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Effectiveness of Two Treatments on Posture and Balance in Elderly Women With Osteoporosis

This study has been completed.
Sponsor:
ClinicalTrials.gov Identifier:
NCT01210469
First Posted: September 28, 2010
Last Update Posted: October 6, 2010
The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.
Collaborator:
Fundação de Amparo à Pesquisa do Estado de São Paulo
Information provided by:
University of Sao Paulo General Hospital
  Purpose
The purpose of this study was compare the efficacy of two exercise programs - the first consisting of balance training and muscle strength and the second consisting of balance training and muscle stretching exercises - to improve postural control in elderly women with osteoporosis.

Condition Intervention
Osteoporosis Other: Strengthening and balance exercises Other: Stretching and balance exercises

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single (Investigator)
Primary Purpose: Treatment
Official Title: Effectiveness of Two Treatments on Posture and Balance in Elderly Women With Osteoporosis: a Randomized Clinical Trial

Resource links provided by NLM:


Further study details as provided by University of Sao Paulo General Hospital:

Primary Outcome Measures:
  • Postural Control [ Time Frame: eight weeks ]
    Postural control was evaluated by Modified Clinical Test of Sensory Interaction for Balance (CTSIBm) and Limits of Stability test (LOS) in Balance Master force plate


Secondary Outcome Measures:
  • Postural alignment [ Time Frame: eight weeks ]
    Postual alignment (thoracic kyphosis and forward head) measured by PAS/SAPO (Postural Assessment Software)

  • Lower limb muscle strength [ Time Frame: eight weeks ]
    The muscle strength in knee extension and knee flexion was evaluated by dynamometry.

  • Shortening of the hamstrings [ Time Frame: eight weeks ]
    The shortening of the hamstrings was evaluated by goniometry.

  • Berg Balance Scale [ Time Frame: Eight weeks ]

Enrollment: 50
Study Start Date: July 2007
Study Completion Date: July 2009
Primary Completion Date: June 2009 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: Strengthening Group
Performed balance training with lower limbs muscle strengthening.
Other: Strengthening and balance exercises
The group trained for 8 weeks, with sessions of about 60 minutes, twice a week.
Other Names:
  • Force Platform
  • Balance Master
Experimental: Stretching Group
Performed balance training with stretching
Other: Stretching and balance exercises
The group trained for 8 weeks, with sessions of about 60 minutes, twice a week.
Other Names:
  • Force Platform
  • Balance Master
No Intervention: Control Group

Detailed Description:

The decrease in postural control and muscle strength in lower limbs have been identified as major risk factors for falls in older people. Exercises have proven effective in decreasing risk factors in healthy elderly, but little is known about the effects of interventions with exercise in the elderly with osteoporosis.

Objective: To compare the efficacy of two exercise programs - the first consisting of balance training and muscle strength and the second consisting of balance training and muscle stretching exercises - to improve postural control in elderly women with osteoporosis.

Methods: Fifty elderly aged 65 or older, with a diagnosis of osteoporosis, were randomized into 3 groups: Strength Group (n = 17) performed balance training with muscle strengthening; Stretching Group (n = 17) performed balance training with stretching; and Control Group (n =16) did not do activity. The groups trained for 8 weeks, with sessions of about 60 minutes, twice a week. Postural control was evaluated by Modified Clinical Test of Sensory Interaction for Balance (CTSIBm) and Limits of Stability test (LOS) in Balance Master force plate, the functional balance by Berg Balance Scale (BBS), muscle strength by dynamometry, the shortening of the hamstrings by goniometry and posture by PAS/SAPO (Postural Assessment Software).

  Eligibility

Information from the National Library of Medicine

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Ages Eligible for Study:   65 Years to 80 Years   (Adult, Senior)
Sexes Eligible for Study:   Female
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • women from 65 to 80 yrs of age
  • diagnosis of osteoporosis classified according to the criteria of the World Health Organization, with bone mineral densitometry reduced by at least 2.5 SD when compared with young adults (region of lumbar spine)

Exclusion Criteria:

  • severe visual deficiency
  • physically incapable of participating in the tests
  • neurological disorders, amputations, or prostheses
  • individuals with regular physical activity (twice or more per week) or who had recently participated in exercise programs for muscular strength or balance
  Contacts and Locations
Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT01210469


Locations
Brazil
University of Sao Paulo General Hospital
São Paulo, Brazil
Sponsors and Collaborators
University of Sao Paulo General Hospital
Fundação de Amparo à Pesquisa do Estado de São Paulo
Investigators
Principal Investigator: Thomaz N Burke, MSc University of São Paulo
  More Information

Additional Information:
Responsible Party: Thomaz Nogueira Burke, Ms, University of São Paulo
ClinicalTrials.gov Identifier: NCT01210469     History of Changes
Other Study ID Numbers: 787/06
First Submitted: September 27, 2010
First Posted: September 28, 2010
Last Update Posted: October 6, 2010
Last Verified: March 2008

Keywords provided by University of Sao Paulo General Hospital:
elderly
postural balance
musculoskeletal equilibrium
posture
muscle strength
muscle stretching exercises

Additional relevant MeSH terms:
Osteoporosis
Bone Diseases, Metabolic
Bone Diseases
Musculoskeletal Diseases
Metabolic Diseases