Volume 25, Issue 3 (Autumn 2024)
jrehab 2024, 25(3): 372-395 |
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Jahantigh Akbari N, Niknam H, Sadat Naimi S, Tahan N, Danesh Shahreki B, Jahantigh Akbari A, et al . The Effect of Exercise Therapy on Muscular Strength, Bone Mineral Density and Quality of Life in Postmenopausal Women With Osteoporosis: A Systematic Review. jrehab 2024; 25 (3) :372-395
URL: http://rehabilitationj.uswr.ac.ir/article-1-3320-en.html
URL: http://rehabilitationj.uswr.ac.ir/article-1-3320-en.html
Narges Jahantigh Akbari1 
, Hoda Niknam * 2, Sedigheh Sadat Naimi3 , Nahid Tahan3 , Bijan Danesh Shahreki4 , Ali Jahantigh Akbari5 , Yousef Nooshiravani6 , Negar Asad-Sajjadi7
, Hoda Niknam * 2, Sedigheh Sadat Naimi3 , Nahid Tahan3 , Bijan Danesh Shahreki4 , Ali Jahantigh Akbari5 , Yousef Nooshiravani6 , Negar Asad-Sajjadi7
1- Department of Physical Therapy, School of Rehabilitation, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
2- Physiotherapy Research Center, School of Rehabilitation, Shahid Beheshti University of Medical Sciences, Tehran, Iran. ,Hodaniknam@sbmu.ac.ir
3- Physiotherapy Research Center, School of Rehabilitation, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
4- Informatics Unit, Deputy of Education, Zabol University of Medical Sciences, Zabol, Iran.
5- Department of Psychology, Faculty of Humanities, Zahedan Branch, Islamic Azad University, Zahedan, Iran.
6- Department of Biostatistics, School of Medical Sciences, Zabol University of Medical Sciences, Zabol, Iran.
7- Department of Biostatistics, School of Allied Medical Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
2- Physiotherapy Research Center, School of Rehabilitation, Shahid Beheshti University of Medical Sciences, Tehran, Iran. ,
3- Physiotherapy Research Center, School of Rehabilitation, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
4- Informatics Unit, Deputy of Education, Zabol University of Medical Sciences, Zabol, Iran.
5- Department of Psychology, Faculty of Humanities, Zahedan Branch, Islamic Azad University, Zahedan, Iran.
6- Department of Biostatistics, School of Medical Sciences, Zabol University of Medical Sciences, Zabol, Iran.
7- Department of Biostatistics, School of Allied Medical Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Abstract: (3709 Views)
Objective Osteoporosis is a widespread skeletal condition due to decreased muscle strength and bone density. The most common complications are fractures followed by pain and reduced quality of life (QoL). Therefore, this research aimed to examine the effect of exercise therapy on muscle strength, QoL, and bone mass in osteoporotic women.
Materials & Methods Available literature was reviewed using ScienceDirect, PubMed, Google Scholar, and Cochrane. Studies were considered eligible if they were randomized controlled trials (RCT) conducted on postmenopausal osteoporotic women, used exercise therapy as an intervention, and investigated muscle strength, QoL, and bone mass as outcomes. Two authors independently assessed the quality of the articles using the physiotherapy evidence database (PEDro) scale. The Cohen’s d effect size was computed by dividing the mean standardized difference by the standard deviation to measure the treatment effect, which includes exercise therapy.
Results Seven papers were chosen to be included in this research. Their PEDro scores varied between 6 and 9 out of a possible 10. The effect size mean differences, resulting from exercise therapy, ranged from 0.32 to 0.63, indicating “small” to “moderate” effects in enhancing the condition of osteoporotic postmenopausal women. It was reported that there was a small effect size in 5 studies and a medium effect size in 2 studies. The research findings suggested the effect of balance, strengthening, stretching, stability, and motor control exercises on bone mass and muscle strength in osteoporotic postmenopausal women.
Conclusion Findings indicate that exercise therapy interventions positively affect muscular strength, QoL, and bone mass in osteoporotic postmenopausal women. Additional well-conducted research is required to support this assumption further.
Materials & Methods Available literature was reviewed using ScienceDirect, PubMed, Google Scholar, and Cochrane. Studies were considered eligible if they were randomized controlled trials (RCT) conducted on postmenopausal osteoporotic women, used exercise therapy as an intervention, and investigated muscle strength, QoL, and bone mass as outcomes. Two authors independently assessed the quality of the articles using the physiotherapy evidence database (PEDro) scale. The Cohen’s d effect size was computed by dividing the mean standardized difference by the standard deviation to measure the treatment effect, which includes exercise therapy.
Results Seven papers were chosen to be included in this research. Their PEDro scores varied between 6 and 9 out of a possible 10. The effect size mean differences, resulting from exercise therapy, ranged from 0.32 to 0.63, indicating “small” to “moderate” effects in enhancing the condition of osteoporotic postmenopausal women. It was reported that there was a small effect size in 5 studies and a medium effect size in 2 studies. The research findings suggested the effect of balance, strengthening, stretching, stability, and motor control exercises on bone mass and muscle strength in osteoporotic postmenopausal women.
Conclusion Findings indicate that exercise therapy interventions positively affect muscular strength, QoL, and bone mass in osteoporotic postmenopausal women. Additional well-conducted research is required to support this assumption further.
Type of Study: Review |
Subject:
Physical Therapy
Received: 7/07/2023 | Accepted: 13/04/2024 | Published: 1/10/2024
Received: 7/07/2023 | Accepted: 13/04/2024 | Published: 1/10/2024
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This is an open access article distributed under the terms of the Creative Commons Attribution License (CC-By-NC), which permits use, distribution, and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
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