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Kvinnor starkta av traning. Erfarenheter av ett ryggmuskeltraningsprogram vid kotfraktur (Women strengthened by exercise. Experiences of a back muscle exercise program in vertebral fracture) [Swedish]
Bergstrom I, Dahlgren A, Kronhed A-CG, Forss A, Karlsson S, Qvist N
Lakartidningen [Journal of the Swedish Medical Association] 2012 Sep;109(37):1616-1618
clinical trial
3/10 [Eligibility criteria: No; Random allocation: Yes; Concealed allocation: No; Baseline comparability: No; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: No; 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*

The efficacy of a back muscle training program on back muscle extensor strength, kyphosis, height and thoracic expansion was evaluated in 36 women with osteoporosis and vertebral fracture. The participants were randomized to a training or control group. The group training program was performed twice a week for 4 months and was led by a physiotherapist. A per-protocol analysis that included 28 women showed that back muscle extensor strength and thoracic expansion increased in the training group, while body height decreased in the control group. A qualitative interview study was carried out amongst 11 women. A qualitative content analysis of the semi structured interviews showed positive experiences from the group training program by improved mobility and sleep, increased strength and physical activity, and reduced pain. Our findings, based on quantitative and qualitative methods, show that professionally supervised back muscle training brought benefits to everyday life, increased well-being, and constituted a complement to pharmacological therapy for this group of women.

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