| Systematic back muscle exercise after percutaneous vertebroplasty for spinal osteoporotic compression fracture patients: a randomized controlled trial. | |
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MedLine Citation:
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PMID: 21975470 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: To analyze the clinical significance of postoperative back muscle exercises after percutaneous vertebroplasty for spinal osteoporotic compression fracture patients. DESIGN: Clinical randomized controlled trials of parallel group nonpharmacologic study. SETTING: Patients practised back muscle exercises in the spinal surgery department, rehabilitation department and at their residences. SUBJECTS: Osteoporotic compression fracture patients who had undergone percutaneous vertebroplasty and processed sufficient muscle strength to participate in the training were studied. INTERVENTIONS: Patients were randomized into two groups, which were titled A and B. General postoperation therapy, including antiosteoporotic medications and education, was offered to all patients. Group B patients received additional systematic back muscle exercise. MAIN MEASURES: Both Oswestry Disability Index (ODI) and visual analogue scale (VAS) were recorded preoperatively and postoperatively at three-day, one-month, six-month, one-year and two-year follow-up. RESULTS: From January 2006 to January 2009, a total of 82 patients were assessed for eligibility, 60 patients were enrolled and randomized into two groups. Forty-two (70%) patients (20 of 30 in Group A and 22 of 30 in Group B) were successfully followed-up for two years. Systematic back muscle exercises resulted in a significant advantage in both measurements. The ODI of Group B was significantly better than Group A at the six-month, one-year and two-year follow-ups (P < 0.05). The pain level of Group B was significantly lower than in Group A at the one- and two-year follow-ups (P < 0.05). At the end of our study, the mean (SD) of the ODI in Groups A and B were 39.1 (9.14) and 23.4 (5.62); the mean (SD) of the VAS in Groups A and B were 3.4 (1.15) and 2.1 (0.84), respectively. CONCLUSIONS: Our findings suggest that the benefit of the exercises required at least six months to be observed; however, the favourable effects could last for two years. Therefore, systematic back muscle exercise should be recommended as one of the treatment guidelines for postpercutaneous vertebroplasty patients. |
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Authors:
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Bai-Ling Chen; Yi Zhong; Yang-Liang Huang; Li-Wen Zeng; Yi-Qiang Li; Xiao-Xi Yang; Qin Jiang; Chu-Huai Wang |
Publication Detail:
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Type: Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't Date: 2011-10-05 |
Journal Detail:
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Title: Clinical rehabilitation Volume: 26 ISSN: 1477-0873 ISO Abbreviation: Clin Rehabil Publication Date: 2012 Jun |
Date Detail:
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Created Date: 2012-05-18 Completed Date: 2012-09-27 Revised Date: 2012-10-05 |
Medline Journal Info:
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Nlm Unique ID: 8802181 Medline TA: Clin Rehabil Country: England |
Other Details:
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Languages: eng Pagination: 483-92 Citation Subset: IM |
Affiliation:
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Department of Spine Surgery, the First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China. berlinch2007@yahoo.com.cn |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Exercise Therapy* Female Fractures, Compression / therapy* Humans Low Back Pain / etiology, therapy* Male Muscle, Skeletal / physiology Osteoporotic Fractures / therapy* Pain Measurement Spinal Fractures / therapy* Vertebroplasty* |
| Comments/Corrections | |
Erratum In:
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Clin Rehabil. 2012 Aug;26(8):767 |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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