Efficiency of a new complex rehabilitation method using mechano– and kinesiotherapy for balance disorders correction in patients with osteoporotic compression vertebral fractures

1 Makarova E.V., 1 Marchenkova L.A., 1 Eremushkin M.A., 1 Styazhkina E.M., 1 Razvalyaeva D.V.

1 National Medical Research Center of Rehabilitation and Balneology, Moscow, Russian Federation


Abstract:

The aim of the study: Evaluate the impact of physical rehabilitation complex on balance function inpatients with osteoporosis (OP) and vertebral compression fractures (VCFs).Materials and methods: A prospective controlled study of 40–80 years old men and women with OP and VCFs was conducted.Patients were divided into two groups by simple randomization. The intervention group (1) received an intensiverehabilitation course. The control group (2) received therapeutic exercise using the Gorinevska-Dreving method. Beforerehabilitation all patients were tested: 1) stabilometry; 2) Tests: single leg stand, Fukuda test). Re-examination after rehabilitationand one month after the course.Results: The study enrolled 90 people (65.4±9.1 years). In group № 1 after the course of rehabilitation there was a significantimprovement in indicators: balance function coefficient (BFC) with open and closed eyes (84.1±8.6%, p=0.01 and73.8±9.6%, p=0.01); frontal shifts (FS) (1.9 [0.7; 2,4], p=0,01), the area of statokinesiogram (ASKG) (131,9±210,4 mm2,p=0,04); center of pressure velocity (CPV) (12,2±10,1 mm/sec, p=0,001); in the Fukuda test the displacement in degreeshas decreased (32.8±14.5, p=0.03), in the test «Single leg stand» the time for right and left leg with open eyes has improved(17.8±31.8 sec, p=0.001, 17.1±30.1 respectively). In group № 2 there was an improvement in CPV (2.1 [1.9;5.2],p=0.001); FS movement rate (10.1±3.9 mm/sec, p=0.05). After a month in group № 1 the positive dynamics by parameterswas preserved: BFC with open and closed eyes, FS, CPV movement speed, SKG area, displacement in meters anddegrees in the Fukuda test, standing time on the right and left legs with open and closed eyes.Conclusions: A physical rehabilitation complex aimed at training back muscles and coordination has improved balancefunction in patients who have experienced OP and VCFs. Pathological shift of CPV forward in frontal area was correctedand stability was improved. Stabilometry and coordination tests served as reliable methods to evaluate balance functionin this group of patients.

Keywords: osteoporosis, vertebral fractures, balance, rehabilitation, coordination training.

For citation: Makarova E.V., Marchenkova L.A., Eremushkin M.A., Styazhkina E.M., Razvalyaeva D.V. Efficiency of a new complex rehabilitation method using mechano– and kinesiotherapy for balance disorders correction in patients with osteoporotic compression vertebral fractures. Bulletin of rehabilitation medicine. 2020; 97 (3): 160-166. https://doi.org/10.38025/2078-1962-2020-97-3-160-166



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