Exercise after osteoporotic vertebral fracture

Exercise might possibly have beneficial effects on pain and function after osteoporotic vertebral fracture but the evidence in insufficient

The quality of evidence is downgraded by study limitations (insufficient blinding and selective reporting), inconsistency and imprecise results.

Summary

A Cochrane review included 7 studies with a total of 488 participants (almost all women) with history of non-traumatic or minimal trauma osteoporotic vertebral fracture. The interventions included exercise interventions of four weeks or greater (alone or as part of a physical therapy intervention) versus non-exercise/non-active physical therapy intervention, no intervention or placebo on the incidence of future fractures and adverse events among adults with a history of osteoporotic vertebral fracture(s).Exercise interventions comprised of muscle strengthening exercises, posture training and range of motion exercises. Adherence to exercise varied across studies. The control group received no intervention or a group discussion of general health issues.

Individual trials reported that exercise could improve pain, walking speed, trunk muscle endurance, and quality of life, but there were other studies that did not show any difference between the groups. No trials assessed the effect of exercise on incident fractures, adverse events or incident falls.

Clinical comments

Date of latest search:

Ədəbiyyat

1. Giangregorio LM, Macintyre NJ, Thabane L et al. Exercise for improving outcomes after osteoporotic vertebral fracture. Cochrane Database Syst Rev 2013;1():CD008618.