The aim is to compare the effects of clinical pilates and whole body vibration exercises in postmenopausal osteoporotic women on strength, flexibility, balance, bone turnover markers and quality of life.
The aim of this study is to compare the effects of clinical pilates and whole body vibration exercises in postmenopausal osteoporotic women in terms of strength, flexibility, balance, bone turnover markers and quality of life. Thirty-four women who are diagnosed with postmenopausal osteoporosis will be recruited into the study. Participants will be divided into two groups: (1) clinical pilates group, (2) vibration exercises group. Exercise programs will be performed two times per week for twelve weeks. The strength of the extensor muscles of the hip, knee, back, elbow will be measured with a hand-held dynamometer. Flexibility will be assessed measuring the fingertip-to-floor distance in flexion and lateral bending. The balance performance will be assessed using the timed up and go test, Tetrax fall index and the maximum hold time on unipedal stance and on tandem stance. The short form-12 questionnaire will be used to assess the quality of life. Also, bone turnover markers will be measured. All assessments will be performed before and after exercise programs.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
34
Clinical pilates exercises will be performed progressively. The duration of each exercise session will be an average of 40 minutes initially and then will be increased to 60 minutes as the program progress.
Whole body vibration exercises will be performed using the Power Plate pro5 AIRdaptive machine.The duration of each exercise session will be an average of 20 minutes initially and then will be increased to 30 minutes as the program progress.
Dokuz Eylul University, School of Physical Therapy and Rehabilitation
Izmir, Turkey (Türkiye)
Strength
The strength of the extensor muscles of the hip, knee, back, elbow will be assessed with a hand-held dynamometer.
Time frame: Change in strength measures from baseline to twelve weeks
Flexibility
Flexibility wil be assessed measuring the fingertip-to-floor distance in flexion and lateral bending.
Time frame: Change in flexibility measures from baseline to twelve weeks
Timed up and go test
Timed up and go test will be used to assess dynamic balance.
Time frame: Change in Timed up and go test from baseline to twelve weeks
The maximum hold time on unipedal stance and on tandem stance.
The maximum hold time will be calculated to assess static balance.
Time frame: Change in the maximum hold time from baseline to twelve weeks
Tetrax fall index
Tetrax fall index will be calculated to determine fall risk.
Time frame: Change in Tetrax fall index from baseline to twelve weeks
The short form-12 questionnaire
The short form-12 questionnaire will be used to assess quality of life. The total score can range from 0 to 100. Lower SF-12 score indicated poorer physical and mental health.
Time frame: Change in quality of life measure from baseline to twelve weeks
Dual-energy X-ray absorptiometry of hip and lumbar spine
Dual-energy X-ray absorptiometry of hip and lumbar spine will be measured to assess bone density.
Time frame: Change in the Dual-energy X-ray absorptiometry of hip and lumbar spine from baseline to twelve weeks
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Plasma sclerostin concentration
Plasma sclerostin concentration will be measured to assess the process of bone resorption and formation.
Time frame: Change in plasma sclerostin concentration from baseline to twelve weeks
Urinary deoxypyridinoline
Urinary deoxypyridinoline level will be measured to assess bone resorption.
Time frame: Change in urinary deoxypyridinoline level from baseline to twelve weeks