Effects of a New Spinal Orthosis on Posture, Trunk Strength, and Quality of Life in Women with Postmenopausal Osteoporosis: A Randomized Trial

  title={Effects of a New Spinal Orthosis on Posture, Trunk Strength, and Quality of Life in Women with Postmenopausal Osteoporosis: A Randomized Trial},
  author={Michael Pfeifer and Bettina Begerow and Helmut W. Minne},
  journal={American Journal of Physical Medicine \& Rehabilitation},
Pfeifer M, Begerow B, Minne HW: Effects of a new spinal orthosis on posture, trunk strength, and quality of life in women with postmenopausal osteoporosis: A randomized trial. Am J Phys Med Rehabil 2004;83:177–186. ObjectiveOne fourth of women ≥50 yrs of age in the general population have one or more vertebral fractures. The orthotic treatment modality in the management of vertebral fractures caused by osteoporosis remains subjective because no objective data from clinical trials are available… 

Prospective study of spinal orthoses in women

Investigating the effect of long-term use and the compliance of spinal orthoses in postmenopausal women with vertebral fractures suggests that orthoses could be an effective intervention for back pain and muscle strengthening in osteoporotic women.

A comparison study on the efficacy of SpinoMed® and soft lumbar orthosis for osteoporotic vertebral fracture

In this study, SpinoMed® could not provide additional treatment benefits to patients with osteoporotic vertebral fracture regarding pain relief and functional independence improvement at the subacute stage and need to be further verified in a more intensive and longer-term training program.

Wearing an active spinal orthosis improves back extensor strength in women with osteoporotic vertebral fractures

The results imply that Spinomed III could be recommended for women with vertebral fractures as a supplement to traditional back strengthening exercises, and demonstrate a clinically relevant improvement in the back extensor strength.

Postural correction by osteoporosis orthosis (Osteo-med): A randomized, placebo-controlled trial

The orthosis with air chamber pads causes a clinically meaningful trunk support in patients with osteoporotic posture changes, and since the device contains no rigid stabilizing elements, the change in posture is considered to be a result of muscle activation due to sensomotor stimulation by the air chamber pad.

Efficacy of Bracing on Thoracic Kyphotic Angle and Functionality in Women with Osteoporosis: A Systematic Review

Spinal orthosis, especially dynamic hyperextension braces, seems effective in improving the adverse outcomes of osteoporotic hyperkyphosis, it does not seem necessary to wear the orthosis during all daily activities.

Effect of treatment on back pain and back extensor strength with a spinal orthosis in older women with osteoporosis: a randomized controlled trial

Six months’ treatment by an activating spinal orthosis showed no significant difference in back pain, back extensor strength, or kyphosis index between the three groups, indicating that the spinal Orthosis may become an alternative training method.

The Role of Spinal Orthoses in Osteoporotic Vertebral Fractures of the Elderly Population (Age 60 Years or Older): Systematic Review

The use of spinal orthoses in neurologically intact elderly patients aged 60 years and older with osteoporotic compression vertebral fractures results in improved biomechanical vertebral stability, reduced kyphotic deformity, enhanced postural stability, greater muscular strength and superior functional outcomes.

[Exercise therapy and bracing in patients with osteoporotic compression vertebral fractures].

Competitive bracing is a method that can assist in reducing pain in VF, stabilizing the spine, and increasing motor activity, and the use of an orthosis not only improves quality of life, but also gives an opportunity to take physical exercises.

Effect of spinal orthoses and postural taping on balance, gait and quality of life in older people with thoracic hyperkyphosis: protocol for a systematic review and meta-analysis

The effectiveness of spinal orthoses and taping on the balance and gait of older people with hyperkyphosis of the thoracic spine is investigated to find out whether these interventions are feasible and effective.



Clinical Grading of Spinal Osteoporosis: Quality of Life Components and Spinal Deformity in Women with Chronic Low Back Pain and Women with Vertebral Osteoporosis

  • G. Leidig-BrucknerH. Minne R. Ziegler
  • Medicine, Psychology
    Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research
  • 1997
It is concluded that with respect to quality of life components, functional limitation is the most specific to spinal osteoporosis and is related to clinical measures of spinal deformation.

Effect of back supports on back strength in patients with osteoporosis: a pilot study.

Back extensor strength may increase in patients who comply with the PTS and postural exercise program, and replication in a larger series is required to determine the clinical and statistical generalizability of these findings to a wider population.

Vitamin D status, trunk muscle strength, body sway, falls, and fractures among 237 postmenopausal women with osteoporosis.

  • M. PfeiferB. Begerow W. Pollähne
  • Medicine
    Experimental and clinical endocrinology & diabetes : official journal, German Society of Endocrinology [and] German Diabetes Association
  • 2001
Findings suggest that hypovitaminosis D is associated with increased body sway and an elevated risk for falls and falls-related fractures, and musculoskeletal rehabilitation should include strengthening exercises for the trunk muscles.

Muscle strength in Osteoporotic versus normal women

It is demonstrated that the osteoporotic women had significantly lower BES than the normal women, and a longitudinal study of a larger group of women would be of great interest for clarifying whether the weakness of back extensors precedes and, indeed, contributes to compression fractures of the spine.

Time since Vertebral Fracture: An Important Variable Concerning Quality of Life in Patients with Postmenopausal Osteoporosis

It is suggested that time after fracture is an important variable when considering QoL and well-being after vertebral fracture and should, therefore, be considered in future studies.

Randomized Trial of the Effects of Risedronate on Vertebral Fractures in Women with Established Postmenopausal Osteoporosis

Risedronate 5 mg provides effective and well-tolerated therapy for severe postmenopausal osteoporosis, reducing the incidence of vertebral fractures and improving bone density in women with established disease.

Reduced Pulmonary Function in Patients with Spinal Osteoporotic Fractures

It is found that pulmonary function is significantly diminished in patients with spinal osteoporotic fractures as compared with CLBP patients without evidence of manifest osteOPorosis.

Musculoskeletal challenges of osteoporosis

Exercise not only improves musculoskeletal health but also can reduce the chronic pain syndrome and decrease depression, and measures that can increase safety during ambulatory activities can reduce risk of falls and fractures.