Osteoporotic Vertebral Fractures and Exercise

NCT ID: NCT05521724

Last Updated: 2022-08-30

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

NA

Total Enrollment

40 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-08-20

Study Completion Date

2022-12-01

Brief Summary

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Physiotherapy has an important place in the treatment of osteoporotic vertebral fractures. Therapeutic exercise is often recommended for patients with vertebral fractures to reduce pain and restore functional movement. There is not enough evidence in the literature to determine the effects of long-term exercise on osteoporotic fractures and their side effects.

Therefore, the aim of this study is to evaluate the effectiveness of 12-week exercise training in patients with osteoporotic vertebral fractures.

Detailed Description

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Osteoporotic vertebral fractures are associated with increased morbidity (eg, pain, poor quality of life) and mortality. Therapeutic exercise is a conservative non-pharmacological treatment that is often recommended for patients with vertebral fractures to reduce pain and restore functional movement.

There are preliminary studies showing that exercise may have an important role in improving quality of life and reducing the risk of re-fracture in these individuals. There are several reports of pain relief after short-term (6-10 weeks) exercise programs in people with spinal fractures, suggesting that there is uncertainty in the effects reported after longer-term (12-24 weeks) exercise. Data are scarce and there are only four studies examining this question, and one is a multi-component physical therapy intervention that includes exercise. Not all studies have examined individuals with severe pain at baseline. The quality assessment of the evidence for the effects of exercise on pain is very low.

There is insufficient evidence in the literature to determine the effects of exercise on osteoporotic fractures and their side effects.

Therefore, the aim of the study is to evaluate the effectiveness of 12-week resistance and balance exercises in patients with osteoporotic vertebral fractures.The group of patients who will exercise will be compared with individuals who do not receive any treatment or exercise.

It is aimed to reveal the effects of exercise on pain, physical performance, quality of life, depression, loss of function, kinesiophobia and sleep quality.

Conditions

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Exercise Addiction Vertebral Fracture

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

randomized controlled clinical trial
Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Investigators Outcome Assessors

Study Groups

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exercise group

The exercise protocol includes balance training and resistance training for all major muscle groups. The program will be performed twice a week.

* Squat
* Step up
* Step-up sideways
* Upright row
* Chest presS
* Biceps curl In balance exercises; It will start with static balance exercises and progress to dynamic balance exercises and will be applied 2 days a week for a minimum of 15 minutes.
* Tandem stance
* Semitandem stance
* Standing exercises on one leg will be performed first with eyes open and then with eyes closed.

As dynamic balance exercises;

* Just tip toe walking
* Don't just walk on heels
* Tandem walking is selected.

Group Type EXPERIMENTAL

exercise

Intervention Type PROCEDURE

resistance and strengthening exercises will be applied to a randomized patient group.

control group

No intervention will be made to the control group during the study.

Group Type ACTIVE_COMPARATOR

exercise

Intervention Type PROCEDURE

resistance and strengthening exercises will be applied to a randomized patient group.

Interventions

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exercise

resistance and strengthening exercises will be applied to a randomized patient group.

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Ambulatory,
* 55 years and over,
* A minimum pain score of 3 in the Short Form Mc-Gill, which we will use for pain assessment.
* Able to use mobile phone by himself or with the support of his family,
* Having at least one vertebral fracture at least 6 months ago as a result of X-ray,
* It was defined as having osteoporosis (Lumbar spine DEXA T score \<-2.5).

Exclusion Criteria

* Metabolic disease that will prevent participation in exercise,
* Pain at a level that prevents participation in exercise (a score above 7 in Short Form Mc Gill)
* Severe cardiovascular or pulmonary diseases (such as Uncontrolled Hypertension, resting heart rate 100 beats/min),
* Psychiatric diseases
* Determined as a recent fracture history
Minimum Eligible Age

55 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Hasan Kalyoncu University

OTHER

Sponsor Role lead

Responsible Party

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Yasemin Salkin

LECTURER

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Mersin Üniversitesi

Mersin, Yeni̇şehi̇r/mersi̇n, Turkey (Türkiye)

Site Status RECRUITING

Countries

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Turkey (Türkiye)

Central Contacts

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YASEMİN SALKIN

Role: CONTACT

0505 116 53 13

Pınar Müge ALTINKAYA, DR

Role: CONTACT

0506 730 86 98

Facility Contacts

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YASEMİN SALKIN

Role: primary

05051165313 ext. 70019

References

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Gibbs JC, MacIntyre NJ, Ponzano M, Templeton JA, Thabane L, Papaioannou A, Giangregorio LM. Exercise for improving outcomes after osteoporotic vertebral fracture. Cochrane Database Syst Rev. 2019 Jul 5;7(7):CD008618. doi: 10.1002/14651858.CD008618.pub3.

Reference Type BACKGROUND
PMID: 31273764 (View on PubMed)

Barker KL, Newman M, Stallard N, Leal J, Minns Lowe C, Javaid MK, Noufaily A, Adhikari A, Hughes T, Smith DJ, Gandhi V, Cooper C, Lamb SE. Exercise or manual physiotherapy compared with a single session of physiotherapy for osteoporotic vertebral fracture: three-arm PROVE RCT. Health Technol Assess. 2019 Aug;23(44):1-318. doi: 10.3310/hta23440.

Reference Type BACKGROUND
PMID: 31456562 (View on PubMed)

Giangregorio LM, Papaioannou A, Macintyre NJ, Ashe MC, Heinonen A, Shipp K, Wark J, McGill S, Keller H, Jain R, Laprade J, Cheung AM. Too Fit To Fracture: exercise recommendations for individuals with osteoporosis or osteoporotic vertebral fracture. Osteoporos Int. 2014 Mar;25(3):821-35. doi: 10.1007/s00198-013-2523-2. Epub 2013 Nov 27.

Reference Type RESULT
PMID: 24281053 (View on PubMed)

Related Links

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Other Identifiers

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HasanKU-YASEMİNSALKİN-1992

Identifier Type: -

Identifier Source: org_study_id

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