The impact of closed versus open kinetic chain exercises on osteoporotic femur neck and risk of fall in postmenopausal women

Thabet, Ali Abd El-Monsif; Alshehri, Mansour Abdullah; Helal, Omar Farouk; Refaat, Bassem

doi:10.1589/jpts.29.1612

Cited by 7 publications

(5 citation statements)

References 25 publications

(30 reference statements)

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“…47 The findings of this study are consistent with previous studies that found that exercises improved BMD and decrease fall risk in women with OP. 15 In addition, the current study found that the group of HILT had a better quality of life in comparing with the exercises group, as demonstrated by higher scores in all five EHP-5 domains and a significant difference in the quality-of-life scores mean value, which is consistent with previous research. 48…”

Section: The Pemf Effectssupporting

confidence: 91%

“…PEMF exposure affected the formation of growth factors, enhancing the formation of extra-cellular matrix proteins and enhancing tissue repair. 15 Physical therapy has gained more attention in recent years, in addition to pharmacotherapy, for this type of disease. 33 PEMF has been shown to have potential effect in the treatment of OP 21,34 as an effective physiotherapy for various disorders of bone.…”

Section: The Pemf Effectsmentioning

confidence: 99%

“…As a result, these activities should be used in conjunction with other OP therapy strategies. 15 Pulsed high-intensity laser therapy (HILT) penetrates the tissue deeply, triggering chemical and mechanical changes as well as thermal mechanisms. 16 Physical properties of HILT beams, such as mechanical and thermal effects, may be responsible for the profibrinolytic effects.…”

Section: Introductionmentioning

confidence: 99%

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Effect of pulsed electromagnetic field versus pulsed high intensity laser in the treatment of men with osteopenia or osteoporosis: a randomized controlled trial

et al. 2022

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Background: Osteoporosis has been related to a negative impact on several aspects of patient health, including physical, mental, and emotional well-being. The objective of this study was to examine the effects of pulsed electromagnetic fields (PEMF) and pulsed Nd-YAG laser therapy (HILT) on men with osteopenia or osteoporosis. Methods: Ninety-five men with osteopenia or osteoporosis (mean age, 52 years; mean height, 176 cm; mean weight, 83 kg; mean body-mass index (BMI), 26.86 kg/m2) took part in the study, and they were randomly assigned to one of three groups: Group 1 received PEMF and exercise program (PEMF +EX), Group 2 received HILT and exercise program (HILT+EX), and Group 3 received exercise program only (EX). PEMF was applied three times per week for 12 weeks using a full-body mat, while HILT was applied to the lower back and hip regions with a total dose of energy of 3000 J delivered in two treatment stages. Flexibility, aerobic exercise, strength, weight-bearing, and balance exercises are included in exercise program, which is followed by whole-body vibration training. Bone mineral density (BMD) of the total hip and lumbar spine, bone markers, health-related quality of life (HRQoL), and fall risk are all outcome measures. Results: There were no significant differences in the parameters between the groups at the baseline (P > 0.05). Patients in all groups, however, showed significant improvements in all measured parameters following treatment (P< 0.05), with Group 1 and Group 2 showing much greater improvements than Group 3. Conclusion: After 12-weeks of treatment, PEMF combined with exercise is more effective than HILT combined with exercise or exercise alone in increasing BMD and promoting bone formation, suppressing bone-resorption markers, and improving quality of life and fall risk, with the effects lasting up to six months. This study was registered in the ClinicalTrial.gov PRS (NCT05029440, 26/08/2021).

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Section: The Pemf Effectssupporting

confidence: 91%

Section: The Pemf Effectsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Effect of pulsed electromagnetic field versus pulsed high intensity laser in the treatment of men with osteopenia or osteoporosis: a randomized controlled trial

et al. 2022

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“…Few published randomized controlled trials were carried out in Egypt to address the impact of different exercise protocol exercise on the bone mineral density. The study carried out by Thabet et al [54] to investigate how closed and open kinetic chain exercises differed in their impact on bone mineral density (BMD) and fall risk in postmenopausal women with osteoporosis, results revealed that the strongest impact on BMD and fall risk was recorded by the closed kinetic chain exercise. Another study was carried out by Mowafy et al [55] to evaluate the efficacy of the treadmill weight-bearing exercises on BMD and t score mean in cases of osteoporosis El Miedany et al Egyptian Rheumatology and Rehabilitation (2023) 50:7 in breast cancer patients receiving chemotherapy.…”

Section: Rehabilitation Managementmentioning

confidence: 99%

Post-fracture care program in Egypt: merging subsequent fracture prevention and improving patients’ outcomes—an initiative by the Egyptian Academy of Bone Health

Miedany

El-Naby

Abu-Zaid

et al. 2023

Egypt Rheumatol Rehabil

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Background Despite the associated high prevalence of morbidity and mortality, osteoporotic fragility fractures remain underdiagnosed and undertreated. Furthermore, those who sustain a fragility fracture are at imminent risk of sustaining subsequent fractures. Post-fracture care (PFC) programs are systematic, coordinated care programs that recognize, evaluate, and manage older adults who sustained a fragility fracture with the goal of managing all the risk factors and preventing succeeding fractures. Main text This work was carried out to outline the PFC program adopted in Egypt and its applicability in standard clinical practice. A review of literature was conducted to identify an evidence-informed PFC strategies and protocols, which outlines the optimal manner to manage older adults living with fragility fractures. The Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) checklist was used to guide the reporting of this review. Based on this, a PFC integrated model of care based on a patient-centered approach has been developed aiming to optimize the outcomes. Conclusion This manuscript described the integrated model of care adopted in Egypt to provide care for older adults presenting with fragility fractures. This will pave the way to standardize patient identification and management. Additionally, to prevent occurrence of subsequent fractures and to enhance equity of care for patients with fragility fracture and osteoporosis, expansion of such service to rural and remote areas is highly recommended.

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“…Physical activity to maintain bone mass and strength is important for fracture prevention. Many studies have shown that physical activity has a positive effect on femoral bone mineral density (BMD) [ [4] , [5] , [6] ]. However, to perform physical activity, the locomotive system, including muscles, joints, cartilage, bones, the spine, intervertebral discs, and nerves, need to function properly.…”

Section: Introductionmentioning

confidence: 99%

Daily activity relates to not only femoral bone mineral density, but also hip structural analysis parameters: A cross-sectional observational study

Fujii

Okimoto²,

Tsukamoto³

et al. 2021

Osteoporosis and Sarcopenia

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Objectives Physical activity to maintain bone mass and strength is important for hip fracture prevention. We aim to investigate the relationship between physical performance/activity status and bone mineral density (BMD)/hip structural analysis (HSA) parameters among postmenopausal women in Japan. Methods Sixty-two postmenopausal women diagnosed with osteoporosis (mean age: 72.61 ± 7.43 years) were enrolled in this cross-sectional observational study. They were evaluated for BMD and HSA in the proximal femur by dual-energy X-ray absorptiometry and underwent several physical performance tests, the Geriatric Locomotive Function Scale of 25 questions (GLFS-25). Principal component analysis (PCA) was used to summarize data on the BMD/HSA parameters. Partial correlation analysis, multiple regression analysis, and structural equation modeling (SEM) were performed to investigate the relationship between physical performance/activity status and BMD/HSA parameters of the proximal femur. Results In a partial correlation analysis adjusted for age and body mass index (BMI), GLFS-25 scores were correlated with HSA parameter (|r| = 0.260–0.396, P < 0.05). Principal component 1 (PC1) calculated by PCA was interpreted as more reflective of bone strength based on the value of BMD/HSA parameters. The SEM results showed that the model created by the 3 questions (Q13, brisk walking; Q15, keep walking without rest; Q20, load-bearing tasks and housework) of the GLFS-25 had the best fit and was associated with the PC1 score (β = −0.444, P = 0.001). Conclusions The GLFS-25 score was associated with the BMD/HSA parameter, which may reflect the bone strength of the proximal femur as calculated by PCA.

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The impact of closed versus open kinetic chain exercises on osteoporotic femur neck and risk of fall in postmenopausal women

Cited by 7 publications

References 25 publications

Effect of pulsed electromagnetic field versus pulsed high intensity laser in the treatment of men with osteopenia or osteoporosis: a randomized controlled trial

Effect of pulsed electromagnetic field versus pulsed high intensity laser in the treatment of men with osteopenia or osteoporosis: a randomized controlled trial

Post-fracture care program in Egypt: merging subsequent fracture prevention and improving patients’ outcomes—an initiative by the Egyptian Academy of Bone Health

Daily activity relates to not only femoral bone mineral density, but also hip structural analysis parameters: A cross-sectional observational study

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