Effectiveness of Physiotherapy for Osteoporotic Spinal Fracture

Study Overview
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Brief Summary
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The aim of this pilot study was to determine the effect of physiotherapy on impairments and health-related quality of life in people with a painful osteoporotic spinal fracture. It is hypothesised that physiotherapy will reduce impairments and improve quality of life in this patient group.

Official Title
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Effectiveness of Physiotherapy for Vertebral Osteoporotic Fracture: a Randomised Controlled Pilot Trial

Conditions
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Osteoporosis, Vertebral Fracture

Intervention / Treatment
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* Other: Physiotherapy


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: if female, at least five years post-menopause aged > 50 years primary osteoporosis defined as DXA T score < -2.5 at either the spine or proximal femur with at least one morphometric vertebral crush fracture sustained between 3 months to 2 years previously back pain/discomfort in thoracic or lumbar region felt at least weekly within the last 6 months stable dose of medication for treatment of osteoporosis (eg. hormone replacement therapy, bisphosphonates) community dwelling and able to attend for treatment English speaking Exclusion Criteria: secondary causes of bone loss such as osteomalacia, glucocorticoid medication etc. co-morbidities that would interfere with participation in exercise such as severe heart or pulmonary disease, inflammatory joint disease, severe osteoarthritis, psychiatric condition acute vertebral fracture in past 3 months signs and symptoms arising from nerve root compression back pain radiating into the lower limb previous participation in a formal pain management program for back pain physiotherapy for back pain in the past 6 months allergic reaction to adhesive tape or poor skin condition that would prevent use of tape

Ages Eligible for Study
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Minimum Age: 50 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: Physiotherapy<br>Including 10 individual visits with a physiotherapist and home exercises | Other: Physiotherapy<br>* 10 weekly individual sessions with the therapist each lasting approximately 45 minutes. Techniques included postural taping, massage, mobilisation, exercises. The patients also performed home exercises<br>|
| No Intervention: 2<br>Usual care | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Back pain as assessed by a numeric rating scale |  | Baseline and 10 weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| activity restriction, health-related quality of life and physical activity levels as well as overall perceived rating of change in back pain. Objective measures of thoracic kyphosis, standing balance, back and shoulder muscle endurance |  | Baseline and 10 weeks | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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physical therapy, rehabilitation, pain, osteoporosis, vertebral fracture