Authors: K Dusdal J Grundmanis K Luttin P Ritchie C Rompre R Sidhu S R Harris
Publish Date: 2010/12/16
Volume: 22, Issue: 3, Pages: 755-769
Abstract
A systematic literature review was conducted and revealed nine studies investigating the effects of therapeutic exercise for persons with osteoporotic vertebral fractures Although modest improvements were noted in strength and balance results were inconsistent in supporting therapeutic exercise as effective in improving outcomes such as pain and quality of life QOLThe purpose of this systematic review was to investigate the effects of therapeutic exercise as an intervention for patients over age 45 years with one or more osteoporotic vertebral fractures The effects of the intervention on the following outcomes are summarized in this review pain/analgesic use QOL function strength balance range of motion bone mineral density and incidence of future fracturesA systematic literature review of therapeutic exercise as a treatment for persons with osteoporotic vertebral fractures was conducted Studies were retrieved from six databases screened for inclusion and assessed for methodological quality Results were analyzed qualitatively based on levels of evidence methodological rigor and consistency of findings across studies within each of the eight healthrelated outcomesDue to lack of highquality consistent research on the effects of exercise for persons with vertebral fractures no definitive conclusions can be drawn from this systematic review Positive trends were identified with regard to improvements in strength and balance with no increase in pain following exercise protocols Future research is needed in this areaThis study was funded in part by a Canadian Institutes of Health Research CIHR Knowledge Synthesis Grant FRN 86244 Principal Investigator Susan R Harris We wish to acknowledge Drs Kim Bennell and Greg Summers for their personal communications and for provision of their unpublished work We would also like to thank Dr Linda Li for her assistance with data abstraction and Tony Hong for help with translation Lastly we wish to thank Charlotte Beck for her guidance with our search strategy
Keywords: