Development of systems for physical rehabilitation and evaluation of their effectiveness in postmenopausal women with osteoporosis depending on the age and number of vertebral fractures
Background. The sedentary lifestyle, which is typical for most people, regardless of age, leads to the development of many diseases, in particular to the pathology of the locomotor system, premature aging and death. According to European and American guidelines, optimal treatment of osteoporosis involves the combination of drug and non-drug treatment methods, among the latter, physical rehabilitation also plays an important role. Today, literary sources provide numerous systems of therapeutic exercises, which are developed for persons with osteoporosis, including postmenopausal women. However, these systems have been developed for patients with systemic osteoporosis in general, and have not been adapted for patients with vertebral fractures (VF) in particular. The objective is to develop programs of physical rehabilitation for women of older age groups with systemic osteoporosis and vertebral fractures in the subacute period and to assess their effectiveness depending on the age of the patients and the number of VF. Materials and methods. The analysis and generalization of literary data were conducted to develop programs of physical rehabilitation. To evaluate the effectiveness of our systems for physical rehabilitation in the Ukrainian Scientific Medical Center for Osteoporosis Problems, we examined 53 postmenopausal women aged 50–84 years, who were divided into two groups depending on age: group I — patients aged 50–69 years, group II — 70–84 years. For analysis, static and dynamic types of functional tests (FT) were used. The examined women tested the developed system of physical rehabilitation for two weeks, daily — within 30 minutes. Results. The analysis of FT indices in women of two age groups after the end of exercises with the use of developed system for physical rehabilitation has shown a significant improvement of most indicators of dynamic and static FT. When analysing FT indices in postmenopausal women depending on the number of VF, the probable differences were not revealed in the above mentioned parameters of comprehensive treatment with the inclusion of new systems of therapeutic exercises and by its completion. We have confirmed a significant improvement of the FT in patients, regardless of the number of VF. When analysing FT indicators depending on the number of VF (one or two and more), the probable differences were not found in patients with systemic osteoporosis before and after comprehensive treatment with the inclusion of new developed systems for therapeutic exercises. Conclusions. The developed programs of physical rehabilitation improved the indicators of the functional state of the organism regardless of age, the number of VF and are safe that is confirmed by the stability of the assessment of basic hemodynamic parameters in women with systemic osteoporosis and VF, which allows recommending them for the use in treatment and prevention institutions.
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