual therapy interventions targeted at the thoracic spine in older individuals.sents the highest prevalence rates among the 4 conditions identifi ed. 4 These conditions, in addition to other less common conditions such as ankylosing spondylosis, frequently contribute to thoracic pain or immobility in the older adult. In addition, the presence of osteoporosis paired with the potential increased rate of falls results in higher risks of compression fractures in the thoracic spine in older adults. 3 Although primary thoracic pain has been cited as occurring less frequently than neck or low back pain, 5 it can be equally and/or more severe and disabling. 6 , 7 The point prevalence for thoracic spine pain ranges from 3% to 70%, with a 1-month prevalence that ranges from 10% to 38%, a 3-month prevalence between 13% and 39%, and a 1-year prevalence ranging from 25% to 55%. 8 In addition, there is research to suggest that thoracic spine pain increases during the middle adult years (40-50 years), with a decrease in later adult years ( > 70 years). 9 Furthermore, because of the proximity of the thoracic spine to the cervical, lumbar, and shoulder regions, dysfunction in the thoracic spine and/or rib cage can potentially have an infl uence on pain, mobility, and stability in these regions. While mechanisms are unclear, substantial evidence suggests that manual therapy interventions directed at the thoracic spine can decrease pain and improve motion in the thoracic spine and adjacent regions. 10-20 According to the Guide to Physical Therapy Practice, 21 manual therapy can be defi ned as techniques that involve skilled passive movements to the joints and/or related soft tissues that can be applied at varying speeds and amplitudes, including a small-amplitude, high-velocity movement (thrust manipulation). 10 Considering the central role the thoracic spine has in spinal health, the aging population, and the relative cost-effectiveness of manual therapy for managing spinal pain, 22 the main aims of this article are to review thoracic spine anatomy, biomechanics, pathoanatomy, and differential diagnosis to establish the current knowledge of the role of manual therapy and exercise as interventions in the management of thoracic spinal pain in older individuals. THORACIC SPINE ANATOMY AND MECHANICSThe thoracic spine is conceptually divided into 3 regions: an upper (T1-T3), a middle (T4-T7), and a lower (T8-T12) thoracic spine. 23 In addition...

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“…This review was based on a systematic search of published articles available through April 2015, and conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) Virtual reality in elderly Ribeiro-Papa DC consensus. 24 In order to demonstrate the methodological quality of the studies, an article with a good level of evidence was considered to be one with a score equal to or higher than 6 according to the PEDro evaluation scale. This criterion was based on previous reports 18,20 which rated studies scoring 9-10 on the PEDro scale to be methodologically 'Excellent', 6-8 'Good', 4-5 'Fair' and below 4 'Poor'.…”

Section: ■ Methodsmentioning

confidence: 99%

Motor learning through virtual reality in elderly - a systematic review

Ribeiro-Papa¹,

Massetti²,

Crocetta³

et al. 2016

Medical Express

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INTRODUCTION:Decline in physical function is a common feature of older age and has important outcomes in terms of physical health as it relates to quality of life. Our capacity for motor learning allows us to flexibly adapt movements to an ever-changing environment. The term Virtual Reality refers to a wide variety of methods used to simulate an alternative or virtual world. OBJECTIVE: To analyze the results shown in previous studies on motor learning with Virtual Reality use in elderly participants. METHOD: To select the articles, three steps were followed. A systematic literature review was performed without time limitation. The research was carried out using PubMed, BVS and Web of science; considering the keywords, we included articles that showed the following three terms: elderly, virtual reality and motor learning. RESULTS: The initial search yielded 49 articles. After duplicates were removed, two of the authors independently evaluated the title and abstract of each article against the study inclusion criteria. From these, 45 articles were excluded based on title and abstract. Finally, four articles met the inclusion criteria. CONCLUSION: Although few studies were conducted on motor learning in elderly people through virtual reality and, even fewer were of good quality, it was shown that elderly people, with or without a specific disease, can benefit from interventions based on virtual reality to improve motor learning skills.

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Effect of Resistance Exercises on Function in Older Adults with Osteoporosis or Osteopenia: A Systematic Review

Cited by 45 publications

References 38 publications

Physical exercise and osteoporosis: effects of different types of exercises on bone and physical function of postmenopausal women

Physical exercise and osteoporosis: effects of different types of exercises on bone and physical function of postmenopausal women

Thoracic Spine Manual Therapy for Aging and Older Individuals

Motor learning through virtual reality in elderly - a systematic review

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