Malmros B, Jensen M B, Charles P, Mortensen L S
Arhus Universitetshospital, Arhus Amtssygehus, medicinsk-endokrinologisk afdeling C.
Ugeskr Laeger. 1999 Aug 16;161(33):4636-41.
Patients suffering from osteoporotic vertebral fractures are handicapped by pain and reduced quality of life. Our aim was to investigate the effect of a short training program for osteoporotic patients with regard to pain level, use of analgetics and quality of life. We performed a prospective randomized single-blinded placebo-controlled study. The training program included general training of balance and muscle strength and stabilization of the back. The participants were randomised to 10 weeks of ambulatory training. Controls and training participants were tested weekly by registration of pain level and analgetic intake. Questionnaires on daily level of function and quality of life were given at the start and after five and 10 weeks. After three months both groups filled out the questionnaires at home. The training group had a significant reduction in pain score and use of analgetics. The distribution of functional score improved during training. Quality of life score improved significantly throughout the study and after three months. In conclusion, this ambulatory training program is effective for training osteoporotic patients with moderately severe pain and the training should be continued.
患有骨质疏松性椎体骨折的患者因疼痛和生活质量下降而行动不便。我们的目的是研究针对骨质疏松患者的短期训练计划对疼痛程度、镇痛药使用情况和生活质量的影响。我们进行了一项前瞻性随机单盲安慰剂对照研究。训练计划包括平衡和肌肉力量的一般训练以及背部稳定训练。参与者被随机分配到为期10周的门诊训练。通过记录疼痛程度和镇痛药摄入量，每周对对照组和训练参与者进行测试。在开始时以及5周和10周后，发放关于日常功能水平和生活质量的问卷。三个月后，两组都在家中填写问卷。训练组的疼痛评分和镇痛药使用量显著降低。训练期间功能评分的分布有所改善。在整个研究过程中以及三个月后，生活质量评分显著提高。总之，这种门诊训练计划对训练患有中度至重度疼痛的骨质疏松患者有效，且训练应持续进行。
