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: 10.1097/PHM.0b013e3181ddccd2.

Abstract

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.

Publication types

  • Comparative Study
  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Accidental Falls / prevention & control
  • Aged
  • Biomechanical Phenomena
  • Exercise Therapy / methods
  • Female
  • Follow-Up Studies
  • Geriatric Assessment
  • Humans
  • Muscle Strength / physiology*
  • Osteoporosis, Postmenopausal / diagnosis
  • Osteoporosis, Postmenopausal / rehabilitation*
  • Physical Fitness / physiology*
  • Postural Balance / physiology*
  • Probability
  • Quality of Life
  • Range of Motion, Articular / physiology
  • Reference Values
  • Resistance Training / methods*
  • Risk Assessment
  • Severity of Illness Index
  • Treatment Outcome