Creation of Physical Rehabilitation Program for Patients with Osteoporosis and Vertebral Fractures and Evaluation of its Efficiency in Women of Older Age Groups
Keywords:
program of physical rehabilitation, functional testing, osteoporotic fractures of vertebrate bodies, postmenopausal womenAbstract
According to the current recommendations, multicomponent physical rehabilitation programs are the obligatory link of a comprehensive system of treatment of systemic osteoporosis and its complications. The purpose of the work was to develop a program of physical rehabilitation for women aged 50–84 with osteoporosis and fractures of vertebral bodies at the level of the thoracic and / or lumbar spine and assessing its effectiveness and safety. We offer a program of physical rehabilitation, which involves the use of new therapeutic gymnastics complexes (basic and varicose), respiratory gymnastics, therapeutic massage, stepper simulator (mini), dosed corsets and rational nutrition for postmenopausal women, depending on their age, number and location of vertebral fractures. To evaluate the effectiveness of the developed program of physical rehabilitation, 53 postmenopausal women aged 50–84 years were examined. Static and dynamic types of functional testing were used. The examined women were engaged in the developed program of physical rehabilitation for seven months. The analysis of the effectiveness of complex treatment of systemic osteoporosis with vertebral fractures with the inclusion of the proposed program of physical rehabilitation has shown a significant increase in both dynamic and static indicators of functional testing, indicating its effectiveness. The absence of a negative effect of the above program on hemodynamic indices indicates its safety, which allows it to be recommended for introduction into practical medicine for use in older women with fractures of vertebrate bodies.
References
2. Arima K, Abe Y, Nishimura T, Okabe T, Tomita Y, Mizukami S, et al. Association of vertebral compression fractures with physical performance measures among community-dwelling Japanese women aged 40 years and older. BMC Musculoskelet Disord. 2017 Apr 28;18(1):176.
3. Otero M, Esain I, González-Suarez ÁM, Gil SM. The effectiveness of a basic exercise intervention to improve strength and balance in women with osteoporosis. Clin Interv Aging. 2017 Mar;12:505–13.
4. Booth FW, Roberts CK, Laye MJ. Lack of exercise is a major cause of chronic diseases. Compr Physiol. 2012 Apr;2(2):1143–211.
5. Roghani T, Torkaman G, Movasseghe S, Hedayati M, Goosheh B, Bayat N. Effects of short-term aerobic exercise with and without external loading on bone metabolism and balance in postmenopausal women with osteoporosis. Rheumatol Int. 2013 Feb;33(2):291–8.
6. Bonaiuti D, Shea B, Iovine R, Negrini S, Robinson V, Kemper HC, et al. Exercise for preventing and treating osteoporosis in postmenopausal women. Cochrane Database Syst Rev. 2002;(3):CD000333.
7. Zhao R, Zhang M, Zhang Q. The Effectiveness of Combined Exercise Interventions for Preventing Postmenopausal Bone Loss: A Systematic Review and Meta-analysis. J Orthop Sports Phys Ther. 2017 Apr;47(4):241–51.
8. Kemmler W, Bebenek M, Kohl M, von Stengel S. Exercise and fractures in postmenopausal women. Final results of the controlled Erlangen Fitness and Osteoporosis Prevention Study (EFOPS). Osteoporos Int. 2015 Oct;26(10):2491–9.
9. Grygorieva NV, Povorozyuk VV, Rybina OS. Parameters of physical performance and quality of life in postmenopausal women with vertebral fractures, depending on their quantity and localization. Sports Medicine and Rehabilitation Journal. 2018 3(4):1–7.
10. Grygorieva NV, Povoroznyuk VV, Rybina OS. Development of complexes of physical rehabilitation and assessment of their effectiveness in postmenopausal women with osteoporosis, depending on age and number of vertebral fractures. Pain Joint of the Spine. 2018; 8 (2): 27–33.
