THU0736-HPR Efficacy of different types of exercise programs in osteoporosis with high risk of falls
| Autor: | CK Karόczi, K Kazár-Tόth, G Poόr, B Monek, Έ Kovács, I Mikό, C Gácserné |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
education.field_of_study business.industry Population Falls in older adults Timed Up and Go test law.invention Physical medicine and rehabilitation Randomized controlled trial law Physical therapy Medicine Risk factor business education Dynamic balance Balance (ability) Fall prevention |
| Zdroj: | Poster Presentations. |
| DOI: | 10.1136/annrheumdis-2017-eular.3783 |
| Popis: | Background While ageing the frequency of osteoporosis increases. The most frequent risk factor is falling and consequently bone fractures which in this population is associated with high mortality. According to WHO data, 28–35% of elderly over 65 years falls at least once per year, which increases to 32–47% over 70 years. Objectives The purpose of this randomized control study was to investigate the efficacy of a land-based and water-based exercise program specifically targeting balance to reduce fall risk in patients over 65 years with osteoporosis. We assumed that water-based training program would develop balance efficiently even at elderly people with severe degenerative diseases. Coordination in water is possible to be developed efficiently. Methods The study was carried out in the National Institute of Rheumatology and Physiotherapy. 61 participants were randomized [n=20 sensorimotor training group, n=20 control group (CG)] in the land-based sensorimotor training program (SMT) and 21 people [n=7 Ai Chi group (AC), n=7 water adapted sensorimotor training group (WASM), n=7 control group] in the water-based training program (WBT). The control group did not participate in any training program. The exclusion criteria were neurological, cardiovascular and musculoskeletal diseases, which contraindicated the participation in the training program. Functional Reach Test (FRC), Timed Up and Go Test (TUG), Star Excursion Balance Test (SEBT) and coordination test by stabilometer were used to measure static and dynamic balance. The measurements were performed before and after the training period. The results of the SMT were analyzed with two-sample t-test, and the results of the WBT with non-parametrical methods. The results were defined with p Results After 18-weeks of the SMT program significant improvement was experienced in the SMT group compared to the CG with the following parameters: FRC (p Conclusions The findings from this study support the efficacy of the land- and water-based exercise programs in improving balance in this sample. Our results pointed out that balance improved efficiently even at degenerative joint diseases. Limitations of our research was the small number of the participants and the short duration of the program. In the light of the promising outcome we will continue our research that would result in an efficient fall prevention in this population with high risk of falling. References Sherrington C, Tiedemann A, Fairhall N, Close JC, Lord SR. (2011). Exercise to prevent falls in older adults: an updated meta-analysis and best practice recommendations. NSW Public Health Bulletin, Vol. 22(3–4): 78–83. Disclosure of Interest None declared |
| Databáze: | OpenAIRE |
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