Effectiveness of Rehabilitative Intervention on Pain, Postural Balance, and Quality of Life in Women with Multiple Vertebral Fragility Fractures: A Prospective Cohort Study

Journal of Functional Morphology and Kinesiology

Daniele Cuntrera¹  Vincenzo Falco¹  Giovanni Iolascon²  Antimo Moretti²  Giulia Letizia Mauro³  Dalila Scaturro³  Valeria Sanfilippo³  Serena Rizzo³  Giuseppe Messina⁴  Francesco Martines⁵  Valerio Giustino⁶ 

[1] Department of Economics, Statistics University of Palermo, 90100 Palermo, Italy;Department of Medical and Surgical Specialties and Dentistry, University of Campania “Luigi Vanvitelli”, 80138 Naples, Italy;Department of Oncology and Stomatological Surgical Disciplines, University of Palermo, 90100 Palermo, Italy;Department of Psychology, Educational Science and Human Movement, University of Palermo, 90100 Palermo, Italy;Istituto Euromediterraneo di Scienza e Tecnologia—IEMEST, 90100 Palermo, Italy;Program in Health Promotion and Cognitive Sciences, Department of Psychology, Educational Science and Human Movement, University of Palermo, 90100 Palermo, Italy;

关键词: pain;    postural balance;    quality of life;    osteoporosis;    vertebral fragility fractures;    rehabilitation;   

DOI  :  10.3390/jfmk6010024

来源: DOAJ

【 摘 要 】

Patients with vertebral fragility fractures often experience chronic pain, postural and balance disorders, and poor quality of life (QoL). Although several studies have investigated the role of rehabilitation in severe osteoporosis, the effectiveness of this intervention in patients with multiple vertebral fractures is poorly known. The aim of our longitudinal cohort study is to evaluate the effectiveness of rehabilitation, including postural training, resistance exercises, and visual stabilization exercises, for a 7-week period, on the pain, postural balance, and QoL of subjects with at least two vertebral fragility fractures receiving denosumab and vitamin D. We investigated, before (T0) and after (T1, at 7 weeks) rehabilitation, the following outcome measures on 28 patients: pain (Numerical Rating Scale (NRS)), self-perceived QoL (36-Item Short Form Survey (SF-36) and Mini-Osteoporosis Quality of Life Questionnaire (Mini-OQOL)), dizziness (Dizziness Handicap Inventory (DHI-I)), mobility (Timed-Up and Go (TUG) test), and instrumental posturographic assessment (FreeMed posturography system). At the end of the treatment, improvements of pain and QoL were recorded. Pain relief was highly obtained in patients with more than two vertebral fractures. Moreover, a significant functional improvement (TUG test) was found in those with two vertebral fractures, without any statistically significant change reported for other outcomes. Our findings suggest that combined intervention, including anti-osteoporotic drugs and postural rehabilitation, should be proposed to osteoporotic patients with multiple vertebral fractures.

【 授权许可】

Unknown