Thabet Ali Abd El-Monsif, Alshehri Mansour Abdullah, Helal Omar Farouk, Refaat Bassem
Department of Physical Therapy for Obstetrics and Gynaecology, Faculty of Physical Therapy, Cairo University, Egypt.
Physiotherapy Department, Faculty of Applied Medical Sciences, Umm Al-Qura University: PO Box 715, Postal Code 21421, Umm Al-Qura University, Makkah, Saudi Arabia.
J Phys Ther Sci. 2017 Sep;29(9):1612-1616. doi: 10.1589/jpts.29.1612. Epub 2017 Sep 15.
[Purpose] This study aimed to investigate how closed and open kinetic chain exercises differed in their impact on bone mineral density (BMD) and fall risk in postmenopausal women with osteoporosis. [Subjects and Methods] The research sample consisted of 40 postmenopausal women with osteoporosis with ages between 51 and 58 years old. They were divided at random into two groups of 20 each, respectively receiving closed and open kinetic chain exercises. These exercises were administered three times per week over a period of four sequential months. Prior to and following the treatment, Dual X-ray Absorptiometry (DEXA) was used to measure the BMD of the femur neck in every participant, while the Biodex Stability System (BSS) was used to estimate how likely each participant was to sustain a fall. [Results] The strongest effect on BMD and fall risk was recorded by the closed kinetic chain exercise. [Conclusion] Osteoporotic postmenopausal women should be prescribed closed kinetic chain exercise to diminish the effects of the disease and minimise their risk of fall.
[目的] 本研究旨在探讨闭链运动和开链运动对绝经后骨质疏松症女性骨密度(BMD)和跌倒风险的影响有何不同。[对象与方法] 研究样本包括40名年龄在51至58岁之间的绝经后骨质疏松症女性。她们被随机分为两组,每组20人,分别接受闭链运动和开链运动。这些运动每周进行三次,持续四个连续月。在治疗前后,使用双能X线吸收法(DEXA)测量每位参与者股骨颈的骨密度,同时使用Biodex稳定性系统(BSS)评估每位参与者跌倒的可能性。[结果] 闭链运动对骨密度和跌倒风险的影响最为显著。[结论] 应给绝经后骨质疏松症女性开闭链运动的处方,以减轻疾病的影响并将跌倒风险降至最低。