Effect of exercises with weight vests and apatient education programme for womenwith osteopenia and a healed wristfracture: a randomized, controlled trial ofthe OsteoACTIVE programme
Journal article, Peer reviewed
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http://hdl.handle.net/11250/2382209Utgivelsesdato
2015Metadata
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Originalversjon
10.1186/s12891-015-0811-zSammendrag
Background: Exercise programmes have shown to be important for the prevention of fractures in patients with
established osteoporosis. However, few studies have evaluated the effect of such programmes for women with low
bone mineral density (BMD) (osteoporosis or osteopenia) who have already suffered a fracture. Studies have
indicated that exercise programmes concentrating on muscular strength and dynamic balance have a positive
effect on significant risk factors for falls such as quadriceps strength and balance. The aim of the present study was
to assess the effect of a 6-month exercise programme and a patient education component (OsteoACTIVE) on
quadriceps strength, BMD, dynamic balance, walking capacity, physical activity level and quality of life in
postmenopausal women with osteopenia and a previous wrist fracture.
Methods: Eighty postmenopausal women with low BMD and a healed wrist fracture were randomized to
OsteoACTIVE (n = 42) (age 65.5, range 51.2–79.2 years) or patient education only (control group) (n = 38) (age 63.9,
range 52.7–86.8 years). Follow-up was conducted after 6 months (end of intervention) and 1 year. Outcome measures
included quadriceps strength, BMD, dynamic balance, walking capacity, physical activity level and quality of life.
Results: Thirty-five participants (83 %) completed the OsteoACTIVE programme. Mean adherence to OsteoACTIVE was
87 % (range 48–100 %). Twenty-five participants (72 %) met the a priori goal of 80 % adherence to the program. No
adverse events were reported. There were no significant differences between the two groups over the 1-year follow-up
for any of the outcome measures.
Conclusion: The OsteoACTIVE rehabilitation programme revealed no significant effect on quadriceps strength, BMD,
dynamic balance, walking capacity or self-reported functional outcomes over the 1-year follow-up.
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