MedElevator
Войти в исследования Physical therapy · 2020
The Effects of Home Exercise in Older Women With Vertebral Fractures: A Pilot Randomized Controlled Trial.
СтатьяМногоцентровое исследованиеРандомизированное исследованиеПоддержка исследования: вне правительства СШАНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Gibbs Jenna C, McArthur Caitlin, Wark John D, Thabane Lehana, Scherer Samuel C, Prasad Sadhana, Papaioannou Alexandra, Mittmann Nicole, Laprade Judi, Kim Sandra, Khan Aliya, Kendler David L, Hill Keith D, Cheung Angela M, Bleakney Robert, Ashe Maureen C, Adachi Jonathan D, Giangregorio Lora M
Аннотация
BACKGROUND: Regular exercise is advocated in osteoporosis guidelines to prevent fractures. Few studies have evaluated the effect of exercise on functional performance, posture, and other outcomes that are important to patients after vertebral fractures.
OBJECTIVE: This pilot study will explore the effect of home exercise versus control on functional performance, posture, and patient-reported outcome measures.
DESIGN: This study was a parallel 2-arm pilot feasibility trial with 1:1 randomization to exercise or attentional control groups.
SETTING: This study took place in 5 Canadian and 2 Australian academic or community hospitals/centers.
PARTICIPANTS: This study included 141 women ≥65 years of age with radiographically confirmed vertebral fractures.
INTERVENTION: A physical therapist delivered exercise and behavioral counseling in 6 home visits over 8 months and monthly calls. Participants were to exercise ≥3 times weekly. Controls received equal attention.
MEASUREMENTS: Functional performance, posture, quality of life, pain, and behavior-change outcomes were assessed at baseline and after 6 (questionnaires only) and 12 months. Adherence to exercise was assessed by calendar diary. All t tests examined between-group mean differences (MD) in change from baseline in intention-to-treat and per-protocol analyses.
RESULTS: There was a small effect of exercise on 5 times sit-to-stand test versus control (MD = -1.58 [95% CI = -3.09 to -0.07], intention-to-treat; MD = -1.49 [95% CI = -3.12 to 0.16], per-protocol). There were no other major or statistically significant MDs for any other measured outcomes after follow-up. Adherence declined over time.
LIMITATIONS: Treatment effects on variables may have been underestimated due to multiple comparisons and underpowered analyses.
CONCLUSIONS: Our exploratory estimate of the effect of exercise on functional leg muscle strength was consistent in direction and magnitude with other trials in individuals with vertebral fractures. Declining adherence to home exercise suggests that strategies to enhance long-term adherence might be important in future confirmatory trials.
OBJECTIVE: This pilot study will explore the effect of home exercise versus control on functional performance, posture, and patient-reported outcome measures.
DESIGN: This study was a parallel 2-arm pilot feasibility trial with 1:1 randomization to exercise or attentional control groups.
SETTING: This study took place in 5 Canadian and 2 Australian academic or community hospitals/centers.
PARTICIPANTS: This study included 141 women ≥65 years of age with radiographically confirmed vertebral fractures.
INTERVENTION: A physical therapist delivered exercise and behavioral counseling in 6 home visits over 8 months and monthly calls. Participants were to exercise ≥3 times weekly. Controls received equal attention.
MEASUREMENTS: Functional performance, posture, quality of life, pain, and behavior-change outcomes were assessed at baseline and after 6 (questionnaires only) and 12 months. Adherence to exercise was assessed by calendar diary. All t tests examined between-group mean differences (MD) in change from baseline in intention-to-treat and per-protocol analyses.
RESULTS: There was a small effect of exercise on 5 times sit-to-stand test versus control (MD = -1.58 [95% CI = -3.09 to -0.07], intention-to-treat; MD = -1.49 [95% CI = -3.12 to 0.16], per-protocol). There were no other major or statistically significant MDs for any other measured outcomes after follow-up. Adherence declined over time.
LIMITATIONS: Treatment effects on variables may have been underestimated due to multiple comparisons and underpowered analyses.
CONCLUSIONS: Our exploratory estimate of the effect of exercise on functional leg muscle strength was consistent in direction and magnitude with other trials in individuals with vertebral fractures. Declining adherence to home exercise suggests that strategies to enhance long-term adherence might be important in future confirmatory trials.
Предметные рубрики MeSH
AgedExercise TherapyFeasibility StudiesFemaleFractures, SpontaneousHumansIntention to Treat AnalysisLegMuscle StrengthOsteoporosisPain MeasurementPatient CompliancePatient Reported Outcome MeasuresPatient SelectionPhysical Functional PerformancePilot ProjectsPostureQuality of LifeSingle-Blind MethodSpinal Fractures