Article

OBJECTIVE: To examine the effect of exercise therapy on quality of life in
postmenopausal women with osteoporosis or osteopenia. METHODS: We searched
MEDLINE, CINAHL, PEDro, EMBASE and the Cochrane library from January 1966 to
March 2007. Two reviewers independently selected all studies that met
predetermined inclusion criteria. Randomized controlled trials that used the
Short Form 36 of the Medical Outcome Study (SF-36) questionnaire or the Quality
of Life Questionnaire of the European Foundation for Osteoporosis (QUALEFFO) as
outcome measures were selected. The PEDro Scale was applied to rate the quality
of each article. All studies had a quality score above 5/10. Meta-analysis was
facilitated by RevMan 4.1. RESULTS: Four randomized controlled trials met the
inclusion criteria, involving a total of 256 participants. Results revealed that
the exercise groups showed significant improvements in the domains of physical
function, pain, role physical and vitality (P<0.05). Furthermore, intervention
with combined exercise programmes had better effects on physical function, pain
and vitality domains than controls. Group exercise programmes also produced
better results in these three domains. A short-duration exercise programme
produced more improvement in physical function, role physical and vitality,
whereas a long-duration exercise programme resulted in more improvement in
physical function and pain domains. CONCLUSIONS: This meta-analysis revealed
better improvement in physical function, pain, role physical and vitality in the
exercise groups. Combined exercise and group exercise programmes showed better
outcomes in the physical function, pain and vitality domains, but different
durations of exercise programme showed improvement in different domains.

Langue : ANGLAIS