Balance training may significantly reduce the frequency of falls in patients with osteoporosis
BACKGROUND Balance training may be beneficial for patients with osteoporosis , although current results are inconclusive .
The aim of this systematic review and meta- analysis was to explore the effect of balance training on falls in patients with osteoporosis .
Association of Opioids with Falls, Fractures, and Physical Performance among Older Men with Persistent Musculoskeletal Pain
Background Although older adults are disproportionately affected by painful musculoskeletal conditions and receive more opioid analgesics than persons in other age groups , insufficient evidence is available regarding opioid harms in this age group . Objective To examine longitudinal relationships between opioid use and falls , clinical fractures , and changes in physical performance . We hypothesized that opioid use would be associated with greater risks of falling and incident clinical fractures and greater declines in physical performance . Design We analyzed data from the Osteoporotic Fractures in Men Study ( MrOS ) , a large prospect i ve longitudinal cohort study . Participants completed baseline visits from 2000 to 2002 and were followed for 9.1 ( SD 4.0 ) years . Participants MrOS enrolled 5994 community-dwelling men ≥ 65 years of age . The present study included 2902 participants with back , hip , or knee pain most or all of the time at baseline . Main Measures The exposure of interest was opioid use , defined at each visit as participant-reported daily or near-daily use of any opioid-containing analgesic . Among patients , 309 ( 13.4 % ) reported opioid use at one or more visits . Participants were queried every 4 months about falls and fractures . Physical performance scores were derived from tests of grip strength , chair st and s , gait speed , and dynamic balance . Key Results In the main analysis , the adjusted risk of falling did not differ significantly between opioid use and non-use groups ( RR 1.10 , 95 % CI 0.99 , 1.24 ) . Similarly , adjusted rates of incident clinical fracture did not differ between groups ( HR 1.13 , 95 % CI 0.94 , 1.36 ) . Physical performance was worse at baseline for the  opioid use group , but annualized change in physical performance scores did not differ between groups ( −0.022 , 95 % CI −0.138 , 0.093 ) . Conclusions Additional research is needed to determine whether opioid use is a marker of risk or a cause of falls , fractures , and progressive impairment among older adults with persistent pain
Balance training may significantly reduce the frequency of falls in patients with osteoporosis
BACKGROUND Balance training may be beneficial for patients with osteoporosis , although current results are inconclusive .
The aim of this systematic review and meta- analysis was to explore the effect of balance training on falls in patients with osteoporosis .