Progressive load training for the quadriceps muscle associated with proprioception exercises for the prevention of falls in postmenopausal women with osteoporosis: a randomized controlled trial

Abstract

The association of progressive strength training for the quadriceps and the proprioceptive training is effective for the prevention of falls, increasing the muscle power, the static and dynamic balance and increasing the speed of the motor responses, therefore improving the performance of daily activities.

Physical Exercise for Prevention of Falls and Fractures

“…We could observe that the shorter the time spent to perform the test, the better the balance (Resende et al, 2008). In this research, Teixeira et al, 2010, observed an improvement in balance evaluated by the Berg Balance Scale, where although there were small numerical changes, it was consistent, agreeing with the outcomes found by Madureira et al, 2006. Bemben et al, 2000, compared the effects of high and low-intensity training in 25 postmenopausal women (41 to 60 years old) using a high repetition (40% 1-RM, 16 repetitions) and high load (80 % 1-RM, 8 repetitions) protocols for six months showing increases from 30 to 40%, respectively in the dynamic strength in quadriceps.…”

“…The increase in strength results from neural alterations and muscle adaptations (Resende et al, 2008). The combination of muscle strength and proprioceptive training was fundamental for a research that included postmenopausal women with osteoporosis conducted by Teixeira et al, 2010. The authors found an increase in mobility and functional capacity that might be related to a 36% decrease in time for performing the timed up & go test.…”

Impaired Ability to Perform the Sit-to-Stand Task in Osteoporotic Women

“…The results showed that low physical performance was associated with low BMD of spine and hip. In addition, some studies shown that regular training to strengthen the muscles of the lower limbs, especially the quadriceps, are effective for increasing muscle power, static and dynamic balance, thus improving performance activities of daily living, which includes the act of sitting down and up (Khazzani et al, 2009;Teixeira et al, 2010). Also, high-impact loading exercise has shown to be efficient to increase bone mass and geometry in postmenopausal women (Hamilton et al, 2010;Iwamoto et al, 2010).…”

Kwas zoledronowy stosowany przez dwa lata u Chinek z osteoporozą pomenopauzalną zwiększa gęstość mineralną tkanki kostnej i poprawia jakość życia związaną ze stanem zdrowia

“…Some studies have even pointed out that falls may have a more important role in fracture risk [30], especially in vertebral fracture and hip fracture. Falls are multifactorial, and their intrinsic causes include altered balance, gait, muscle strength, visual acuity, cognition, and the presence of chronic diseases [31]. Almost all hip fractures (more than 90%) occur as the result of a fall.…”

“…Almost all hip fractures (more than 90%) occur as the result of a fall. These fractures are related not only to the decreased bone mass, but also to other factors such as reduction of balance and of muscle strength and power in the lower extremities [31]. However, few studies have taken into consideration the relationship between treatment of ZOL and risk of falls.…”