Osteoporosis Secondary
Conditions
Keywords
Shock Wave, High intensity laser, Osteoporosis, Hemiplegia
Brief summary
Background: The relationship between immobilization and localized osteoporosis is well documented in chronic stroke patients. Hemiparetic patients are predisposed to fractures and usual activity impairment due to a considerable loss of bone density. A serious health care challenge is finding ways to reduce osteoporosis and associated fractures among stroke survivors. This study aimed to compare the effects of HILT and ESWT in treating osteoporosis and its consequences in hemiparetic patients. Patients and Methods: A randomized controlled trial was performed at the Faculty of Physical Therapy Outpatient Clinic, Cairo University. One hundred and twenty hemiplegic patients with osteoporosis of both sexes were chosen randomly. They were randomly classified into three equal groups (n=40 in each group). The control group received medication and traditional physiotherapy programs for stroke patients (strengthening, stretching, and balance exercise). The high-intensity laser (HIL) group received the same intervention as the control group in addition to high-intensity laser therapy. The shock wave (SW) group received the same intervention as the control group in addition to shock wave therapy. The three groups received an intervention that lasted 3 sessions/week for 12 weeks). All groups were assessed before and after therapy (3 months) for the degree of pain, which was evaluated by visual analog scale (VAS), fall risk assessment (overall stability index and Short Form of Berg Balance Scale (SFBBS)), and Quality of Life Questionnaire of the European Foundation for Osteoporosis (QUALEFFO-41).
Detailed description
randomized controlled trial was performed at the Faculty of Physical Therapy Outpatient Clinic, Cairo University. One hundred and twenty hemiplegic patients with osteoporosis of both sexes were chosen randomly. They were randomly classified into three equal groups (n=40 in each group). The control group received medication and traditional physiotherapy programs for stroke patients (strengthening, stretching, and balance exercise). The high-intensity laser (HIL) group received the same intervention as the control group in addition to high-intensity laser therapy. The shock wave (SW) group received the same intervention as the control group in addition to shock wave therapy. The three groups received an intervention that lasted 3 sessions/week for 12 weeks). All groups were assessed before and after therapy (3 months) for the degree of pain, which was evaluated by visual analog scale (VAS), fall risk assessment (overall stability index and Short Form of Berg Balance Scale (SFBBS)), and Quality of Life Questionnaire of the European Foundation for Osteoporosis (QUALEFFO-41).
Interventions
RADIATIONHigh-Intensity laser
intervention that lasted 3 sessions/week for 12 weeks).
OTHERTraditional physiotherapy exercises
intervention that lasted 3 sessions/week for 12 weeks).
RADIATIONShock Wave therapy
intervention that lasted 3 sessions/week for 12 weeks).
Sponsors
Beni-Suef University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
60 Years to 70 Years
Healthy volunteers
No
Inclusion criteria
* All participants were diagnosed by Dual-energy X-ray absorptiometry (DEXA) as osteoporosis or osteopenia, where T-score was -1.5 or less. * All patients were recruited from Kasr Al-Ainy Hospital, Cairo University.
Exclusion criteria
* BMI of more than 30 or less than 18 * Advanced musculoskeletal disorders. * Rheumatoid arthritis. * Skin diseases. * Long-term steroids therapy, or any drug affecting bones.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Quality of Life Questionnaire of the European Foundation for Osteoporosis (QUALEFFO-41) | 12 weeks | Quality of Life Questionnaire of the European Foundation for Osteoporosis |
| Pain intensity | 12 weeks | Visual analogue scale, a scale of 10 poi to 0 represent no pain at all and 10 represent the worst pain |
| fall risk assessment | 12 weeks | Short Form of Berg Balance Scale ,(SFBBS) ranged from 0 poor balance to 28 good balance.consisted of 7 items each item has grades from 1 poor balance to 4 good balance |
Countries
Egypt
Outcome results
None listed