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Postural control in elderly persons with osteoporosis: efficacy of an intervention program to improve balance and muscle strength: a randomized controlled trial |
Burke TN, Franca FJR, Ferreira de Meneses SR, Cardoso VI, Marques AP |
American Journal of Physical Medicine & Rehabilitation 2010 Jul;89(7):549-556 |
clinical trial |
6/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: Yes; Adequate follow-up: Yes; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed* |
OBJECTIVE: To assess the efficacy of an exercise program aiming to improve balance and muscular strength, for postural control and muscular strength of women with osteoporosis. DESIGN: Sample consisted of 33 women with osteoporosis, randomized into one of two groups: intervention group, in which exercises for balance and improvement of muscular strength of the inferior members were performed for 8 wks (n = 17, age 72.8 +/- 3.6 yrs); control group, which was women not practicing exercises (n = 16, age 74.4 +/- 3.7 yrs). At baseline and after 8 wks of treatment, postural control was assessed using a force plate (Balance Master, Neurocom), and muscular strength during ankle dorsiflexion, knee extension, and flexion was assessed by dynamometry. RESULTS: Adherence to the program was 82%. When compared with the control group, individuals in the intervention group significantly improved the center of pressure velocity (p = 0.02) in the modified clinical test of sensory interaction for balance test, center of pressure velocity (p < 0.01), and directional control (p < 0.01) in limits of stability test, isometric force during ankle dorsiflexion (p = 0.01), knee extension (p < 0.01), and knee flexion (p < 0.01). CONCLUSIONS: Balance and strength exercises are effective in improving postural control and lower-limb strength in elderly women with osteoporosis.
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