2014
DOI: 10.4103/2230-8229.142972
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The impact of adding weight-bearing exercise versus nonweight bearing programs to the medical treatment of elderly patients with osteoporosis

Abstract: Background:Osteoporosis is a major public health problem affecting the elderly population, particularly women. The objective of the study was to evaluate the effects of adding weight-bearing exercise as opposed to nonweight-bearing programs to the medical treatment of bone mineral density (BMD) and health-related quality of life (HRQoL) of elderly patients with osteoporosis.Materials and Methods:Participating in the study were 40 elderly osteoporotic patients (27 females and 13 males), with ages ranging from 6… Show more

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Cited by 44 publications
(27 citation statements)
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“…Regarding L2-L4 BMD, our study shown that there were no significant differences between both groups which received core and treadmill programs. This result contradicts the finding of Shanb et al [24] who suggested that there is a significant increase of the lumbar spine BMD after either weight bearing-or non-weight bearing exercise programs because of strong osteogenic stimulus during muscular contraction. Also, kohrt et al [8] agreed with results of the current study in noting a significant increase in the femoral neck BMD with the ground reaction force group only (treadmill group), and contradicted with our findings in reporting the significant increases in lumbar spine BMD with both ground reaction force (treadmill group), and joint reaction force groups (exercise group).…”
Section: Discussioncontrasting
confidence: 98%
“…Regarding L2-L4 BMD, our study shown that there were no significant differences between both groups which received core and treadmill programs. This result contradicts the finding of Shanb et al [24] who suggested that there is a significant increase of the lumbar spine BMD after either weight bearing-or non-weight bearing exercise programs because of strong osteogenic stimulus during muscular contraction. Also, kohrt et al [8] agreed with results of the current study in noting a significant increase in the femoral neck BMD with the ground reaction force group only (treadmill group), and contradicted with our findings in reporting the significant increases in lumbar spine BMD with both ground reaction force (treadmill group), and joint reaction force groups (exercise group).…”
Section: Discussioncontrasting
confidence: 98%
“…Hence, the greater the magnitude of the applied forces, the greater the stimulation of osteoblasts to synthesize calcium in the bone matrix 2,19 . Therefore, exercises with impact present a greater osteogenic effect, as in addition to alterations in the metabolism generated by exercise, they also act through mechanoreceptors, further stimulating bone synthesis 1,20 . The present study was limited to evaluating the effects of training on bone tissue, although other factors also influence BMD, such as the condition of nutrition, these factors were not measured.…”
Section: Discussionmentioning
confidence: 99%
“…After lower limb injuries or surgical replacement of hip or knee joints, a common rehabilitative measure is partial weight bearing (PWB) [2,34]. This measure proved to be benefcial of the healing process after hip operations, knee surgeries, and fractures in or around the joints of the lower limbs [8].…”
Section: State Of the Artmentioning
confidence: 99%