MedPath

Effectiveness of Physiotherapy for Osteoporotic Spinal Fracture

Phase 2
Completed
Conditions
Osteoporosis
Vertebral Fracture
Interventions
Other: Physiotherapy
Registration Number
NCT00638768
Lead Sponsor
University of Melbourne
Brief Summary

The aim of this pilot study was to determine the effect of physiotherapy on impairments and health-related quality of life in people with a painful osteoporotic spinal fracture. It is hypothesised that physiotherapy will reduce impairments and improve quality of life in this patient group.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
20
Inclusion Criteria
  • if female, at least five years post-menopause
  • aged > 50 years
  • primary osteoporosis defined as DXA T score < -2.5 at either the spine or proximal femur with at least one morphometric vertebral crush fracture sustained between 3 months to 2 years previously
  • back pain/discomfort in thoracic or lumbar region felt at least weekly within the last 6 months
  • stable dose of medication for treatment of osteoporosis (eg. hormone replacement therapy, bisphosphonates)
  • community dwelling and able to attend for treatment
  • English speaking
Exclusion Criteria
  • secondary causes of bone loss such as osteomalacia, glucocorticoid medication etc.
  • co-morbidities that would interfere with participation in exercise such as severe heart or pulmonary disease, inflammatory joint disease, severe osteoarthritis, psychiatric condition
  • acute vertebral fracture in past 3 months
  • signs and symptoms arising from nerve root compression
  • back pain radiating into the lower limb
  • previous participation in a formal pain management program for back pain
  • physiotherapy for back pain in the past 6 months
  • allergic reaction to adhesive tape or poor skin condition that would prevent use of tape

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
PhysiotherapyPhysiotherapyIncluding 10 individual visits with a physiotherapist and home exercises
Primary Outcome Measures
NameTimeMethod
Back pain as assessed by a numeric rating scaleBaseline and 10 weeks
Secondary Outcome Measures
NameTimeMethod
activity restriction, health-related quality of life and physical activity levels as well as overall perceived rating of change in back pain. Objective measures of thoracic kyphosis, standing balance, back and shoulder muscle enduranceBaseline and 10 weeks

Trial Locations

Locations (1)

School of Physiotherapy, University of Melbourne

🇦🇺

Melbourne, Victoria, Australia

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