Efficacy of home-based exercise for improving quality of life among elderly women with symptomatic osteoporosis-related vertebral fractures

This randomized controlled trial was designed to investigate the effect of a 6-month home-based exercise program versus control (usual activities) on quality of life for postmenopausal women with osteoporosis who had at least one vertebral fracture. Twelve-month assessments of outcomes were complete...

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Bibliographic Details
Published in:Osteoporosis international 2003-08, Vol.14 (8), p.677-682
Main Authors: PAPAIOANNOU, A, ADACHI, J. D, WINEGARD, K, FERKO, N, PARKINSON, W, COOK, R. J, WEBBER, C, MCCARTNEY, N
Format: Article
Language:English
Subjects:
Aged
Biological and medical sciences
Diseases of the osteoarticular system. Orthopedic treatment
Exercise Therapy - methods
Female
Health Status Indicators
Home Care Services
Humans
Medical sciences
Middle Aged
Ontario
Osteoporosis, Postmenopausal - complications
Osteoporosis, Postmenopausal - rehabilitation
Quality of Life
Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)
Spinal Fractures - etiology
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Summary:This randomized controlled trial was designed to investigate the effect of a 6-month home-based exercise program versus control (usual activities) on quality of life for postmenopausal women with osteoporosis who had at least one vertebral fracture. Twelve-month assessments of outcomes were completed to determine if women would continue exercising with minimal supervision and if benefit could be sustained. The home exercise program followed a "lifestyle exercise" approach where participants completed exercises 60 min per day, 3 days a week and could complete exercises in small periods of time throughout the day. Exercise activities included stretching, strength training and aerobics (i.e. walking). Participants were assessed at baseline, 6 months, and 12 months using the Osteoporosis Quality of Life Questionnaire (OQLQ), the Sickness Impact Profile (SIP), a balance test, and the Timed Up And Go test. Bone mineral density was assessed at baseline and 12 months for both the lumbar spine and femoral neck. Quality of life (OQLQ) improved over 6 months in the exercise group compared to the control group in the domains of symptoms (P=0.003), emotion (P=0.01) and leisure (P=0.03). Results from the balance test indicated a greater effect in the exercise group over 12 months (P
ISSN:0937-941X
1433-2965
DOI:10.1007/s00198-003-1423-2