A 12-month randomized controlled trial of balance training in elderly women with ostebporosis: Improvement of quality of life
A 12-month randomized controlled trial of balance training in elderly women with ostebporosis: Improvement of quality of life
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DOI：
10.1016/j.maturitas.2010.03.009
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发表时间：
2010-06-01
期刊：
影响因子：
4.9
通讯作者：
Pereira, Rosa M. R.
中科院分区：
文献类型：
--
作者：
Madureira, Melisa M.;Bonfa, Eloisa;Pereira, Rosa M. R.
目的：骨质疏松症患者的身心功能障碍，包括对跌倒的恐惧，与生活满意度下降有关。平衡锻炼计划对提高生活质量的影响还没有得到很好的证实。因此，我们调查了为期12个月的平衡训练方案对老年OP妇女生活质量、功能平衡和跌倒的影响。方法：连续60例老年OP妇女随机分为平衡训练组(BT组)和非干预对照组(CG组)各30例。BT计划包括在12个月内改善平衡的技术(每周1小时锻炼和家庭锻炼)。治疗前和治疗结束时采用骨质疏松症评估问卷(OPAQ)评定生活质量，Berg平衡量表(BBS)评定功能平衡。结果：与对照组相比，BT组的生活质量有显著改善：幸福感(1.61+/-1.44 vs.-1.46+/-1.32，p<；0001)、身体功能(1.30+/-1.33 vs.-0.36+/-0.82，p<；0001)；心理状态(1.58+/-1.36 vs-1.02+/-0.83，p<；0.001)、症状(2.76+/-1.96 vs-0.63+/-0.87，p<；0.001)、社会交往(1.01+/-1.51 vs 0.35+/-1.08，p<；0.001)。值得注意的是，这一总体益处与BBS的改善(-5.55+/-5.67vs.+0.54.88p<；0.001)和BT组跌倒减少50%与CG组的26.6%(RR：1.88p<；0.025)平行。结论：OP妇女的长期平衡训练计划在改善功能平衡和减少跌倒的同时，提供了显著的整体健康生活质量改善。(C)2010爱思唯尔爱尔兰有限公司。保留所有权利。
Objective: Physical and psychological incapacity, including fear of falling is related to decreased satisfaction with life in osteoporosis (OP). The impact of a balance exercise program on improving the quality of life is not well established. We have, therefore, investigated the effect of 12-month Balance Training Program in quality of life, functional balance and falls in elderly OP women.Methods: Sixty consecutive women with senile OP were randomized into a Balance Training Group (BT) of 30 patients and no intervention control group (CG) of 30 patients. The BT program included techniques to improve balance over a period of 12 months (1 h exercise session/week and home-based exercises). The quality of life was evaluated before and at the end of the trial using the Osteoporosis Assessment Questionnaire (OPAQ), functional balance was evaluated by Berg Balance Scale (BBS). Falls in the preceding year were noted and compared to the period of study.Results: The comparison of OPAQ variations (INITIAL-FINAL) revealed a significant improvement in quality of life in all parameters for BT compared to CG: well-being (1.61 +/- 1.44 vs. -1.46 +/- 1.32, p < 0001), physical function (1.30 +/- 1.33 vs. -0.36 +/- 0.82, p < 0.001), psychological status (1.58 +/- 1.36 vs. -1.02 +/- 0.83, p < 0.001), symptoms (2.76 +/- 1.96 vs. -0.63 +/- 0.87, p < 0.001), social interaction (1.01 +/- 1.51 vs. 0.35 +/- 1.08, p < 0.001). Of note, this overall benefit was paralleled by an improvement of BBS (-5.5 +/- 5.67 vs. +0.5 +/- 4.88 p < 0.001) and a reduction of falls in 50% in BT group vs. 26.6% for the CG (RR: 1.88, p < 0.025).Conclusion: The long-term Balance Training Program of OP women provides a striking overall health quality of life improvement in parallel with improving functional balance and reduced falls. (C) 2010 Elsevier Ireland Ltd. All rights reserved.