Motor Control Exercise in Osteoporotic Women
|ClinicalTrials.gov Identifier: NCT01172574|
Recruitment Status : Completed
First Posted : July 30, 2010
Last Update Posted : July 30, 2010
|Condition or disease||Intervention/treatment|
|Osteoporosis Postmenopausal||Other: Motor control exercise|
|Study Type :||Interventional (Clinical Trial)|
|Actual Enrollment :||20 participants|
|Intervention Model:||Parallel Assignment|
|Masking:||None (Open Label)|
|Official Title:||Motor Control Exercise Can Reduce Pain and Improve Postural Alignment in Osteoporotic Women With Vertebral Fractures: a Randomized Controlled Trial|
|Study Start Date :||November 2006|
|Study Completion Date :||January 2008|
Experimental: Motor control exercise
Subjects of the exercise group underwent a 3-month (13-week) treatment program directed on 3-weekly 1-hr one-to-one sessions by the researcher who had experience in the specific exercise treatment of the spinal region. During the next 3 months, the subjects were urged to perform the exercises alone at home at least once a day, and compliance was monitored by the activity quota chart given to them at the beginning of each study-month.
Other: Motor control exercise
Participants of the exercise group were trained to consciously co-activate the transversus abdominis, pelvic floor and thoracic erector spinae muscle, relax the lumbar multifidus and use the diaphragmatic breathing pattern. They were encouraged to activate the specific muscles of the trunk regularly during daily activities, particularly in situations where they anticipated or experienced pain such as walking, twisting, lifting low-lying objects and working with the hands in sitting or standing positions
No Intervention: Control group
The control group underwent treatment throughout a 6-month period, directed by each patient's medical practitioner. This consisted of the patients carrying out regular weekly general exercises (walking and swimming). Three of them regularly attended other treatment providers involving group general exercise programs. Two patients received the application of local pain-relieving methods such as heat, massage, laser and ultrasound and one did nothing except for receiving osteoporotic medication.
- Pain [ Time Frame: Baseline ]Pain was assessed using the visual analogue scale (VAS) of 11 numerical points (0='no pain', 10='worst imaginable pain'). Participants were asked to verbalize the presence of pain in their trunk and lower limbs during the previous 2 weeks.
- Pain [ Time Frame: 3 months ]As described
- Pain [ Time Frame: 6 months ]As described
- Photographic measurements [ Time Frame: Baseline ]Two-dimensional posture photography was performed using a digital Video Camera. With participants in their underwear, self-adhesive patches of 1.5 cm were placed over the left-side lateral landmarks. Women were instructed to stand in a comfortable posture with feet 20 cm apart. The participants were photographed twice at each time point. The photographs were analyzed by measuring the angles between a perpendicular line transcending the lateral malleolus, head of fibula, great trochanter, shoulder and ear. The mean of each angle of both photographs was used for statistical analysis.
- Spinal curvatures [ Time Frame: Baseline ]These were measured using a Sounders digital inclinometer according to the instruction manual. Standing thoracic, lumbar, and lumbosacral angle were measured. The examiner repeated the procedure three times, and if the measurements differed by more than 5 degrees, they were repeated and the second set of measurements recorded.
- Photographic measurements [ Time Frame: 3 months ]As described
- Spinal curvatures [ Time Frame: 3 months ]As described
- Photographic measurements [ Time Frame: 6 months ]As described
- Spinal curvatures [ Time Frame: 6 month ]As described
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT01172574
|Hospital Thias Pronoias 'I Pammakaristos'|
|Athens, Attica, Greece, 11144|