Efficiency of back muscles training and balance therapy in rehabilitation of patients with osteoporotic vertebral fractures

Submitted: 30 June 2021
Accepted: 22 September 2021
Published: 19 October 2021
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Medical rehabilitation of patients with osteoporotic vertebral fractures (VF) remains an insufficiently developed topic and requires additional research. Aim of the study was to assess the efficiency of back muscles training and balance therapy in rehabilitation of patients with osteoporotic vertebral fractures. Prospective, interventional, open-label, controlled study in two parallel groups, performed in inpatient department settings at “National Medical Research Center of Rehabilitation and Balneology” during 2018. The study involved 120 patients (11 men and 109 women) aged 40-80 (mean age 65.4±9.1 years) who were admitted for medical rehabilitation for systemic OP and VF. The rehabilitation program in the main group included: 1) Mechanotherapy on the Back-Therapy-Center Dr. Wolf complex with biofeedback (Germany); 2) Balance therapy on a double unstable COBS platform, with biofeedback (Germany); 3) Hydrokinesiotherapy in a pool; 4) Gymnastic exercises (Gorinevskaya-Dreving method). Results. The use of the three-week program of physical rehabilitation using mechanotherapy, balance therapy and special complexes of physiotherapy exercises in the gym and in the pool in patients with osteoporotic VF significantly increases the strength of the muscle corset, helps to eliminate the existing muscle deficit in TE and TF and results in a more physiological distribution of the strength ratio between TE and TF. The rehabilitation program improves the function of static and dynamic balance, both with closed and open eyes, which can be observed in the return of the center of gravity to a physiological position and in improved reaction speed to changes in body position. Usage of mechanotherapeutic methods in rehabilitation of patients with osteoporotic VF is effective for basic motor function improvement and disability reduction.

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Bliuc D, Nguyen ND, Milch VE, Nguyen TV, Eisman JA, Center JR. Mortality risk associated with low-trauma osteoporotic fracture and subsequent fracture in men and women. JAMA. 2009 Feb 4;301(5):513-21. DOI: https://doi.org/10.1001/jama.2009.50
Papaioannou A, Kennedy CC, Ioannidis G, Sawka A, Hopman WM, Pickard L, Brown JP, Josse RG, Kaiser S, Anastassiades T, Goltzman D, Papadimitropoulos M, Tenenhouse A, Prior JC, Olszynski WP, Adachi JD; CaMos Study Group. The impact of incident fractures on health-related quality of life: 5 years of data from the Canadian Multicentre Osteoporosis Study. Osteoporos Int. 2009 May;20(5):703-14. DOI: https://doi.org/10.1007/s00198-008-0743-7
Kanis, J.A., Harvey, N.C., McCloskey, E. et al. Algorithm for the management of patients at low, high and very high risk of osteoporotic fractures. Osteoporos Int 31, 1-12 (2020). DOI: https://doi.org/10.1007/s00198-020-05302-6
Pfeifer M, Sinaki M, Geusens P, Boonen S, Preisinger E, Minne HW; ASBMR Working Group on Musculoskeletal Rehabilitation. Musculo-skeletal rehabilitation in osteoporosis: a review. J Bone Miner Res. 2004 Aug;19(8):1208-14. DOI: https://doi.org/10.1359/JBMR.040507
WHO Scientific Group on the Burden of Musculoskeletal Conditions at the Start of the New Millennium. The burden of musculoskeletal conditions at the start of the new millennium. World Health Organ Tech Rep Ser. 2003;919:i-x, 1-218.
Weaver CM, Gordon CM, Janz KF, Kalkwarf HJ, Lappe JM, Lewis R, O'Karma M, Wallace TC, Zemel BS. The National Osteoporosis Foundation's position statement on peak bone mass development and lifestyle factors: a systematic review and implementation recommendations. Osteoporos Int. 2016 Apr;27(4):1281-1386. Epub 2016 Feb 8. Erratum in: Osteoporos Int. 2016 Apr;27(4):1387. DOI: https://doi.org/10.1007/s00198-015-3440-3
Sinaki M. Exercise for patients with osteoporosis: management of vertebral compression fractures and trunk strengthening for fall prevention. PM R. 2012 Nov;4(11):882-8. DOI: https://doi.org/10.1016/j.pmrj.2012.10.008
Eryomushkin M.A. Physical activity and health. From therapeutic exercises to parkour. Moscow: Sport; 2016 (in russ.)
Parreira PCS, Maher CG, Megale RZ, March L, Ferreira ML. An overview of clinical guidelines for the management of vertebral compression fracture: a systematic review. Spine J. 2017 Dec;17(12):1932-1938. DOI: https://doi.org/10.1016/j.spinee.2017.07.174
Genant HK, Jergas M, Palermo L, Nevitt M, Valentin RS, Black D, Cummings SR. Comparison of semiquantitative visual and quantitative morphometric assessment of prevalent and incident vertebral fractures in osteoporosis The Study of Osteoporotic Fractures Research Group., Journal of Bone and Mineral Research.1996;11:984-996. DOI: https://doi.org/10.1002/jbmr.5650110716
White Book on Physical and Rehabilitation Medicine in Europe. Introduction, Executive Summary and Methodology. Eur J Rehabil Med. 2018: 54(2): 125 - 155 DOI: https://doi.org/10.23736/S1973-9087.18.05143-2
Razi AE, Hershman HS, Stuart H (Eds.). Vertebral Compression Fractures in Osteoporotic and Pathologic Bone: A Clinical Guide to Diagnosis and Management. Springer. 1st ed. 2020. 244 p. ISBN-10: 3030338606 DOI: https://doi.org/10.1007/978-3-030-33861-9
Lesnyak OM. Osteoporosis. Brief guidelines for doctors. GEOTAR-Media, 2019. 224 p. (in russ.)
Camacho PM, Petak SM, Binkley N, Diab DL, Eldeiry LS, Farooki A, Harris ST, Hurley DL, Kelly J, Lewiecki EM, Pessah-Pollack R, McClung M, Wimalawansa SJ, Watts NB. American association of clinical endocrinologists/american college of endocrinology Clinical practice guidelines for the diagnosis and treatment of postmenopausal osteoporosis - 2020 Update executive summary. Endocr Pract. 2020 May;26(5):564-570. DOI: https://doi.org/10.4158/GL-2020-0524
Scottish Intercollegiate Guidelines Network. Management of osteoporosis and the prevention of fragility fractures. Revised edition published June 2020. Avaliable at: https://www.sign.ac.uk/assets/sign50_2019.pdf
Tarantino U, Iolascon G, Cianferotti L, Masi L, Marcucci G, Giusti F, Marini F, Parri S, Feola M, Rao C, Piccirilli E, Zanetti EB, Cittadini N, Alvaro R, Moretti A, Calafiore D, Toro G, Gimigliano F, Resmini G, Brandi ML. Clinical guidelines for the prevention and treatment of osteoporosis: summary statements and recommendations from the Italian Society for Orthopaedics and Traumatology. J Orthop Traumatol. 2017 Nov;18(Suppl 1):3-36. DOI: https://doi.org/10.1007/s10195-017-0474-7
Sveshnikov A.A. Skeletal bone mineral density, muscle mass and fracture prevention problems. Moscow: Publishing House of the Academy of Natural Sciences.2013.366 p. (in russ.)
Callréus M, McGuigan F, Ringsberg K, Åkesson K. Self-reported recreational exercise combining regularity and impact is necessary to maximize bone mineral density in young adult women : A population-based study of 1,061 women 25 years of age. Osteoporosis International. 2012;23(10):2517-2526. DOI: https://doi.org/10.1007/s00198-011-1886-5
Braun SI, Kim Y, Jetton AE, Kang M, Morgan DW. Sedentary Behavior, Physical Activity, and Bone Health in Postmenopausal Women. J Aging Phys Act. 2017 Apr;25(2):173-181. DOI: https://doi.org/10.1123/japa.2016-0046
Gerasimenko MYu, Eremushkin MA, Arkhipov MV, Kolyagin YuI, Antonovich IV Prospects for the development of robotic manipulation mechanotherapy complexes. Physiotherapy, balneology and rehabilitation. 2017; 2: 65-69. DOI: https://doi.org/10.18821/1681-3456-2017-16-2-65-69
World Health Organization. (WHO global report on falls prevention in older age. Geneva: World Health Organization, 2008. Available at https://apps.who.int/iris/handle/10665/43811
Madureira MM, Takayama L, Gallinaro AL, Caparbo VF, Costa RA, Pereira RM. Balance training program is highly effective in improving functional status and reducing the risk of falls in elderly women with osteoporosis: a randomized controlled trial. Osteoporos Int. 2007 Apr; 18(4):419-25. DOI: https://doi.org/10.1007/s00198-006-0252-5
Hongo M, Itoi E, Sinaki M, Miyakoshi N, Shimada Y, Maekawa S, Okada K, Mizutani Y. Effect of low-intensity back exercise on quality of life and back extensor strength in patients with osteoporosis: a randomized controlled trial. Osteoporos Int. 2007 Oct;18(10):1389-95. DOI: https://doi.org/10.1007/s00198-007-0398-9
McGrath RP, Kraemer WJ, Vincent BM, Hall OT, Peterson MD. Muscle Strength Is Protective Against Osteoporosis in an Ethnically Diverse Sample of Adults. J Strength Cond Res. 2017 Sep;31(9):2586-2589. DOI: https://doi.org/10.1519/JSC.0000000000002080
Moreira LDF, de Oliveira ML, Lirani-Galvão AP, Marin-Mio RV, dos Santos RN, Lazaretti-Castro M. Physical exercise and osteoporosis: effects of different types of exercises on bone and physical function of postmenopausal women. Arq Bras Endocrinol Metab. 2014; 58(5): 514-522. DOI: https://doi.org/10.1590/0004-2730000003374
Ioannidis G, Papaioannou A, Hopman WM, Akhtar-Danesh N, Anastassiades T, Pickard L, Kennedy CC, Prior JC, Olszynski WP, Davison KS, Goltzman D, Thabane L, Gafni A, Papadimitropoulos EA, Brown JP, Josse RG, Hanley DA, Adachi JD. Relation between fractures and mortality: results from the Canadian Multicentre Osteoporosis Study. CMAJ. 2009 Sep 1;181(5):265-71. DOI: https://doi.org/10.1503/cmaj.081720
Makarova EV, Marchenkova LA, Eryomushkin MA, Styazkina EM, Chesnikova EI. Balance and muscle strength tests in patients with osteoporotic vertebral fractures to develop tailored rehabilitation programs. Eur J Transl Myol. 2020 Sep 9;30(3):9236. DOI: https://doi.org/10.4081/ejtm.2020.9236
Burke TN, França FJ, Ferreira de Meneses SR, Cardoso VI, Marques AP. Postural control in elderly persons with osteoporosis: Efficacy of an intervention program to improve balance and muscle strength: a randomized controlled trial. Am J Phys Med Rehabil. 2010 Jul;89(7):549-56. DOI: https://doi.org/10.1097/PHM.0b013e3181ddccd2
Howe TE, Shea B, Dawson LJ, Downie F, Murray A, Ross C, Harbour RT, Caldwell LM, Creed G. Exercise for preventing and treating osteoporosis in postmenopausal women. Cochrane Database Syst Rev. 2011 Jul 6;(7):CD000333. DOI: https://doi.org/10.1002/14651858.CD000333.pub2

How to Cite

Marchenkova, L. A., Makarova, E. V., Eryomushkin, M. A., Fesun, A. D., Styazkina, E. M., & Chesnikova, E. I. (2021). Efficiency of back muscles training and balance therapy in rehabilitation of patients with osteoporotic vertebral fractures. European Journal of Translational Myology, 31(4). https://doi.org/10.4081/ejtm.2021.9945