Mollova Katya, Valeva Steliyana, Bekir Nazife, Teneva Pavlina, Varlyakov Kaloyan
Department of Health Care, Medical College, Trakia University, Armeiska Street 9, 6000 Stara Zagora, Bulgaria.
J Funct Morphol Kinesiol. 2025 Aug 15;10(3):316. doi: 10.3390/jfmk10030316.
: Osteoporosis is the most prevalent metabolic bone disease, characterized by decreased bone mineral density, which leads to increased bone fragility, back pain, impaired postural stability, and a heightened risk of fractures. Proprioceptive exercises have been identified as an effective approach for reducing the risk of falls and adverse events. : Our aim was to conduct a pilot exploratory study evaluating the effectiveness of proprioceptive training in improving coordination and balance, and in reducing chronic thoracolumbar back pain in older women diagnosed with osteoporosis. : Quantitative ultrasound bone densitometry was performed on 144 women over the age of 60, followed by the implementation of a proprioceptive training program. The One-Leg Stance balance test and the Visual Analog Scale for pain intensity were administered before and after a six-month training intervention. : ANOVA revealed significant improvements in balance, with the OLS duration increasing from 2.49 s at baseline to 7.31 s following the intervention. Participants aged over 70 years demonstrated a positive, though comparatively lower increase in stability and balance. Chi-squared (χ) analysis indicated that 83.9% of the variance in OLS performance was attributable to proprioceptive training (Cramer's V = 0.839, = 0.001). A significant reduction in VAS pain scores was observed, with 48.1% of the variance explained by the moderate effect of proprioceptive training (Cramer's V = 0.481, = 0.001). : Proprioceptive training has the potential to improve postural stability, balance, and coordination and stimulate pain intensity in the thoracolumbar region. Despite promising results, the absence of a control group limits our ability to draw definitive causal conclusions.
骨质疏松症是最常见的代谢性骨病，其特征是骨矿物质密度降低，这会导致骨脆性增加、背痛、姿势稳定性受损以及骨折风险升高。本体感觉训练已被确定为降低跌倒风险和不良事件的有效方法。：我们的目的是进行一项试点探索性研究，评估本体感觉训练在改善协调性和平衡以及减轻被诊断为骨质疏松症的老年女性慢性胸腰椎背痛方面的有效性。：对144名60岁以上的女性进行了定量超声骨密度测量，随后实施了本体感觉训练计划。在为期六个月的训练干预前后，进行了单腿站立平衡测试和疼痛强度视觉模拟量表评估。：方差分析显示平衡有显著改善，单腿站立持续时间从基线时的2.49秒增加到干预后的7.31秒。70岁以上的参与者在稳定性和平衡方面有积极的增加，尽管相对较低。卡方（χ）分析表明，单腿站立表现中83.9%的方差可归因于本体感觉训练（克莱默V = 0.839，P = 0.001）。观察到视觉模拟量表疼痛评分显著降低，48.1%的方差可由本体感觉训练的中等效果解释（克莱默V = 0.481，P = 0.001）。：本体感觉训练有可能改善姿势稳定性、平衡和协调性，并减轻胸腰椎区域的疼痛强度。尽管结果令人鼓舞，但缺乏对照组限制了我们得出明确因果结论的能力。
