Article

Vertebral fractures are the most common clinical manifestations of
osteoporosis. Vertebral fractures and reduced back extensor strength can result
in hyperkyphosis. Hyperkyphosis is associated with diminished daily functioning
and an increased risk of falling. Improvements in back extensor strength can
result in decreased kyphosis and thus a decreased risk of falls and fractures.
The aim was to examine the effects of an active spinal orthosis -
Spinomed III - on back extensor strength, back pain and physical functioning in
women with osteoporotic vertebral fractures.
STUDY DESIGN: Experimental
follow-up. METHODS: The women used the active spinal orthosis for 3 months.
Outcomes were changes in isometric back extensor strength, changes in back pain
and changes in physical functioning. RESULTS: A total of 13 women were included
in the trial. Wearing the orthosis during a 3-month period was associated with an
increase in back extensor strength of 50% (p = 0.01).
The study demonstrated a
33% reduction in back pain and a 6.5-point improvement in physical functioning.
The differences in pain and physical functioning were borderline significant.
CONCLUSION: The women demonstrated a clinically relevant improvement in the back
extensor strength.
The differences in pain and physical functioning were
clinically relevant and borderline significant. CLINICAL RELEVANCE: The results
imply that Spinomed III could be recommended for women with vertebral fractures
as a supplement to traditional back strengthening exercises. It is essential that
the orthosis is adjusted correctly and that there is an individual programme
concerning the amount of time the orthosis has to be worn every day.
CI - (c) The International Society for Prosthetics and Orthotics 2013.

Langue : ANGLAIS