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Title: Effects of Osteoanabolic Exercises on Gait, Balance and Fear of Fall among Osteoporotic Females
Authors: Aamir Khan, Amna
Keywords: Biological & Medical Sciences
Physical Thrapy
Issue Date: 2020
Publisher: Zia-ud-Din Medical University, Karachi.
Abstract: With the increase in life expectancy women spend more than one-third of their life time in post-menopausal state leading to osteoporosis in later stages. Therefore a decrease in temporal-spatial parameters of gait, high risk of fracture, imbalance in functional parameters, fear of fall and compromised health related quality of life is observed among osteoporotic females. Several physical activities and balance training programs have been implemented globally but nationally no program has yet been designed catering gait balance and fear of fall altogether as a combined program. OBJECTIVES The aim of this thesis was to determine the effectiveness of Osteoanabolic exercises on Temporal-Spatial gait parameters, Gait Stability Ratio (GSR) and Bone Mineral Density (BMD) among the osteoporotic females. Moreover, the effectiveness of these exercises was evaluated on dynamic balance using Timed Up and Go Test (TUG). Furthermore, the impact on fear of fall was identified using Fall Efficacy ScaleInternational (FES-I). METHODS A 3-arm Randomized Controlled Trail was conducted at Department of Rehabilitation Sciences, Ziauddin Hospital using envelope method. The participants were screened on the Physical Activity Readiness and You Questionnaire (PARQ &YOU). Ninetythree osteoporotic females were randomly allocated into three groups; where; participant in group ‗A‘ received aerobic training protocol, participant in group ‗B‘ resistance training and participant in group ‗C‘ Osteoanabolic training. A Frequency Intensity Time Type (FITT) protocol according to American College of Sports Medicine for aerobic and resistance training was incorporated whereas for Osteoanabolic group combination training protocol was used. Twelve weeks of training was conducted where pre and post readings were calculated using activPAL, TUG, FES-I and Peripheral DXA Scan. RESULTS Our results revealed that at 95% CI, Z1-α/2 the BMD of the participants were significantly improved in all the three groups p <0.05. Wilcoxon Sign Rank test was applied to find out within the group analysis (pre-post) at GSR which suggest xxiii favorable outcomes for aerobic and Osteoanabolic p<0.05. Kruskal-Wallis test was applied to analyze within the group analysis that suggests favorable results for Osteoanabolic group Z1-α/2 <0.05. For gait velocity the mean difference was found to be highest among the aerobic group (0.32±0.14 meters/sec) whereas for cadence it was in the Osteoanabolic group (113.03±5.6 steps/minute). Further for gait velocity, ANOVA and post hoc analysis showed statistically significant result (p<0.05) with the highest improvement in the Osteoanabolic group (1.06±0.16 meters/sec). For dynamic balance, no clinical significant difference was found between aerobic and Osteoanabolic group although p<0.05 for all the groups. For fear of fall low level of concern were documented in the Osteoanabolic group (20.4±2.8) with p<0.05 among all the three groups. CONCLUSION All exercise training protocols have shown improvement in gait, balance, BMD and fear of fall however, significant difference was observed in the Osteoanabolic group. Therefore, the future risk may be reduced through these training protocols.
Gov't Doc #: 20234
Appears in Collections:PhD Thesis of All Public / Private Sector Universities / DAIs.

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