medigraphic.com
ISSN 1405-8790 (Print)

2003, Number 1

<< Back Next >>

Rev Mex Med Fis Rehab 2003; 15 (1)

Comparative study of the pharmacological management and mechanotherapy in postmenopause patients with spine and hip osteoporosis

Palacios CJ, Castro REL, Vargas CAC

Language: Spanish
References: 24
Page: 7-11
PDF size: 54.80 Kb.


ABSTRACT

Objective: The purpose of the study was to establish the effectiveness of the rehabilitation treatment using progressive resistive exercises combined with biphosphonates in the spine osteoporosis treatment in postmenopause patients at the Centro de Rehabilitación y Educación Especial Iztapalapa. Design: Prospective, longitudinal, cuasi experimental, comparative. Method: Thirty postmenopause patients were included, age from 55 to 75 years old, with spine osteoporosis, divided into two groups 15 patients each: one group receiving daily sodium risedronate only and the other group receiving the same drug plus a program of progressive resistive exercises, the length of the treatment was 3 months both. After treatment a new densitometry was made and compared with the former. Results: Comparing T Score values of the spine before and after treatment there was not significant difference for the A group whereas we found significant difference for the B group. Final averages from the two groups showed no statistical differences. Conclusions: The combination between sodium risendronate and exercise program demonstrated effectiveness in treating this kind of patients.


REFERENCES

  1. Marcus R. Role of exercise in preventing and treating osteoporosis. Osteoporosis Rheumatic Diseases Clinics of North America 2001; 27(1):

  2. Lucas ST, Einhorn AT. Osteoporosis: The role of the orthopaedist. J Am Acad Orthop Surg 1993; 1: 48-56.

  3. Barbosa VM, Enríquez SM, Ramírez SLM. Ejercicio y columna osteoporótica. Revista Mexicana de Medicina Física y Rehabilitación 1999; 11(2): 48-51.

  4. Cisneros DF, Méndez HJ, Cruz GI, Salgado LJ. Valor de “Osteotrend” y densitometría en el diagnóstico de osteoporosis. Rev Mex Ortop Traum 1994; 8(4): 198-200.

  5. Harris ST. Effects of risedronate treatment on vertebral and nonvertebral fractures in women with postmenopausal osteoporosis. JAMA 1999; 282: 1344-1352.

  6. Setter FH. Sistema musculoesquelético, anatomía, fisiología y enfermedades metabólicas. Barcelona, Masson, 2000; 8(1): 216-227.

  7. Zúñiga S. Tratamiento de la osteoporosis postmenopáusica. Rev Med IMSS 2001; 39 (3): 223-231.

  8. Cutter NC, Kevorkian CG. Manual de valoración muscular España: Ed. McGraw Hill Interamericana, 1999: 315.

  9. Dawson HBS, Harris SA, Krall EE, Dallal G. Effect of calcium and vitamin D supplementation on bone density in men and women 65 years of age or older. The New England Journal of Medicine 1997; 337(10): 670-676.

  10. Preisinger E, Alacamlioglu Y, Pils K et al. Therapeutic exercise in the prevention of bone loss. A control trial with women after menopause. Am J Phys Rehabil 1995; 74: 120-123.

  11. DeLisa JA. Rehabilitation medicine principles and practice. United States of America 3a ed.: Ed. Lippincott-Raven 1998: 1822.

  12. Zanchetta JR. Osteoporosis. Fisiopatología, diagnóstico, prevención y tratamiento. Ed. Médica Panamericana, Buenos Aires Argentina. 2001: 445.

  13. Lindsay R, Watts N, Roux Ch, Barton I, Cooper C. Increased risk of new vertebral fracture within 1 year of incident vertebral fracture. Osteoporos Int Suppl 2. 2000; 11: S112.

  14. Sánchez P. Medicina del ejercicio físico y del deporte para la atención a la Salud España: Ed. Ediciones Díaz De Santos, S. A, 1992: 651.

  15. Vargas RA, Chávez AD. Algoritmo para el tratamiento de la osteoporosis. Rev Mex Méd Fis Rehabil 1997, 9C(1): 24-28.

  16. Kerschan KA, Kollmitzer J et al. Functional impact of unvarying exercise program in women after menopause. Am J Phys Med Rehabil 1998; 77: 326-332.

  17. Kyllönen E, Väänänen S, Heikkinen JE, Kurttila ME, Martikkala and Vanharanta JHV. Comparison of muscle strength and bone mineral density in healthy postmenopausal women. Scand J Rehab Med 1991; 23: 153-157.

  18. Mayoux-Benhamou MA, Revel M. Osteoporose et reeducation. Encycl. Med. Chir., Kinesitherapie-Medecine physique-Readaptation, 1999; 26-586-A-10, 10.

  19. Melton JL, Chrischilles AE, Cooper C, Lane WA. How many women have osteoporosis? Journal of Bone and Mineral Research 1992; 7(9): 1005-1010.

  20. Kottke JF, Lehmann FJ. Krusen Medicina física y rehabilitación. España. 4 ed. Editorial Médica Panamericana, 2000: 1365.

  21. Reyes MA, Boris SG, Arzac PP, Mondragón PA y col. Medidas diagnósticas para la detección de osteoporosis. Análisis de los parámetros bioquímicos y densitométricos de 485 pacientes. Rev Mex Reumat 1993; 8(2): 89-95.

  22. Serrano MA, Ramírez PE, Diez GP, Orduña VA. Evaluación de la calidad de vida en personas con osteoporosis tratadas en el Centro Nacional de Rehabilitación-Ortopedia (CNR-O). Revista mexicana de Medicina Física y Rehabilitación 2001; 13(1): 14-20.

  23. De Lona MD. Osteoporosis. Magnitud del problema en México y a nivel Mundial. Impacto socioeconómico. Climaterio 1998; 1(4): 141-146.

  24. Clairmont CA, Kidd LR. Rehabilitation of the patient with osteoporosis. Osteoporosis Physical Medicine and Rehabilitation Clinics of North America 1995; 6(3): 649-665.




2020     |     www.medigraphic.com