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Efficacy of physical therapy on posture and balance in elderly women with osteoporosis: a randomized clinical trial

Grant number: 07/01611-2
Support Opportunities:Scholarships in Brazil - Master
Effective date (Start): September 01, 2007
Effective date (End): August 31, 2009
Field of knowledge:Health Sciences - Physiotherapy and Occupational Therapy
Principal Investigator:Amélia Pasqual Marques
Grantee:Thomaz Nogueira Burke
Host Institution: Faculdade de Medicina (FM). Universidade de São Paulo (USP). São Paulo , SP, Brazil


The falls in the aged population have been considered as a great public health problem, generating governmental costs with specialized attendance and mainly with hospital internments. Amongst some fall risk factors, we distinguish the reduction of the balance, muscular strength and the reduction of flexibility as aspects that are reversible after training. This paper has as objective the study of the effectiveness on posture, balance and mobility in the elderly, of balance training, strength training and muscular stretching based physiotherapy program. Moreover, we will study the relation between postural deviations and balance in this population. For this, there will be evaluated 80 women, with 65 years or more of age, in order to get data of the posture (evaluation by software SAPO and Kyphosis Index), balance (Berg Scale and CTSIB; Balance Master), muscular strength (dynamometer), flexibility (fingertip-to-floor test), range of motion (by goniometry), and 100% limits of stability (by Balance Master). After the evaluations, the individuals will be randomized in one of the three groups of treatment: Group I balance and strength training (n=20), Group II balance and stretching training (n=20) and Group III that will not make activity and will be the control group (n=40). The hypothesis is that the group I will be more efficient than group II in improve balance and postural alignment. We expect to find a direct relation between postural deviations (such as thoracic hiperkyphosis and forward head) and deficit of balance. For statistical analysis the level of significance will be considered as p< 0.05.

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Scientific publications
(References retrieved automatically from Web of Science and SciELO through information on FAPESP grants and their corresponding numbers as mentioned in the publications by the authors)
BURKE, THOMAZ NOGUEIRA; RENOVATO FRANCA, FABIO JORGE; FERREIRA DE MENESES, SARAH RUBIA; CARDOSO, VIVIAM INHASZ; RODRIGUES PEREIRA, ROSA MARIA; DANILEVICIUS, CAMILLE FIGUEREDO; MARQUES, AMELIA PASQUAL. Controle postural de idosas com e sem osteoporose: há diferenças?. São Paulo Medical Journal, v. 128, n. 4, p. 219-224, . (07/01611-2)
Academic Publications
(References retrieved automatically from State of São Paulo Research Institutions)
BURKE, Thomaz Nogueira. Effectiveness of physiotherapy on posture and balance in elderly women with osteoporosis: a randomized clinical trial. 2009. Master's Dissertation - Universidade de São Paulo (USP). Faculdade de Medicina (FM/SBD) São Paulo.

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