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ISSN: 1734-4948
Advances in Rehabilitation
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abstract:
Original article

Combined Effect of Core Stability and Dynamic Resistive Exercises on Bone Mineral Density in Postmenopausal Women

Nermeen Shaaban Abd El Azeem
1
,
Hala Mohamed Emara
2
,
Mohamed Ahmed Awad
2
,
Sameh Hussien Samir
3

  1. Physical therapist at Cairo University Hospitals, Cairo Governorate, Egypt
  2. Professor of physical therapy, Department of Physical Therapy for Women’s Health, Cairo University, Giza District, Egypt
  3. Professor of Obstetrics and Gynaecology, Faculty of Medicine, National Research Center, Egypt
Advances in Rehabilitation
Online publish date: 2024/07/09
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Introduction
Osteoporosis is prevalent in postmenopausal women, affecting their health and life quality. Therefore, physical activity offering benefits for managing osteoporosis. Thus, this study aims to investigate the combined effect of core stability and dynamic resistive exercises on bone mineral density (BMD) in postmenopausal women.

Material and methods
Sixty postmenopausal women diagnosed with osteoporosis. their ages 50 to 60 with a body mass index (BMI) of no more than 30 kg/m2, were randomly divided into two equal groups. The study group treated with core stability and dynamic resistance exercise in addition to medication (Alendronate) 70 mg 1 tab weekly and the Control group treated by medication only (Alendronate) 70 mg 1 tab weekly (n = 30 each). Treatment lasted for 4 months, 2 sessions per week. BMD was assessed by using Dual-energy x-ray absorptiometry (DEXA) and quality of life (QoL) was assessed by Oswestry Disability Index pre and post treatment.

Results
Bone mineral density of lumbar spine and left femoral neck in addition to quality of life showed a statistically significant increase when comparing before to after-treatment in both groups (p < 0.001). However, bone mineral density showed statistically significant increase of the T-score of lumbar spine (Z value= -5.588) and that of left femoral neck (Z value = -4.794) and significant decrease of ODI (F value= 243.686) in the study group only (p < 0.001) compared to the control group.

Conclusions
Accordingly, it can be concluded that core stability and dynamic resistance exercise are safe and effective methods in the treatment of osteoporosis in post-menopausal women.

keywords:

Bone density, Core stability, Post menopausal osteoporosis, Resistance training











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