journal article Oct 01, 2008

A Randomized Clinical Trial of Aquatic versus Land Exercise to Improve Balance, Function, and Quality of Life in Older Women with Osteoporosis

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Abstract
Purpose: Despite the decreased gravitational loading that is experienced in an aquatic environment, little research has been conducted on this exercise medium for women with osteoporosis (OP). Aquatic exercise (AE) may improve function and balance, thus ultimately decreasing fall risk and the potential for hip fractures in this high-risk population. Method: A total of 68 women with OP, aged 60 years or older, were recruited into a randomized clinical trial evaluating the impact of AE, land exercise (LE), and no exercise (NE) on balance, functional mobility, and quality of life (QOL). Results: Only one balance measure (backward tandem walk) significantly improved with AE compared to LE, but this did not translate into a greater improvement in self-report function. There were no significant differences between the exercise interventions and NE, except for in ratings of global change, where participants in the AE group were three times more likely to report improvement than those in the NE group. Conclusion: There were no differences in balance, function, or QOL in women with OP who followed an AE or LE programme compared to those in an NE control group. However, the significant differences in backward tandem walk between the AE and LE groups and self-reported global change between the AE and NE groups warrant further investigation. Significant improvements in balance and global change suggest that AE is a viable alternative for older women with OP who have difficulty exercising on land.
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References
47
[1]
Brown J CMAJ. (2002)
[2]
Cummings SR Arch Intern Med. (1989) 10.1001/archinte.1989.00390110045010
[3]
Melton LJ J Bone Miner Res. (2000) 10.1359/jbmr.2000.15.12.2309
[4]
American Geriatrics Society, British Geriatrics Society, American Academy of Orthopaedic Surgeons (2001)
[5]
Kanis JA Bone. (1996) 10.1016/8756-3282(95)00493-9
[6]
Health Quality Council (2003)
[7]
Carter ND Sports Med. (2004) 10.2165/00007256-200131060-00003
[8]
Gillespie LD (2003)
[9]
Liu-Ambrose T J Am Geriatr Soc. (2004) 10.1111/j.1532-5415.2004.52200.x
[10]
Carter ND CMAJ. (2002)
[11]
Sova R (1992)
[12]
Forwood MR Aust Fam Physician. (2000)
[13]
Simmons V J Gerontol A Biol Sci Med Sci. (1996) 10.1093/gerona/51a.5.m233
[14]
Devereux K Aust J Physiother. (2005) 10.1016/s0004-9514(05)70038-6
[15]
Geytenbeek J Physiotherapy. (2002) 10.1016/s0031-9406(05)60134-4
[16]
Cook TD (1979)
[17]
Shrestha RK Am J Clin Nutr. (1994)
[18]
Milne JS Ann Hum Biol. (1974) 10.1080/03014467400000351
[19]
Arnold CM Physiother Can. (2000)
[20]
Lynn SG Arch Phys Med Rehabil. (1997) 10.1016/s0003-9993(97)90033-2
[21]
Arnold CM J Orthop Sport Phys Ther. (2005) 10.2519/jospt.2005.35.7.452
[22]
Voorrips LE Med Sci Sports Exerc. (1991) 10.1249/00005768-199108000-00015
[24]
Berg KO Can J Public Health. (1992)
[25]
Stevenson T Aust J Physiother. (2001) 10.1016/s0004-9514(14)60296-8
[26]
Riddle DL Phys Ther. (1999) 10.1093/ptj/79.10.939
[27]
Shumway-Cook A Phys Ther. (1997) 10.1093/ptj/77.8.812
[28]
Duncan PW J Gerontol. (1990) 10.1093/geronj/45.6.m192
[29]
Topp R Gerontologist. (1993) 10.1093/geront/33.4.501
[30]
Arnold CM (2002)
[31]
Oberg U Phys Ther. (1994) 10.1093/ptj/74.9.861
[32]
Helmes E J Gerontol A Biol Sci Med Sci. (1995) 10.1093/gerona/50a.2.m91
[33]
Osteoporosis Quality of Life Study Group Osteoporos Int. (1997) 10.1007/pl00004151
[34]
Cook DJ Arthritis Rheum. (1993) 10.1002/art.1780360603
[35]
Arnold LM Arthritis Rheum. (2004) 10.1002/art.20042
[36]
Wyrwich KW Ann Allergy Asthma Immunol. (2003) 10.1016/s1081-1206(10)62169-2
[37]
Beaton DE Curr Opin Rheumatol. (2002) 10.1097/00002281-200203000-00006
[38]
Hajiro T Eur Respir J. (2002) 10.1183/09031936.02.00283402
[39]
Borg G Scand J Rehabil Med. (1970) 10.2340/1650197719702239298
[40]
Hazard Munroe B (2001)
[41]
Tennant G Physiother Can. (1998)
[42]
Cohen J (1988)
[43]
Allander E Accid Anal Prev. (1998) 10.1016/s0001-4575(98)00016-5
[44]
Hofmeyer MR J Am Geriatr Soc. (2002) 10.1046/j.1532-5415.2002.50463.x
[45]
Conn VS Womens Health Issues. (2003) 10.1016/s1049-3867(03)00037-9
[46]
Allison MJ West J Nurs Res. (2004) 10.1177/0193945903259350
[47]
Netz Y J Psychol. (2004) 10.3200/jrlp.138.1.35-48
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Details
Published
Oct 01, 2008
Vol/Issue
60(4)
Pages
296-306
Cite This Article
C.M. Arnold, A.J. Busch, C.L. Schachter, et al. (2008). A Randomized Clinical Trial of Aquatic versus Land Exercise to Improve Balance, Function, and Quality of Life in Older Women with Osteoporosis. Physiotherapy Canada, 60(4), 296-306. https://doi.org/10.3138/physio.60.4.296