Efficacy of Bracing on Thoracic Kyphotic Angle and Functionality in Women with Osteoporosis: A Systematic Review
<i>Background and purpose:</i> Osteoporotic hyperkyphosis is associated with adverse outcomes, such as fatigue, back pain, or reduced back extensor strength, with a negative impact on functionality and quality of life. The purpose of this review is to assess the effectiveness of spinal o...
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| Format: | Article |
| Language: | English |
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MDPI AG
2022-05-01
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| Series: | Medicina |
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| Online Access: | https://www.mdpi.com/1648-9144/58/6/693 |
| _version_ | 1797484634556071936 |
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| author | Beatriz Sánchez-Pinto-Pinto Carlos Romero-Morales Daniel López-López Carmen de-Labra Guillermo García-Pérez-de-Sevilla |
| author_facet | Beatriz Sánchez-Pinto-Pinto Carlos Romero-Morales Daniel López-López Carmen de-Labra Guillermo García-Pérez-de-Sevilla |
| author_sort | Beatriz Sánchez-Pinto-Pinto |
| collection | DOAJ |
| description | <i>Background and purpose:</i> Osteoporotic hyperkyphosis is associated with adverse outcomes, such as fatigue, back pain, or reduced back extensor strength, with a negative impact on functionality and quality of life. The purpose of this review is to assess the effectiveness of spinal orthosis on these adverse effects. <i>Methods:</i> A systematic review following the PRISMA guidelines was performed. Inclusion criteria were (1) women with osteoporosis; (2) randomized controlled trials only; and (3) type of intervention: spinal bracing. Exclusion criteria were (1) article not written in English; (2) full-text not available; and (3) no kyphosis assessment. Quality-of-life variables such as back pain, functional variables such as back extensor strength, and osteoporotic-related variables such as lumbar spine bone mineral density were extracted and recorded before and after the intervention. The characteristics of the intervention programs were also extracted and recorded. The characteristics of studies, interventions, and participants are summarized in a table. Then, the revised Cochrane risk-of-bias tool for randomized trials (RoB 2) was used to assess the quality of the studies. <i>Results and Discussion:</i> Four randomized controlled trials with a low risk of bias were included (<i>n</i> = 326 women with osteoporosis, aged 51–93 years). Interventions consisting of wearing a dynamic hyperextension orthosis for at least two hours per day for six months improved functionality, mobility, back extensor strength, respiratory function, and reduced the thoracic kyphosis angle. <i>Conclusions:</i> Spinal orthosis, especially dynamic hyperextension braces, seems effective in improving the adverse outcomes of osteoporotic hyperkyphosis. It does not seem necessary to wear the orthosis during all daily activities. |
| first_indexed | 2024-03-09T23:08:14Z |
| format | Article |
| id | doaj.art-d088ef744701466388a8312499506071 |
| institution | Directory Open Access Journal |
| issn | 1010-660X 1648-9144 |
| language | English |
| last_indexed | 2024-03-09T23:08:14Z |
| publishDate | 2022-05-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Medicina |
| spelling | doaj.art-d088ef744701466388a83124995060712023-11-23T17:50:54ZengMDPI AGMedicina1010-660X1648-91442022-05-0158669310.3390/medicina58060693Efficacy of Bracing on Thoracic Kyphotic Angle and Functionality in Women with Osteoporosis: A Systematic ReviewBeatriz Sánchez-Pinto-Pinto0Carlos Romero-Morales1Daniel López-López2Carmen de-Labra3Guillermo García-Pérez-de-Sevilla4Hospital de Emergencias Enfermera Isabel Zendal, Physical Medicine and Rehabilitation Unit, 28055 Madrid, SpainFaculty of Sports Sciences, Department of Physiotherapy, Universidad Europea de Madrid, 28670 Madrid, SpainResearch, Health and Podiatry Group, Department of Health Sciences, Faculty of Nursing and Podiatry, Universidade da Coruña, Industrial Campus of Ferrol, 15403 Ferrol, SpainNEUROcom, Centro de Investigaciones Científicas Avanzadas (CICA), Instituto de Investigación Biomédica de A Coruña (INIBIC), Faculty of Nursing and Podiatry, University of A Coruna, 15001 La Coruña, SpainFaculty of Sports Sciences, Department of Physiotherapy, Universidad Europea de Madrid, 28670 Madrid, Spain<i>Background and purpose:</i> Osteoporotic hyperkyphosis is associated with adverse outcomes, such as fatigue, back pain, or reduced back extensor strength, with a negative impact on functionality and quality of life. The purpose of this review is to assess the effectiveness of spinal orthosis on these adverse effects. <i>Methods:</i> A systematic review following the PRISMA guidelines was performed. Inclusion criteria were (1) women with osteoporosis; (2) randomized controlled trials only; and (3) type of intervention: spinal bracing. Exclusion criteria were (1) article not written in English; (2) full-text not available; and (3) no kyphosis assessment. Quality-of-life variables such as back pain, functional variables such as back extensor strength, and osteoporotic-related variables such as lumbar spine bone mineral density were extracted and recorded before and after the intervention. The characteristics of the intervention programs were also extracted and recorded. The characteristics of studies, interventions, and participants are summarized in a table. Then, the revised Cochrane risk-of-bias tool for randomized trials (RoB 2) was used to assess the quality of the studies. <i>Results and Discussion:</i> Four randomized controlled trials with a low risk of bias were included (<i>n</i> = 326 women with osteoporosis, aged 51–93 years). Interventions consisting of wearing a dynamic hyperextension orthosis for at least two hours per day for six months improved functionality, mobility, back extensor strength, respiratory function, and reduced the thoracic kyphosis angle. <i>Conclusions:</i> Spinal orthosis, especially dynamic hyperextension braces, seems effective in improving the adverse outcomes of osteoporotic hyperkyphosis. It does not seem necessary to wear the orthosis during all daily activities.https://www.mdpi.com/1648-9144/58/6/693osteoporosisbracingspinal orthosiskyphosis |
| spellingShingle | Beatriz Sánchez-Pinto-Pinto Carlos Romero-Morales Daniel López-López Carmen de-Labra Guillermo García-Pérez-de-Sevilla Efficacy of Bracing on Thoracic Kyphotic Angle and Functionality in Women with Osteoporosis: A Systematic Review Medicina osteoporosis bracing spinal orthosis kyphosis |
| title | Efficacy of Bracing on Thoracic Kyphotic Angle and Functionality in Women with Osteoporosis: A Systematic Review |
| title_full | Efficacy of Bracing on Thoracic Kyphotic Angle and Functionality in Women with Osteoporosis: A Systematic Review |
| title_fullStr | Efficacy of Bracing on Thoracic Kyphotic Angle and Functionality in Women with Osteoporosis: A Systematic Review |
| title_full_unstemmed | Efficacy of Bracing on Thoracic Kyphotic Angle and Functionality in Women with Osteoporosis: A Systematic Review |
| title_short | Efficacy of Bracing on Thoracic Kyphotic Angle and Functionality in Women with Osteoporosis: A Systematic Review |
| title_sort | efficacy of bracing on thoracic kyphotic angle and functionality in women with osteoporosis a systematic review |
| topic | osteoporosis bracing spinal orthosis kyphosis |
| url | https://www.mdpi.com/1648-9144/58/6/693 |
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