Document Detail


Balance characteristics of persons with osteoporosis.
MedLine Citation:
PMID:  9084349     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: People affected by osteoporosis are at particular risk for bone fractures caused by falls. Preventive intervention depends on first describing the risk factors for falls present in this population as a group and as individuals. In this preliminary study, balance characteristics of women with and without osteoporosis were measured with computerized dynamic posturography (CDP). DESIGN: A case control design was selected to compare the balance characteristics of each group of patients with osteoporosis. SETTING: Testing was performed in the vestibular assessment area of our multispecialty clinic. SUBJECTS: Patient groups were selected from within our case load. Ten women with osteoporosis were compared with six women with osteoporosis and kyphosis (Cobb angle more than 54 degrees) and with five age-matched normal subjects. INTERVENTIONS: Because this was an observational study, no interventions were used. MAIN OUTCOME MEASURE: Averaged results from all trials of sensory organization tests 5 and 6, with use of sway amplitude and balance strategy scores, were used to compare the performance of each patient group. RESULTS: Both groups with osteoporosis had different balance control strategies than the group without osteoporosis. Specifically, those with osteoporosis had greater use of hip strategies for maintaining balance than did the normal group. Those with kyphosis also had greater postural sway than either of the other two groups. CONCLUSION: Results of this study suggest that there are differences in balance control strategies and sway amplitude between patients with and those without osteoporosis. Further study is recommended in which CDP is used to clarify and confirm these differences. Individual CDP results can be used to optimize habilitative management of these patients.
Authors:
S G Lynn; M Sinaki; K C Westerlind
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Archives of physical medicine and rehabilitation     Volume:  78     ISSN:  0003-9993     ISO Abbreviation:  Arch Phys Med Rehabil     Publication Date:  1997 Mar 
Date Detail:
Created Date:  1997-04-29     Completed Date:  1997-04-29     Revised Date:  2008-11-21    
Medline Journal Info:
Nlm Unique ID:  2985158R     Medline TA:  Arch Phys Med Rehabil     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  273-7     Citation Subset:  AIM; IM    
Affiliation:
Vestibular/Balance Laboratory, Mayo Clinic and Mayo Foundation, Rochester, MN 55905, USA.
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MeSH Terms
Descriptor/Qualifier:
Accidental Falls
Aged
Aged, 80 and over
Case-Control Studies
Female
Fractures, Bone / physiopathology,  prevention & control
Humans
Kyphosis / complications,  physiopathology
Middle Aged
Osteoporosis / complications,  physiopathology*
Postural Balance*
Proprioception

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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