Endocrine Abstracts

Aim: To evaluate effect of complex physical rehabilitation on postural function in patients with osteoporotic vertebral fractures (VFs).

Materials and methods: Study comprised of 90 osteoporotic patients aged 50–80 (65.4 ± 9.1 years) with VFs who were randomized as 2:1 into intervention group (group 1, n = 60) and control group (group2, n = 30). Patients in group1 received an intensive rehabilitation course including back muscle training with mechanical loads #10; sensorimotor training on double unstable platform #10; kinesohydrotherapy in a pool #15; physical exercises in a gym #10. Group 2 was prescribed only physical exercises in a gym #15. All patients were tested with Stabilometry, one leg standing test and Fukuda test at baseline, at the end of rehabilitation course and in a month after the rehabilitation as follow-up.

Results: Baseline examination showed no any significant differences between groups in stabilometric parameters and coordination tests (P > 0.05). There were significant changes in group1 after the rehabilitation course vs baseline in balance function coefficient (BFC) with opened eyes from 77.0±7.6 to 84.1±8.6% (P = 0.008) and with closed eyes from 67.1 ± 9.7 to 73.8 ± 9.6% (P = 0.007), at the area of statokinesiogram (ASKG) from 176.8 ± 170.2 to 131.9 ± 210,4 mm² (P = 0.04), pressure center velocity (PCV) from 9.5 ± 4.4 to 12.2 ± 10.1 mm/s, (P = 0.0004), displacement in Fukuda test from 41.4 ± 21.3 to 32.8±14.5, (P = 0.03) and in One leg standing test on both legs with open eyes from 9.7 ± 21.7 to 17.8±31.8 sec and from 9.5 ± 15.3 to 17.1 ± 30.1 respectively (P = 0.001). In group2 there was improvement in PCV from 9.2 ± 4.7 to 10.1 ± 3.9 mm/s (P = 0.05). Positive dynamics in balance tests (BFC with open and closed eyes, PCV, ASKG, displacement in the Fukuda test, time for both legs in One leg standing test) were maintained in group1 in month of follow-up after the rehabilitation treatment. All the postural control parameters were significantly better in group 1 vs group 2 after 1 month of follow-up (P < 0.01).

Conclusions: The complex physical rehabilitation aimed for trunk muscles and coordination trainings improve the postural function in patients with osteoporotic VFs.