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| Sponsor: | Bagcilar Training and Research Hospital |
|---|---|
| Collaborator: |
Istanbul University |
| Information provided by (Responsible Party): | Karacan, Bagcilar Training and Research Hospital |
| ClinicalTrials.gov Identifier: | NCT01367041 |
Purpose
The aim of this study is to investigate effects of femur exposed to vibration on the rest muscle electrical activity of hip adductors in cases with postmenopausal osteoporosis.
Among patients who will be admitted to the investigators clinic for out-patients and whose bone densitometric measurement will be made with a prediagnosis postmenopausal osteoporosis, a total of 80 voluntaries [40 having postmenopausal osteoporosis (femur neck or total hip T score < -2.0) and 40 Controls (hip or lumbar T score >-1)] are planned to include in this study.
After the right hip bone mineral density (BMD) and BMC is measured in all cases, whole body vibration will be applied in PMO groups and Controls. The rest muscle electrical activity of right hip muscles will be evaluated at pre-treatment, post-treatment and, during treatment in patients with PMO and then their data will be compared with Controls data.
Plasma sclerostin level will be measured before and after vibration. Whole-body vibration will be applied in Exercise group.Cases will stand on vibration plate. WBV will be applied at a frequency of 40 Hz and amplitude of 2 mm for 60 seconds. WBV will be applied one session only.
The right hip BMD and BMC will be evaluated by bone densitometer (Norland). The rest muscle electrical activity of hip adductor muscles at rest will be measured by PowerLab (data acquisition system, ADInstruments, Australia) device.
This project is planed to be completed in 3 months.
| Condition | Intervention |
|---|---|
|
Osteoporosis |
Procedure: exercise |
| Study Type: | Interventional |
| Study Design: | Allocation: Non-Randomized Intervention Model: Parallel Assignment Masking: Single Blind (Outcomes Assessor) Primary Purpose: Basic Science |
| Official Title: | Effect of Hip Bone Mineral Density / Content on Vibration-Induced Hip Adductors Muscle Electrical Activity in Postmenopausal Women |
| Enrollment: | 80 |
| Study Start Date: | April 2011 |
| Study Completion Date: | July 2011 |
| Primary Completion Date: | June 2011 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: Postmenopausal osteoporotic women
Postmenopausal women with osteoporosis
|
Procedure: exercise
exercise frequency: 40 Hz, duration: 60 sec
|
|
Healthy postmenopausal women
Postmenopausal women without osteoporosis
|
Procedure: exercise
exercise frequency: 40 Hz, duration: 60 sec
|
It is usually reported that there is a parallelism between changes in the bone structure and function and the muscle structure and function. Sarcopenia is frequently observed in osteoporotic patients. Bone formation increases or bone resorption decreases with exercise.
One of the most important functions of bone bear mechanical loads include body weight. Bone must be strong enough to resist the mechanical loading. Mechanisms need to protect bone when bone is subject to excessive mechanical loading. These mechanisms may mainly focus on strengthening the bone and/or changing vectorial properties of mechanical loading applied bone.
The vectorial properties of mechanical loading applied bone may be controlled by muscle contractions. Bone contains wide mechanoreceptor net constructed by osteocytes. So,distribution of the mechanical loading on bone cross-sectional area is possible to perceive. It may be also possible that inappropriate distribution of mechanical loading on bone crosssectional area is optimized by muscle contractions. To get this regulation, there should be a mechanism that muscle activity is controlled by central nervous system based on mechanical loading distribution on bone cross-sectional area. The investigators previously showed that bone can regulate muscle activity, based on its bone mineral density. According to this study result, it can be suggested there may exist a mechanism that bone sensing mechanical stimuli can send the signals to central nervous system and neuronally regulate muscle activity (bone myo-regulation reflex). (It is also well known that load-induced adaptive bone formation is neuronally regulated. Taken together, a general mechanism, bone reflex, may be defined that bone subjected to loading can neuronally regulate bone formation and muscle activity) Vibration has a strong osteogenic effect. Vibration-induced bone formation is neuronally regulated. Vibration can also effectively enhance muscle strength and power. Previous studies have shown that vibration increases muscle electromyographic (EMG) activity. It has been showed that bone has an effect on the increase in muscle EMG activity caused by vibration in healthy young adults in a study. In this study, it was reported that vibrations-induced increases in muscle electrical activity of flexor carpi radialis (FCR) was related to ultradistal radius bone mineral content (BMC) and the FCR H-reflex was suppressed or depressed during vibration. This findings were reported to support the assumption that the bone exposed to cyclic mechanical loading may neuronally regulate muscle activity.
The aim of this study is to investigate effects of femur exposed to vibration on the rest muscle electrical activity of hip adductors in cases with postmenopausal osteoporosis.
Eligibility| Ages Eligible for Study: | 40 Years to 70 Years |
| Genders Eligible for Study: | Female |
| Accepts Healthy Volunteers: | Yes |
Inclusion Criteria:
Exclusion Criteria:
Contacts and Locations| Turkey | |
| Bagcilar Training & Research Hospital | |
| Istanbul, Turkey | |
| Study Chair: | ILHAN KARACAN, MD | Bagcilar Training & Research Hospital |
More Information
| Responsible Party: | Karacan, Chief of Physical Med & Rehab Clinic, Bagcilar Training and Research Hospital |
| ClinicalTrials.gov Identifier: | NCT01367041 History of Changes |
| Obsolete Identifiers: | NCT00961545 |
| Other Study ID Numbers: | BEAH FTR-3 |
| Study First Received: | April 6, 2011 |
| Last Updated: | March 2, 2012 |
| Health Authority: | Turkey: Ministry of Health |
|
bone muscle electrical activity whole-body vibration |
|
Osteoporosis Bone Diseases, Metabolic Bone Diseases Musculoskeletal Diseases |