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(Reference retrieved automatically from Web of Science through information on FAPESP grant and its corresponding number as mentioned in the publication by the authors.)

Postural control among elderly women with and without osteoporosis: is there a difference?

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Burke, Thomaz Nogueira [1] ; Renovato Franca, Fabio Jorge [1] ; Ferreira de Meneses, Sarah Rubia [1] ; Cardoso, Viviam Inhasz [1] ; Rodrigues Pereira, Rosa Maria [2] ; Danilevicius, Camille Figueredo [2] ; Marques, Amelia Pasqual [1, 3]
Total Authors: 7
[1] Univ Sao Paulo, Dept Phys Therapy Speech & Occupat Therapy, BR-05360160 Sao Paulo - Brazil
[2] Univ Sao Paulo, Sch Med, Div Rheumatol, BR-05360160 Sao Paulo - Brazil
[3] Univ Sao Paulo, Fac Med, Fofito Dept Fisioterapia Fonoaudiol & Terapia Ocu, Phys Therapy & Elect Lab, Sch Med, BR-05360160 Sao Paulo - Brazil
Total Affiliations: 3
Document type: Journal article
Source: São Paulo Medical Journal; v. 128, n. 4, p. 219-224, JUL 1 2010.
Web of Science Citations: 21

CONTEXT AND OBJECTIVE: Little is known about postural control among elderly individuals with osteoporosis and its relationship with falls. It has been suggested that elderly women with kyphosis and osteoporosis are at greater risk of falling. The aim of this study was to evaluate posture and postural control among elderly women with and without osteoporosis. DESIGN AND SETTING: Cross-sectional study conducted at the Physical Therapy and Electromyography Laboratory, School of Medicine, Universidade de Sao Paulo (USP). METHODS: Sixty-six elderly women were selected from the bone metabolism disorders clinic, Division of Rheumatology, USP, and were divided into two groups: osteoporosis and controls, according to their bone mineral density (BMD). Postural control was assessed using the Limits of Stability (LOS) test and the Modified Clinical Test of Sensory Interaction and Balance (CTSIBm) and posture, using photometry. RESULTS: The elderly women with osteoporosis swayed at higher velocity on a stable surface with opened eyes (0.30 versus 0.20 degrees/second; P = 0.038). In both groups, the center of pressure (COP) was at 30% in the LOS, but with different placements: 156 degrees in the osteoporosis group and 178 degrees in the controls (P = 0.045). Osteoporosis patients fell more than controls did (1.0 versus 0.0; P = 0.036). CONCLUSIONS: The postural control in elderly women with osteoporosis differed from that of the controls, with higher sway velocity and maximum displacement of COP. Despite postural abnormalities such as hyperkyphosis and forward head, the COP position was posteriorized. (AU)

FAPESP's process: 07/01611-2 - Efficacy of physical therapy on posture and balance in elderly women with osteoporosis: a randomized clinical trial
Grantee:Thomaz Nogueira Burke
Support type: Scholarships in Brazil - Master