Group Treatment Improves Trunk Strength and Psychological Status in Older Women with Vertebral Fractures: Results of a Randomized, Clinical Trial

Abstract

Weak trunk extension strength and psychological symptoms associated with VFs can be improved in older women using group treatment, and psychological improvements are retained for at least 6 months.

Too Fit To Fracture: exercise recommendations for individuals with osteoporosis or osteoporotic vertebral fracture

“…Commonly reported adverse events in exercise trials include muscle soreness/strain, joint pain, cardiovascular reactions, and falls [6,10,27]. Although our review of current evidence concluded that the risks of exercise do not outweigh the benefits, there is evidence from both observational trials and randomized controlled trials that exercise may increase the risk of fractures under certain conditions, such as walking during slippery weather or performing twisting movements too quickly during transitions between positions [17,18,38]. The panel assigned the rating of very low to the quality of evidence around harms associated with exercise and noted the importance of considering both the risks and benefits when making recommendations for individuals at risk of fractures.…”

“…In individuals with vertebral fractures, there are a few reports of reduced pain after shortterm (10 weeks) exercise programs, but no effect reported after longer-term (24 weeks) exercise, suggesting imprecision in the estimate [38,[43][44][45]. The data are sparse, and the risk of bias in some cases is a concern.…”

“…Instruction on proper handling of equipment and transitions between movements is important for individuals at risk of fracture. A few fractures in individuals with vertebral fracture have occurred when weights were dropped or when turning from supine to prone [38]. Slow, controlled movements are recommended.…”

“…In individuals with vertebral fractures, there have been reports of fractures during exercise (e.g., when rolling from supine to prone, or when weights were dropped on foot), but the between-group differences in risk were not examined [38]. Because of the sparse data, inconsistency in the reported size and direction of effect and high risk of bias, the panel put forward a very low quality rating for the fractures outcome for both target groups and suggested that both the risks and benefits of exercise be considered in the recommendations.…”

Altmış Beş Yaş ve Üzeri Kadınlarda İzokinetik Gövde Fleksör ve Ekstansör Kas Kuvvetleri ile Osteoporoz İlişkisi

“…Osteoporozu önlemek için gövde kas kuvvetini arttırmaya yönelik egzersiz programları önerilmektedir (2,25). Osteoporoza bağlı omurga kırığı olan hastalarda gövde kaslarını kuvvetlendirmeye yönelik grup eğitim programı ile izometrik gövde ekstansör kuvvetlerinde ve psikolojik durumlarında gelişme olduğu gözlenmiştir (15). Ev egzersiz programı şeklinde önerilen gövde ekstansör kuvvetlendirme egzersizlerinin de kuvvet artışı ve yaşam kalitesi üzerindeki olumlu etkileri gösterilmiştir (25).…”