Association between the trunk muscle function performance and the presence of vertebral fracture in older women with low bone mass

被引：10

作者：

Cangussu-Oliveira, Luciana Mendes ^{[1
]}

Porto, Jaqueline Mello ^{[1
]}

Freire Junior, Renato Campos ^{[1
]}

Capato, Luana Leticia ^{[1
]}

Gomes, Jamilly Maciel ^{[2
]}

Pereira da Silva Herrero, Carlos Fernando ^{[3
]}

Nogueira-Barbosa, Marcello Henrique ^{[2
]}

Albuquerque de Paula, Francisco Jose ^{[2
]}

Carvalho de Abreu, Daniela Cristina ^{[4
]}

机构：

[1] Univ Sao Paulo, Ribeirao Preto Med Sch, Postgrad Program Rehabil & Funct Performance, Ribeirao Preto, SP, Brazil

[2] Univ Sao Paulo, Ribeirao Preto Med Sch, Dept Internal Med, Postgrad Program, Ribeirao Preto, SP, Brazil

[3] Univ Sao Paulo, Ribeirao Preto Med Sch, Dept Biomech Med & Rehabil, Locomotor Apparat, Ribeirao Preto, SP, Brazil

[4] Univ Sao Paulo, Ribeirao Preto Med Sch, Dept Hlth Sci, Bandeirantes Ave 3900, BR-14049900 Ribeirao Preto, SP, Brazil

来源：

AGING CLINICAL AND EXPERIMENTAL RESEARCH | 2020年 / 32卷 / 06期

关键词：

Aging; Osteopenia; Muscle strength; Muscle power; Motor control; OSTEOPOROSIS; EXERCISE; SARCOPENIA; ENDURANCE; STRENGTH; EXTENSOR; PEOPLE; RECOMMENDATIONS; HYPERKYPHOSIS; OSTEOPENIA;

D O I：

10.1007/s40520-019-01296-2

中图分类号：

R592 [老年病学]; C [社会科学总论];

学科分类号：

03 ; 0303 ; 100203 ;

摘要：

Background Despite the clinical importance, it has remained unclear which changes in the trunk muscle function parameters are more associated with the presence of vertebral fracture (VF). Aims The aim of this study was to verify the association between the trunk muscle function performance and the presence of VF in older women with low bone mass. The secondary aim was to evaluate the correlation between trunk muscle function and both fall history and muscle mass. Methods This cross-sectional study was composed by 94 women over 60 years within value ofT-Score lumbar spine BMD <- 1.0 DP. Multidimensional evaluations were performed: appendicular skeletal muscle mass index (ASMI) was determined by the total body DEXA; the radiographic evaluations measured the degree of thoracic kyphosis and classification of VF. The trunk muscle function parameters, such as peak torque (PT), rate of torque development (RTD) and torque steadiness (TS) were evaluated by isokinetic dynamometer. The trunk muscle endurance was evaluated by the timed loaded standing test. The adjusted multivariate logistic regression model and multivariate linear regression were performed to verify the association between the variables studied. Results The results showed that the trunk muscle function parameter with greater association with the presence of VF is TS extensors (OR = 1.70;p < 0.001). The other two significant muscle parameters were: RTD(30)flexors (OR = 0.31;p = 0.033) and PT extensors (OR = 0.13;p = 0.009). No statistical association was found between the presence of VF and the ASMI and trunk muscle endurance. No correlation between trunk muscle function and fall history was observed. There was a weak correlation between ASMI and extensor PT (R-2 = 0.21;p = 0.027) and extensor RTD30(R-2 = 0.21;p = 0.026). Conclusions This study demonstrated that deficit in trunk muscle function has shown a strong association with the presence of VF, highlighting issues heretofore unexplored regarding the association between VF with muscle power and motor control.

引用

页码：1067 / 1076

页数：10

共 45 条

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