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European Journal of Physical and Rehabilitation Medicine 2020 Sep 09

DOI: 10.23736/S1973-9087.20.06149-3


lingua: Inglese

A 12-week exercise program improves functional status in post-menopausal osteoporotic women: randomized controlled study

Tamara N. FILIPOVIĆ 1 , Milica P. LAZOVIĆ 1, Ana N. BACKOVIĆ 2, Aleksandar N. FILIPOVIĆ 3, Aleksandra M. IGNJATOVIĆ 4, Sanja S. DIMITRIJEVIĆ 5, Kristina R. GOPČEVIĆ 6

1 Institute for Rehabilitation, School of Medicine, University of Belgrade, Belgrade, Serbia; 2 Turval Laboratories Srl, Udine, Italy; 3 Center for Radiology and MR, Clinical Center of Serbia, University of Belgrade, Belgrade, Serbia; 4 Department of Medical Statistics and Informatics, Faculty of Medicine, University of Niš, Niš, Serbia; 5 Special Hospital for Cerebral Palsy and Developmental Neurology, School of Medicine, University of Belgrade, Belgrade, Serbia; 6 Institute for Chemistry in Medicine, School of Medicine, University of Belgrade, Belgrade, Serbia


BACKGROUND: Beside the importance of implementing physical activity in treatment of patients with osteoporosis, the multicomponent exercise program and assessment of its functional outcomes performed by five performance-based measures, have not been explored yet.
AIM: The present study evaluated the effect of the 12 weeks exercise program on functional outcomes of postmenopausal patients with densitometric diagnosed osteoporosis.
DESIGN: The study was designed as randomised control study.
SETTING: Female outpatients with diagnosed postmenopausal osteoporosis were included in the study.
POPULATION: Women from urban area were presented.
METHODS: Patients were randomized in two groups: “exercise group” (EG) and “control group” (CG). Patients in the exercise group (n=47) participated in a 12 weeks exercise program, which consisted of resistance training, balance exercise and aerobic exercise, while patients from control group (n=49) had not participated in any exercise program during the intervention period. Functional outcomes determined by “Time Up and Go” test (TUG), “Sit To Stand” test (STS) and “One Leg Stance Test” (OLST) were evaluated at baseline and 4 and 12 weeks after treatment, while “Fall Efficacy Scale” (FES-I) and “knowledge about osteoporosis questionnaire” (OKAT-S) were assessed at baseline andafter 12 weeks, respectively.
RESULTS: There were noticed statistically significant improvement in all observed measurements in EG after 4 and 12 weeks, respectively. Comparison between groups showed statistically significant difference in EG compared to CG in all functional outcomes in observed periods (p<0.001 for all). OLST significantly changed only in EG, not in CG, in both experimental periods. After 4 weeks, in CG there were no statistically significant changes in any of the monitored parameters, while after 12 weeks improvements were detected with TUG, STS, FES-I and OKAT-S.
CONCLUSIONS: 12 weeks exercise program, as an effective, inexpensive and easily performed method, improved functional status in postmenopausal osteoporotic women.
CLINICAL REHABILITATION IMPACT: In the present study we found that supervised exercise program in postmenopausal osteoporotic female patients significantly improved their muscle strength and balance and decrease fear of falling. Thus, it is proposed to be a part of clinical protocol for osteoporosis treatment.

KEY WORDS: Postmenopausal osteoporosis; Rehabilitation

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