Vertebral pain syndrome and physical performance assessing in older women with vertebral fractures
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Abstract
The purpose of this study was to assess the peculiarities of vertebral pain syndrome, parameters of physical performance and quality of life indices in women of older age depending on the presence of vertebral fractures (VF). This study was performed with participation of 215 women aged 50-89 years old which were divided into two groups: first one-women without any previous osteoporotic fractures (n=143), second group - patients with VF in thoracic and/or lumbar spine (n=72).
The presence and intensity of pain in the thoracic and lumbar spine were evaluated using the 11-component visual analog scale (VAS), physical performance-with following functional tests: 3-, 4- and 15-meter tests (gait speed), static balance (a side-by-side position, a semi-tandem position and a full-tandem position), 8-feet test and «five timed chair stands» (coordination and strength), hand grip strength (by dynamometer), measurement of arterial pressure (systolic and diastolic), heart and respiratory rates, breath holding, chest excursion (mean and on the inhalation and the exhalation), lateral trunk lean, Schober and Thomayer tests.
It was demonstrated that the intensity of vertebral pain (pain at the time of investigation, the most common level of pain, pain in the best periods of the disease) and some physical performance tests (lateral trunk lean and chest excursion (mean index, during the inhalation and exhalation), hand grip strength, 15-meter gait speed test and five-repetition sit-to-stand test) are significantly worse in women with VF than corresponding parameters in persons without fractures. It should be taken into account during the assessment of physical performance and development of rehabilitation programs for older age women with vertebral fractures.
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Griffith JF, Guglielmi G. Vertebral fracture. Radiol Clin North Am. 2010; 48: 519-529. Ref.: https://goo.gl/VeKHhM
Povorozyuk VV, Grygorieva NV, Orlyk TV et al.Osteoporosis in the practice of an internist-doctor. Expres Кyiv. 2014; 198.
Black DM, Arden NK, Palermo L, Pearson J, Cummings SR. Prevalent vertebral deformities predict hip fractures and new vertebral deformities but not wrist fractures. Study of Osteoporotic Fractures Research Group. J Bone Miner. Res. 1999; 14: 821-828. Ref.: https://goo.gl/YNCuVJ
Chen P, Krege JH, Adachi JD, Prior JC, Tenenhouse A, et al. Vertebral Fracture Status and the World Health Organization Risk Factors for predicting osteoporotic fracture risk. J Bone Miner Res. 2009; 24: 495-502. Ref.: https://goo.gl/6AhFHf
Delmas PD, Genant HK, Crans GG, Stock JL, Wong M, et al. Severity of prevalent vertebral fractures and the risk of subsequent vertebral and nonvertebral fractures: Results from the MORE trial. Bone. 2003; 33: 522-532. Ref.: https://goo.gl/MofiZn
Pongchaiyakul C, Nguyen ND, Jones G, Center JR, Eisman JA, et al. Asymptomatic vertebral deformity as a major risk factor for subsequent fractures and mortality: A long-term prospective study. J Bone Miner Res. 2005; 20: 1349-1355. Ref.: https://goo.gl/Dz2Hoh
Camacho PM, Petak SM, Binkley N, Clarke BL, Harris ST, et al. American Association of Clinical Endocrinologists and American College of Endocrinology Clinical Practice Guidelines for the diagnosis and treatment of postmenopausal osteoporosis-2016--Executive Summary. Endocr Pract. 2016; 22: 1111- 1118. Ref.: https://goo.gl/LE2ovF
Kanis JA, McCloskey EV, Johansson H, et al. On behalf of the Scientific Advisory Board of the European Society for Clinical and Economic Aspects of Osteoporosis and Osteoarthritis (ESCEO) and the Committee of Scientific Advisors of the International Osteoporosis Foundation (IOF) European guidance for the diagnosis and management of osteoporosis in postmenopausal women. Osteoporos Int. 2013; 24: 23-57. doi: 10.1007/s00198-012-2074-y.
Orlyk TV, Grygorieva NV, Povoroznyuk VV. Features of vertebral pain syndromes in older women depending on the duration of postmenopausal period and bone mineral density indices. Adv Gerontol. 2017; 30: 298-305. Ref.: https://goo.gl/9Cnbir
Cawthon PM, Blackwell TL, Marshall LM, Fink HA, Kado DM, et al. Osteoporotic Fractures in Men (MrOS) Research Group. Physical performance and radiographic and clinical vertebral fractures in older men. J Bone Miner Res. 2014; 29: 2101-2108. Ref.: https://goo.gl/ECzTB3
Gregg EW, Pereira MA, Caspersen CJ. Physical activity, falls, and fractures among older adults: a review of the epidemiologic evidence. J Am Geriatr Soc. 2000; 48: 883-893. Ref.: https://goo.gl/rQAGHf
Jinbayashi H, Aoyagi K, Rossetal PD. Prevalence of vertebral deformity and its associations with physical impairment among Japanese women: The Hizen-Oshima Study. Osteoporos Int. 2002; 13: 723-730. Ref.: https://goo.gl/kA5isM
Logan S, Thu WPP, Lay WK, Wang LY, Cauley JA, et al. Chronic joint pain and handgrip strength correlates with osteoporosis in mid-life women: a Singaporean cohort. Osteoporos Int. 2017. Ref.: https://goo.gl/fDux9x
Lyles KW, Gold DT, Shipp KM, Pieper CF, Martinez S, et al. Association of osteoporotic vertebral compression fractures with impaired functional status. Am J Med. 1993; 94: 595-601. Ref.: https://goo.gl/ynSyjE
Stattin K, Michaëlsson K, Larsson SC, Wolk A, Byberg L. Leisure-Time Physical Activity and Risk of Fracture: A Cohort Study of 66,940 Men and Women. J Bone Miner Res. 2017; 32: 1599-1606. Ref.: https://goo.gl/c44X2Z
Wang LY, Liaw MY, Huang YC, Lau YC, Leong CP, et al. Static and dynamic balance performance in patients with osteoporotic vertebral compression fracture. J Back Musculoskelet Rehabil. 2013; 26: 199-205. Ref.: https://goo.gl/Nsrja6
Guralnik JM. Assessing physical performance in the older patient [CD-ROM]. Nat Institutes of Aging. 2017.
Veronese N, Bolzetta F, Toffanello ED, Zambon S, De Rui M, et al. Association Between Short Physical Performance Battery and Falls in Older People: The Progetto Veneto Anziani Study. Rejuvenation Res. 2014; 17: 276-284. Ref.: https://goo.gl/Ca22yQ
Adedoyin RA, Adeleke OE, Fehintola AO, Gregory EE, Luqman Adeleke B. Reference Values for Chest Expansion among Adult Residents in Ile-Ife. Journal of Yoga & Physical Therapy. 2012; 2: 113. Ref.: https://goo.gl/fD1fYX
Main symptoms and syndromes in rheumatology. Ref.: https://goo.gl/hDaL3Q
Buckup K. Clinical Tests for the Musculoskeletal System. Examinations-Signs-Phenomena Thieme Stuttgart New York. 2004. Ref.: https://goo.gl/gAhgsN
Massy-Westropp NM, Gill TK, Taylor AW, Bohannon RW, Hill CL. Hand Grip Strength: age and gender stratified normative data in a population-based study. BMC Res Notes. 2011; 4: 127. Ref.: https://goo.gl/5UwQoY
Briggs AM, Smith AJ, Straker LM, Bragge P. Thoracic spine pain in the general population: prevalence, incidence and associated factors in children, adolescents and adults. A systematic review. BMC Musculoskelet Disord. 2009; 29: 10-77. Ref.: https://goo.gl/GSBuQe
Schiphorst Preuper HR, Reneman MF, Boonstra AM, Dijkstra PU, Versteegen GJ, et al. Relationship between psychological factors and performance-based and self-reported disability in chronic low back pain. Eur Spine J. 2008; 17: 1448-1456. Ref.: https://goo.gl/6inxSh
Arima K, Abe Y, Nishimura T, Okabe T, Tomita Y, et al. Association of vertebral compression fractures with physical performance measures among community-dwelling Japanese women aged 40 years and older. BMC Musculoskelet Disord. 2017; 18: 176. Ref.: https://goo.gl/bR4m9F
Singh H, Kim D, Bemben MG, Bemben DA. Relationship between muscle performance and DXA-derived bone parameters in community-dwelling older adults. J Musculoskelet Neuronal Interact. 2017; 17: 50-58. Ref.: https://goo.gl/uvhKzN
Whitfield GP, Kohrt WM, Pettee Gabriel KK, Rahbar MH, Kohl HW 3rd. Bone mineral density across a range of physical activity volumes: NHANES 2007-2010. Med Sci Sports Exerc. 2015; 47: 326-334. Ref.: https://goo.gl/E57dbd
Kikkert LHJ, de Groot MH, van Campen JP, Beijnen JH, Hortobágyi T, et al. Gait dynamics to optimize fall risk assessment in geriatric patients admitted to an outpatient diagnostic clinic. PLoS One. 2017; 12: e0178615. Ref.: https://goo.gl/FQwTVY
Sinaki M. Exercise for patients with osteoporosis: management of vertebral compression fractures and trunk strengthening for fall prevention. PMR. 2012; 4: 882-888. Ref.: https://goo.gl/gZxzSk
Barry DW, Kohrt WM. Exercise and the preservation of bone health. J Cardiopulm Rehabil Prev. 2008; 28: 153-162. Ref.: https://goo.gl/qz2h4j
Bolam KA, van Uffelen JG, Taaffe DR. The effect of physical exercise on bone density in middle-aged and older men: a systematic review. Osteoporosis Int. 2013; 24: 2749-2762. Ref.: https://goo.gl/Vvs7VD
Povoroznyuk VV, Dzerovich NI, Belinska AС, Tkachuk AА. Skeletal muscle tissue state in women of the Ukrainian population. Pain. Joints Spine. 2015; 4: 15-18. Ref.: https://goo.gl/diY5EU
Wong AY, Karppinen J, Samartzis D. Low back pain in older adults: risk factors, management options and future directions. Scoliosis Spinal Disord. 2017; 18: 12-14. Ref.: https://goo.gl/uHo9Eq