The Efficacy of Physiotherapy Management with Strengthening Exercise on Functional Ability in Old Age Women After Menopause with Osteoporosis
DOI:
https://doi.org/10.53555/ejac.v20i1.1149Keywords:
Osteoporosis, Postmenopausal Women, Physiotherapy, Strengthening Exercises, Functional Ability, Quality of Life, Randomized Controlled Trial, Mobility, Timed Up and Go Test, Chair Stand Test.Abstract
Introduction: Osteoporosis is a prevalent condition in postmenopausal women, resulting in decreased bone density and increased fragility, which often leads to reduced functional ability and increased risk of fractures. Physiotherapy interventions, particularly strengthening exercises, have shown promise in improving muscle strength, mobility, and overall physical function. However, the effectiveness of physiotherapy combined with strengthening exercises on functional ability in postmenopausal women with osteoporosis has not been extensively studied. This study aims to assess the impact of physiotherapy management with strengthening exercises on functional capacity in this demographic.
Objectives: The objectives of the study are to:
1. Determine if strengthening exercises improve the functional capacity of postmenopausal women with osteoporosis.
2. Assess the effectiveness of physiotherapy management, including strengthening exercises, on the quality of life of these women.
3. Compare functional outcomes between an experimental group receiving physiotherapy management with strengthening exercises and a control group receiving standard care.
Methods:A randomized controlled trial was conducted with 40 postmenopausal women diagnosed with osteoporosis. Participants were randomly assigned to either the experimental group (n=20), which received an 8-week physiotherapy program with strengthening exercises, or the control group (n=20), which received standard care. Functional ability was assessed using the Timed Up and Go (TUG) test, 30-Second Chair Stand Test, and quality of life was measured using the EQ-5D index and Visual Analogue Scale (VAS) for pain. Data were collected before and after the intervention.
Results: The experimental group showed significant improvements in functional ability as evidenced by reductions in TUG time and improvements in the chair stand test. Additionally, the EQ-5D index scores indicated a significant enhancement in quality of life for the experimental group. The control group exhibited minimal changes in both functional ability and quality of life. Statistical analyses revealed that the experimental group demonstrated better outcomes compared to the control group.
Conclusion: Physiotherapy management with strengthening exercises significantly improves functional ability and quality of life in postmenopausal women with osteoporosis. These findings underscore the importance of including physiotherapy, particularly strengthening exercises, in the treatment plans for managing osteoporosis and enhancing the physical well- being of postmenopausal women.
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