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The effects of short-term back extensor strength training in postmenopausal osteoporotic women with vertebral fractures: comparison of supervised and home exercise program

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Abstract

Summary

This study explores the effect of supervised back extensor strength training on spinal pain, back extensor muscle strength, trunk-arm endurance, kyphosis, functional mobility, and quality of life (QoL) among sixty postmenopausal women with vertebral osteoporotic fractures.

Purpose

To compare the effects of a 6-week supervised or home-based program of back-strengthening exercise on spinal pain, back extensor strength, trunk-arm endurance, kyphosis, functional mobility, and QoL in osteoporotic postmenopausal women with vertebral fractures.

Methods

The study was designed as a randomized controlled clinical trial. Sixty osteoporotic postmenopausal women with vertebral fracture (mean age 60.3 ± 9.3 years) were included in the study. Subjects were randomly assigned into three groups (supervised program, home-based program, or control), each consisting of 20 subjects. The subjects underwent the 6-week exercise program which included strengthening exercise for the back extensor muscles. They performed three sets of 8, 10, or 12 repetitions for each of the exercises, biweekly ascending, three times per week. Spinal pain, back extensor strength, trunk and arm endurance, kyphosis, functional mobility, and QoL were measured at baseline and at the end of the exercise program.

Results

Statistically significant improvements were demonstrated on spinal pain, muscle strength and endurance, functional mobility, and QoL for the supervised exercise program compared with control and home-based exercise groups (p < 0.01). Home-based exercise program did not provide a significant improvement compared with the control group except for mobility parameters of QoL.

Conclusions

Six-week supervised back extensor strengthening training is superior to home-based program in terms of spinal pain, back extensor muscle strength, trunk endurance, functional mobility, and QoL for postmenopausal osteoporotic women with vertebral fractures.

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Authors and Affiliations

  1. Department of Physical Medicine and Rehabilitation, Bafra State Hospital, Samsun, Turkey

    Yetkin Çergel

  2. Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Pamukkale University, Kınıklı, 20070, Denizli, Turkey

    Oya Topuz, Hakan Alkan & Ayse Sarsan

  3. Department of Radiology, Faculty of Medicine, Pamukkale University, Denizli, Turkey

    Nuran Sabir Akkoyunlu

Authors
  1. Yetkin Çergel
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  2. Oya Topuz
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  3. Hakan Alkan
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  4. Ayse Sarsan
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  5. Nuran Sabir Akkoyunlu
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Corresponding author

Correspondence to Hakan Alkan.

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The Regional Ethics Committee for Medical Research approved the study, and the subjects gave their written informed consent to participate in the study.

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Çergel, Y., Topuz, O., Alkan, H. et al. The effects of short-term back extensor strength training in postmenopausal osteoporotic women with vertebral fractures: comparison of supervised and home exercise program. Arch Osteoporos 14, 82 (2019). https://doi.org/10.1007/s11657-019-0632-z

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  • DOI: https://doi.org/10.1007/s11657-019-0632-z

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