Balance and muscle strength tests in patients with osteoporotic vertebral fractures to develop tailored rehabilitation programs


https://doi.org/10.4081/ejtm.2020.9236
Vol. 30 No. 3 (2020)
Submitted: 9 July 2020
Accepted: 30 July 2020
Published: 9 September 2020
osteoporosis, vertebral fractures, rehabilitation, trunk muscles, balance function
Abstract Views: 795
PDF: 534
HTML: 3
Publisher's note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.

Authors

  • Ekaterina V Makarova
    rue-royal@inbox.ru
    research sientist of somatic rehabilitation, anti-aging and reproductive health department of FSBI “National Medical Research Center of Rehabilitation and Balneology” of Ministry of Health of Russian Federation, Russian Federation.
  • Larisa A Marchenkova MD, Ph.D. Head of rehabilitation department for patients with somatic diseases, Head of Somatic rehabilitation, anti-aging and reproductive health department, Leading research scientist of FSBI ‘National Medical Research Center of Rehabilitation and Balneology’ of the Ministry of Health of Russian Federation, Russian Federation. https://orcid.org/0000-0003-1886-124X
  • Mikhail A Eryomushkin MD, Ph.D., Professor, Head of physical therapy and clinical biomechanics department, Head of orthopedics, biomechanics, kinesiotherapy and manual therapy department, chief research scientist of FSBI ‘National Medical Research Center of Rehabilitation and Balneology’ of the Ministry of Health of Russian Federatio, Russian Federation. https://orcid.org/0000-0002-3452-8706
  • Elena M Styazkina associate professor, physical therapy physician of physical therapy and clinical biomechanics department, leading research scientist of orthopedics, biomechanics, kinesiotherapy and manual therapy department of FSBI ‘National Medical Research Center of Rehabilitation and Balneology’ of the Ministry of Health of Russian Federation, Russian Federation. https://orcid.org/0000-0003-4612-5119
  • Ekaterina I Chesnikova Physical therapy physician of physical therapy and clinical biomechanics department, research scientist of orthopedics, biomechanics, kinesiotherapy and manual therapy department of FSBI ‘National Medical Research Center of Rehabilitation and Balneology’ of the Ministry of Health of Russian Federation, Russian Federation. https://orcid.org/0000-0002-2603-6170

Authors perform a cross-sectional study of functional abilities of the patients with osteoporotic VF. Trunk muscle isometric strength and balance impairments were estimated. The development of osteoporotic VFs is associated with a significant decrease in strength of all the body muscles, especially the deep spinal stabilization system (TE, TF), where the VFs contribute to inappropriate distribution of back muscle strength with TE:TF ration of 1:1 instead of 3:2, observed both normally and in patients with uncomplicated osteoporosis. There is also a deterioration of stabilometry and functional balance assessment tests in patients with pathological VFs, which indicates abnormalities of both static and dynamic balance. The obtained data should be taken into account when developing rehabilitation programmes for patients with osteoporosis who have suffered compression VFs.


Melnichenko GA, Belaya ZhE, Rozhinskaya LYa, et al. Russian federal clinical guidelines on the diagnostics, treatment, and prevention of osteoporosis. Problems of Endocrinology. 2017;63(6):392-426. (In Russ.). doi: 10.14341/probl2017636392-42

Lesnyak O.M., Baranova I.A., Belova K.Yu., Gladkova E.N., Evstigneeva L.P., Ershova O.B., Karonova T.L., Kochish A.Yu., Nikitinskaya O.A., Skripnikova I.A., Toroptsova N.V., Aramisova R.M. Osteoporosis in Russian Federation: Epidemiology, socio-medical and economical aspects (Review). Traumatology and Orthopedics of Russia. 2018;24(1):155-168. (In Russ.) https://doi.org/10.21823/2311-2905-2018-24-1-155-168 DOI: https://doi.org/10.21823/2311-2905-2018-24-1-155-168

Tarantino U, Iolascon G, Cianferotti L, et al. 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. Vol. 18 (Suppl 1). P. 3–36. DOI: https://doi.org/10.1007/s10195-017-0474-7

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. No 919.

Sparto PJ, Newman AB, Simonsick EM, et al. Contributions to lateral balance control in ambulatory older adults. Aging Clin Exp Res. 2018;30(6):633-641. doi:10.1007/s40520-017-0819-3 DOI: https://doi.org/10.1007/s40520-017-0819-3

Zampieri S, Mosole S, Löfler S, et al. Physical Exercise in Aging: Nine Weeks of Leg Press or Electrical Stimulation Training in 70 Years Old Sedentary Elderly People. Eur J Transl Myol 2015;25:237-42. doi: 10.4081/ejtm.2015.5374. DOI: https://doi.org/10.4081/ejtm.2015.5374

Cataldo A, Bianco A, Paoli A, et al. Resting sympatho-vagal balance is related to 10 km running performance in master endurance athletes. Eur J Transl Myol 2018; 28:7051. doi: 10.4081/ejtm.2018.7051. DOI: https://doi.org/10.4081/ejtm.2018.7051

Slade SC, David L Carey, Anne-Marie Hill, Meg E Morris. Effects of falls prevention interventions on falls outcomes for hospitalised adults: protocol for a systematic review with meta-analysis. BMJ Open. 2017; 7(11): e017864. doi: 10.1136/bmjopen-2017-017864 DOI: https://doi.org/10.1136/bmjopen-2017-017864

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

Kubryak O. V., Grokhovsky S. S., Doborodny A. V. Investigation of human support reactions (posturography, stabilometry) and biological feedback in the STPL program. Moscow: Mera-TSP; 2018 (in russ).

Pankova I.A., Krivoshey I.V., Kubryak O.V. Measures to improve the management of the rehabilitation process using a stable platform. Kremlin Medicine. Clinical Bulletin. 2017; 2(4):153-156 (in russ.)

Eryomushkin M.A. Physical activity and health. From therapeutic exercises to parkour. Moscow: Sport; 2016 (in russ.)

Ponomarenko G.N. ed. Physical and rehabilitation medicine. National Guidelines. Moscow: GEOTAR-Media; 2017 (in russ.)

Sarabon N, Löfler S, Hosszu G, Hofer C. Mobility Test Protocols for the Elderly: A Methodological Note. Eur J Transl Myol 2015;25:253-6. doi: 10.4081/ejtm.2015.5385. DOI: https://doi.org/10.4081/ejtm.2015.5385

Volpi E, Nazemi R, Fujita S. Muscle tissue changes with aging. Curr Opin Clin Nutr Metab Care. 2004; 7(4): 405–410. doi: 10.1097/01.mco.0000134362.76653.b2. DOI: https://doi.org/10.1097/01.mco.0000134362.76653.b2

Bayramoğlu M, Sözay S, Karataş M, Kilinç S. Relationships between muscle strength and bone mineral density of three body regions in sedentary postmenopausal women. Rheumatol Int. 2005 Sep;25(7):513-7. doi: 10.1007/s00296-004-0475-8 DOI: https://doi.org/10.1007/s00296-004-0475-8

Armamento-Villareal R, Aguirre L, Napoli N. Changes in thigh muscle volume predict bone mineral density response to lifestyle therapy in frail, obese older adults. Osteoporos Int. 2014 Feb;25(2):551-8 doi: 10.1007/s00198-013-2450-2. DOI: https://doi.org/10.1007/s00198-013-2450-2

Levinger I., Phu S., Duque, G. Sarcopenia and Osteoporotic Fractures. Clinic Rev Bone Miner Metab. 2016 (14): 38. doi: 10.1007/s12018-016-9204-6 DOI: https://doi.org/10.1007/s12018-016-9204-6

Beaudart C, McCloskey E, Bruyère O. Sarcopenia in daily practice: assessment and management. BMC Geriatr. 2016 Oct 5;16(1):170. doi: 10.1186/s12877-016-0349-4 DOI: https://doi.org/10.1186/s12877-016-0349-4

Cederholm T, Cruz-Jentoft AJ, Maggi S. Sarcopenia and fragility fractures. Eur J Phys Rehabil Med. 2013; 49:111–7.

Tarantino U, Piccirilli E, Fantini M, Baldi J, Gasbarra E, Bei R. Sarcopenia and fragility fractures: molecular and clinical evidence of the bone-muscle interaction. J Bone Joint Surg Am. 2015;97(5):429-437. doi: 10.2106/JBJS.N.00648 DOI: https://doi.org/10.2106/JBJS.N.00648

Verkhoshansky, Yu.V. Fundamentals of special strength training in sports. 3rd ed. Moscow: Soviet Sport; 2013 (in russ.)

Mikhayloff P.R., Gromov V.A. The ratio of indicators of the development of muscle strength of the flexors and extensors of the trunk as a factor for preventing pain in the lumbar spine. Extreme human activity 2017;(43)2: 21-24. (in russ.)

Zhixiong Zhou, Lu Zheng, Dengyun Wei, Ming Ye, Xun Li. Muscular strength measurements indicate bone mineral density loss in postmenopausal women. Clin Interv Aging. 2013; 8:1451–1459. doi: 10.2147/CIA.S48447 DOI: https://doi.org/10.2147/CIA.S48447

Goncalves A, Gentil P, Steele J, et al. Comparison of single- and multi-joint lower body resistance training upon strength increases in recreationally active males and females: a within-participant unilateral training study. Eur J Transl Myol 2019;29:8052. doi: 10.4081/ejtm.2019.8052. DOI: https://doi.org/10.4081/ejtm.2019.8052

Lyons JG, Heeren T, Stuver SO, Fredman L. Assessing the Agreement Between 3-Meter and 6-Meter Walk Tests in 136 Community-Dwelling Older Adults. J Aging Health. 2015 Jun; 27(4): 594–605. Published online 2014 Nov 4. doi: 10.1177/0898264314556987 DOI: https://doi.org/10.1177/0898264314556987

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: 10.1519/JSC.0000000000002080. DOI: https://doi.org/10.1519/JSC.0000000000002080

Haines T., Kuys S.S., Morrison G., et al. Balance impairment not predictive of falls in geriatric rehabilitation wards. J. Gerontol. Biol. Sci. Med. Sci. 2008; 63:523–28. Doi: 10.1093/gerona/63.5.523. DOI: https://doi.org/10.1093/gerona/63.5.523

Abreu DC, Trevisan DC, Costa GC, Vasconcelos FM, Gomes MM, Carneiro AA. The association between osteoporosis and static balance in elderly women. Osteoporosis international. 2010; (21) 9:1487–1491. doi: 10.1007/s11657-009-0023-y DOI: https://doi.org/10.1007/s11657-009-0023-y

Mendy A., Vieira ER, Albatineh AN, Nnadi AK, Lowry D, Gasana J. Low bone mineral density is associated with balance and hearing impairments. Annals of Epidemiology. 2014;(24) 1: 58-62. DOI: https://doi.org/10.1016/j.annepidem.2013.10.012

Makarova, E. V., Marchenkova, L. A., Eryomushkin, M. A., Styazkina, E. M., & Chesnikova, E. I. (2020). Balance and muscle strength tests in patients with osteoporotic vertebral fractures to develop tailored rehabilitation programs. European Journal of Translational Myology, 30(3). https://doi.org/10.4081/ejtm.2020.9236

PAGEPress has chosen to apply the Creative Commons Attribution NonCommercial 4.0 International License (CC BY-NC 4.0) to all manuscripts to be published.

Downloads

Download data is not yet available.

Citations

Crossref
Scopus
Google Scholar
Europe PMC