Sinaki M, Mikkelsen B A
Arch Phys Med Rehabil. 1984 Oct;65(10):593-6.
Fifty-nine women with postmenopausal spinal osteoporosis and back pain were instructed in a treatment program that included extension exercises (E) for 25 patients, flexion exercises (F) for 9, combined (E + F) exercises for 19, or no therapeutic exercises (N) for 6. Ages ranged from 49 to 60 years (mean, 56 years). Follow-up ranged from one to six years (means for the groups, 1.4 to 2 years). All patients had spine x-ray studies before treatment and at follow-up, at which time any further wedging and compression fractures were recorded. Additional fractures occurred as follows: group E, 16%; F, 89%; E + F, 53%; and N, 67%. In comparison with group E, the occurrence of wedging or compression fractures was significantly higher in group F (p less than 0.001) and group E + F (p less than 0.01). This study suggests that a significantly higher number of vertebral compression fractures occur in patients with postmenopausal osteoporosis who followed a flexion exercise program compared with those using extension exercises. Extension or isometric exercises seem to be more appropriate for patients with postmenopausal osteoporosis.
59名患有绝经后脊柱骨质疏松症且伴有背痛的女性参与了一项治疗方案，其中25名患者进行伸展运动（E组），9名进行屈曲运动（F组），19名进行联合（E+F）运动，6名不进行治疗性运动（N组）。年龄范围为49至60岁（平均56岁）。随访时间为1至6年（各小组平均随访时间为1.4至2年）。所有患者在治疗前和随访时均进行了脊柱X光检查，记录了在此期间出现的任何进一步的楔形和压缩性骨折情况。额外骨折发生情况如下：E组为16%；F组为89%；E+F组为53%；N组为67%。与E组相比，F组（p<0.001）和E+F组（p<0.01）出现楔形或压缩性骨折的发生率显著更高。该研究表明，与进行伸展运动的绝经后骨质疏松症患者相比，进行屈曲运动方案的患者发生椎体压缩性骨折的数量明显更多。伸展运动或等长运动似乎更适合绝经后骨质疏松症患者。
