Long-term effects of back extensor strengthening exercises on quality of life in women with osteoporosis

Khalili, Ahmad; Almasi, Minoo Heidari; Raeissadat, Seyed Ahmad; Sedighipour, Leyla; Zamani, Y Salek; Zohoor, Mohammad Reza Omid

doi:10.1080/08952841.2016.1223968

Cited by 5 publications

(4 citation statements)

References 26 publications

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“…The results report a statistically significant increase in performance in the evaluation tools used, with superiority of the groups performing an exercise protocol ( Table 1 ) over the control groups [ 12 , 15 , 21 , 23 , 24 , 25 , 27 ].…”

Section: Summary Of Resultsmentioning

confidence: 99%

An Up-Date of the Muscle Strengthening Exercise Effectiveness in Postmenopausal Women with Osteoporosis: A Qualitative Systematic Review

Pérez

Battaglino

et al. 2021

JCM

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Background: Osteoporosis (OP) is a systemic disease that is characterized by decreased bone density and quality. Purpose: The purpose of this systematic review was to determine the effects of muscle strengthening exercise in postmenopausal women with OP. Methods: A literature search was conducted systematically in MEDLINE, CINAHL, EMBASE databases for human studies up to 31 March 2021. Two researchers screened the articles against predefined inclusion criteria; a third resolved discrepancies. Articles were included if they assessed the effects of muscle strengthening exercise in postmenopausal women with OP. The protocol for this systematic review was registered on PROSPERO (CRD42021207917) and a qualitative systematic review was carried out following the PRISMA statement. Methodological quality was evaluated through the scientific validity scales PEDro. Finally, RTCs and NRCTs risk of bias was assessed with the Cochrane risk of bias tool (Risk of Bias-ROB 2.0) and ROBINS-1, respectively. Results: A total of 16 studies (1028 subjects) that met the different eligibility criteria previously established were selected. There is evidence of good methodological quality and a low to moderate risk of bias that supports that muscle strengthening exercise alone or in combination with other therapeutic modalities improves BMD (9, n = 401) in proximal femur and lumbar vertebra body, muscle strength (10, n = 558), balance (4, n = 159), functionality (7, n = 617), and quality of life (5, n = 291). Conclusions: Exercise programs focused on muscle strengthening have benefits for all variables studied in postmenopausal women with OP.

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Section: Summary Of Resultsmentioning

confidence: 99%

An Up-Date of the Muscle Strengthening Exercise Effectiveness in Postmenopausal Women with Osteoporosis: A Qualitative Systematic Review

Pérez

Battaglino

et al. 2021

JCM

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“…Furthermore, in a 2-year progressive resisted back strengthening exercise program among postmenopausal women in the study by Sinaki et al (10) demonstrated increased BEM strength and reduced bone loss and reduced incidence of vertebral fractures 8 years later in comparison to those without exercises. in the outcome measure (49). The other reason may be attributed to EQ5D VAS not been a sensitive tool to observe change in postmenopausal women with no osteoporotic fracture (50).…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of Physiotherapeutic Group Education in Improving Quality of Life, Physical Performance and Back Extensor Muscle Strength among Postmenopausal Women with Osteoporosis

Chua¹,

Chua²,

Singh³

et al. 2022

MJMHS

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Introduction: Menopause associated symptoms may interrupt daily activities and wellbeing among postmenopausal women. Decline in muscle strength and bone mineral density may lead to bone fragility, increase osteoporotic fracture risk, decrease functional performance and quality of life (QOL) among postmenopausal women. The aim of this study was to investigate the effectiveness of 8-weeks physiotherapeutic education (an education session and home-based exercise) on back extensor muscle (BEM) strength, physical performance, balance and QOL in postmenopausal women. Methods: A single blinded, two-arm pilot randomize clinical trial consisting of 30 postmenopausal women with mean age of 68.90 (SD = 8.44) years were randomly assigned to the experimental (n=15) and control (n=15) groups. Experimental group received a group education and performed 8-weeks of home-based exercises. Participants in experimental group recorded exercises performed in their exercise diaries and a physiotherapist monitored their progress through phone calls every two weeks. Control group maintained their daily routine. Assessments were performed at baseline and after eight weeks of intervention for quality of life (QOL), physical performance, BEM strength, handgrip muscle strength and balance using Euro-EQ5D Questionnaire, Short Physical Performance Battery (SPPB) test, prone trunk extension test with a load cell, hand-held dynamometer and Activities-specific Balance Confidence (ABC) scale, respectively. Results: The adherence of exercise in experimental group was 86.67%. Mixed model ANOVA analysis showed that there was an interaction effect for BEM strength (p < 0.01). Specifically, the self-perceived health status (EQVAS), EQ5D health Utility index, SPPB and ABC scale had more improvements from pre to post test (all p < 0.05) among experimental compared to control group. Conclusion: Physiotherapeutic education (a group education combined with 8-weeks of therapeutic home-based exercises) provides an effective means to improve BEM strength and physical performance in postmenopausal women.

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“…The exercise program in our RCT focused on strength training of the back extensor muscles and the legs, balance training, and weight-bearing exercises for the skeleton. This is also recommended in several studies, which have shown that physical training can improve balance and prevent falls and fractures, 6 , 27 , 28 , 29 , 30 , 31 , 32 improve health-related quality of life, 2 , 33 and decrease back pain. 32 Exercises that load the skeleton affect bone mineral density positively.…”

Section: Discussionmentioning

confidence: 99%

“…An increase in back extensor strength has in previous studies shown to decrease problems with back pain and also to make daily activities easier. 1 , 2 , 3 It has also been shown that vertebral fractures can be prevented by activating and training back extensor muscles. 4 , 5 , 6 …”

mentioning

confidence: 99%

Wearing an Activating Spinal Orthosis and Physical Training in Women With Osteoporosis and Back Pain: A Postintervention Follow-Up Study

Alin

Grahn-Kronhed

Uzunel

et al. 2021

Archives of Rehabilitation Research and Clinical Translation

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Objective To assess the duration of benefits on back pain and back extensor strength in women with osteoporosis who had previously participated in a randomized controlled trial (RCT) involving either exercise or wearing a spinal orthosis. Design A 6-month postintervention follow-up of women who were involved in the interventions in the RCT. Setting The study was conducted in a primary health care center in Stockholm, Sweden. Participants In this follow-up study 31 women participated in the spinal orthosis group, and 31 women participated in the exercise group, with a median age of 76 years in both groups (N=62). All women were diagnosed as having osteoporosis, had back pain with or without vertebral fracture, and were 60 years or older, which were the inclusion criteria in the RCT. Interventions The participants received no controlled supervision. The spinal orthosis group was asked to wear the orthosis, and the training group was asked to follow an exercise program for another 6 months voluntarily. Main Outcome Measures Back extensor strength was measured with a computerized device; back pain was estimated by the visual analog scale and by Borg CR-10. Results After 6 months there were no significant differences between the groups in back extensor strength or back pain. Analyses within the groups showed that achieved results during 6 months intervention in the RCT were maintained after 6 months of voluntary use of the spinal orthosis and training. In the spinal orthosis group, back extensor strength mean was 81.7 N, and back pain median was 3 mm. In the training group back extensor strength mean was 72.8 N, and back pain median was 3 mm. There were no changes for any other measurements performed. Conclusions Voluntary use of the spinal orthosis or exercise during a 6-month follow-up period maintained the increase in back extensor muscle strength obtained during the RCT. Estimation of back pain was not influenced. This indicates that the women had continued to use the spinal orthosis and exercise.

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Long-term effects of back extensor strengthening exercises on quality of life in women with osteoporosis

Cited by 5 publications

References 26 publications

An Up-Date of the Muscle Strengthening Exercise Effectiveness in Postmenopausal Women with Osteoporosis: A Qualitative Systematic Review

An Up-Date of the Muscle Strengthening Exercise Effectiveness in Postmenopausal Women with Osteoporosis: A Qualitative Systematic Review

Effectiveness of Physiotherapeutic Group Education in Improving Quality of Life, Physical Performance and Back Extensor Muscle Strength among Postmenopausal Women with Osteoporosis

Wearing an Activating Spinal Orthosis and Physical Training in Women With Osteoporosis and Back Pain: A Postintervention Follow-Up Study

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