Osteoporosis, Vertebral Fracture
Conditions
Keywords
physical therapy, rehabilitation, pain, osteoporosis, vertebral fracture
Brief summary
The aim of this pilot study was to determine the effect of physiotherapy on impairments and health-related quality of life in people with a painful osteoporotic spinal fracture. It is hypothesised that physiotherapy will reduce impairments and improve quality of life in this patient group.
Interventions
OTHERPhysiotherapy
10 weekly individual sessions with the therapist each lasting approximately 45 minutes. Techniques included postural taping, massage, mobilisation, exercises. The patients also performed home exercises
Sponsors
ANZ Trustees
University of Melbourne
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
50 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* if female, at least five years post-menopause * aged \> 50 years * primary osteoporosis defined as DXA T score \< -2.5 at either the spine or proximal femur with at least one morphometric vertebral crush fracture sustained between 3 months to 2 years previously * back pain/discomfort in thoracic or lumbar region felt at least weekly within the last 6 months * stable dose of medication for treatment of osteoporosis (eg. hormone replacement therapy, bisphosphonates) * community dwelling and able to attend for treatment * English speaking
Exclusion criteria
* secondary causes of bone loss such as osteomalacia, glucocorticoid medication etc. * co-morbidities that would interfere with participation in exercise such as severe heart or pulmonary disease, inflammatory joint disease, severe osteoarthritis, psychiatric condition * acute vertebral fracture in past 3 months * signs and symptoms arising from nerve root compression * back pain radiating into the lower limb * previous participation in a formal pain management program for back pain * physiotherapy for back pain in the past 6 months * allergic reaction to adhesive tape or poor skin condition that would prevent use of tape
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Back pain as assessed by a numeric rating scale | Baseline and 10 weeks |
Secondary
| Measure | Time frame |
|---|---|
| activity restriction, health-related quality of life and physical activity levels as well as overall perceived rating of change in back pain. Objective measures of thoracic kyphosis, standing balance, back and shoulder muscle endurance | Baseline and 10 weeks |
Countries
Australia
Outcome results
None listed