Are osteoporotic vertebral fractures or forward head posture associated with performance-based measures of balance and mobility?
Summary The main objective of this study was to explore whether vertebral fracture characteristics or posture is independently associated with physical performance. Posture was significantly associated with physical performance but fracture characteristics were not, suggesting posture should be the...
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creator | Ziebart, Christina Gibbs, Jenna C. McArthur, Caitlin Papaioannou, Alexandra Mittmann, Nicole Laprade, Judi Kim, Sandra Khan, Aliya Kendler, David L. Wark, John D. Thabane, Lehana Scherer, Samuel C. Prasad, Sadhana Hill, Keith D. Cheung, Angela M. Bleakney, Robert R. Ashe, Maureen C. Adachi, Jonathan D. Giangregorio, Lora M. |
description | Summary
The main objective of this study was to explore whether vertebral fracture characteristics or posture is independently associated with physical performance. Posture was significantly associated with physical performance but fracture characteristics were not, suggesting posture should be the focus of physical performance variance.
Purpose
The main objective of this study was to explore whether vertebral fracture characteristics (number, severity, location) or occiput-to-wall distance (OWD) is independently associated with physical performance.
Methods
This was a secondary data analysis using baseline data from a randomized controlled trial, of community-dwelling women aged 65 years and older with a suspected vertebral fragility fracture. Lateral thoracic and lumbar spine radiographs were used to determine the number, location, and severity of fracture. The dependent variables were timed up and go (TUG), five times sit-to-stand, four-meter walk, and step test. The independent variables were number, severity, location of fracture, and OWD. Pain during movement and age were covariates. Multivariable regression analyses determined the association between each of the dependent and independent variables.
Results
Participants’ (
n
= 158) mean (standard deviation [SD]) age was 75.9 (6.5) years. They had a mean (SD) BMI, OWD, and number of fractures of 26.7 (5.3) kg/m
2
, 5.7 (4.6) cm, and 2.2 (1.8), respectively. OWD was independently associated with TUG (estimated coefficient [
B
] = 0.29, 95% confidence interval [CI] = 0.16, 0.42), five times sit-to-stand (
B
= 0.33, 95% CI = 0.12, 0.55), four-meter walk (
B
= 0.09, 95% CI = 0.05, 0.13), and step test (
B
= − 0.36, 95% CI = − 0.50, − 0.23) in the unadjusted model. OWD was independently associated with TUG (
B
= 0.25, 95% CI = 0.12, 0.38), five times sit-to-stand (
B
= 0.29, 95% CI = 0.07, 0.50), four-meter walk (
B
= 0.08, 95% CI = 0.03, 0.12), and step test (
B
= − 0.22, 95% CI = − 0.47, − 0.19) in the adjusted model.
Conclusion
OWD was significantly associated with physical performance but fracture characteristics were not. These analyses were exploratory and require replication in future studies. |
doi_str_mv | 10.1007/s11657-019-0626-x |
format | Article |
fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2248378608</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2248378608</sourcerecordid><originalsourceid>FETCH-LOGICAL-c377t-f56792fddb5b619d05c5ddda0506ad01388f36164723749d7461783f85a578b93</originalsourceid><addsrcrecordid>eNp9kMtu1jAQha0KRC_wAGyQl2zS-hJfskJVRS9SJTawtpx43KZKfoexQ9sdj45_pXTZ1YzmfOfIPoR85uyUM2bOMudamYbxrmFa6ObpgBxxq0UjFW_fve5CHJLjnB8Y04wr_YEcSi5aqZQ5In_PEWjKBdKSMJVxoH8AC_ToJxrRD2VFyDQhjQkfPQZ6Dz7QpTqqQH3OaRh9gUAfx3JPF8DKzX43QNP7XM8z-LxFRNr7aa9Qv6v31I_TWJ6_fSTvo58yfHqZJ-TX5fefF9fN7Y-rm4vz22aQxpQmKm06EUPoVa95F5gaVAjBM8W0D4xLa6PUXLdGSNN2wbSaGyujVV4Z23fyhHzdchdMv1fIxc1jHmCqT4K0ZidEa6WxmtmK8g0dMOWMEN2C4-zx2XHm9sW7rXhXi3f74t1T9Xx5iV_7GcKr43_TFRAbkKu0uwN0D2nFXf3yG6n_AAW6kME</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2248378608</pqid></control><display><type>article</type><title>Are osteoporotic vertebral fractures or forward head posture associated with performance-based measures of balance and mobility?</title><source>MEDLINE</source><source>SpringerLink Journals - AutoHoldings</source><creator>Ziebart, Christina ; Gibbs, Jenna C. ; McArthur, Caitlin ; Papaioannou, Alexandra ; Mittmann, Nicole ; Laprade, Judi ; Kim, Sandra ; Khan, Aliya ; Kendler, David L. ; Wark, John D. ; Thabane, Lehana ; Scherer, Samuel C. ; Prasad, Sadhana ; Hill, Keith D. ; Cheung, Angela M. ; Bleakney, Robert R. ; Ashe, Maureen C. ; Adachi, Jonathan D. ; Giangregorio, Lora M.</creator><creatorcontrib>Ziebart, Christina ; Gibbs, Jenna C. ; McArthur, Caitlin ; Papaioannou, Alexandra ; Mittmann, Nicole ; Laprade, Judi ; Kim, Sandra ; Khan, Aliya ; Kendler, David L. ; Wark, John D. ; Thabane, Lehana ; Scherer, Samuel C. ; Prasad, Sadhana ; Hill, Keith D. ; Cheung, Angela M. ; Bleakney, Robert R. ; Ashe, Maureen C. ; Adachi, Jonathan D. ; Giangregorio, Lora M.</creatorcontrib><description>Summary
The main objective of this study was to explore whether vertebral fracture characteristics or posture is independently associated with physical performance. Posture was significantly associated with physical performance but fracture characteristics were not, suggesting posture should be the focus of physical performance variance.
Purpose
The main objective of this study was to explore whether vertebral fracture characteristics (number, severity, location) or occiput-to-wall distance (OWD) is independently associated with physical performance.
Methods
This was a secondary data analysis using baseline data from a randomized controlled trial, of community-dwelling women aged 65 years and older with a suspected vertebral fragility fracture. Lateral thoracic and lumbar spine radiographs were used to determine the number, location, and severity of fracture. The dependent variables were timed up and go (TUG), five times sit-to-stand, four-meter walk, and step test. The independent variables were number, severity, location of fracture, and OWD. Pain during movement and age were covariates. Multivariable regression analyses determined the association between each of the dependent and independent variables.
Results
Participants’ (
n
= 158) mean (standard deviation [SD]) age was 75.9 (6.5) years. They had a mean (SD) BMI, OWD, and number of fractures of 26.7 (5.3) kg/m
2
, 5.7 (4.6) cm, and 2.2 (1.8), respectively. OWD was independently associated with TUG (estimated coefficient [
B
] = 0.29, 95% confidence interval [CI] = 0.16, 0.42), five times sit-to-stand (
B
= 0.33, 95% CI = 0.12, 0.55), four-meter walk (
B
= 0.09, 95% CI = 0.05, 0.13), and step test (
B
= − 0.36, 95% CI = − 0.50, − 0.23) in the unadjusted model. OWD was independently associated with TUG (
B
= 0.25, 95% CI = 0.12, 0.38), five times sit-to-stand (
B
= 0.29, 95% CI = 0.07, 0.50), four-meter walk (
B
= 0.08, 95% CI = 0.03, 0.12), and step test (
B
= − 0.22, 95% CI = − 0.47, − 0.19) in the adjusted model.
Conclusion
OWD was significantly associated with physical performance but fracture characteristics were not. These analyses were exploratory and require replication in future studies.</description><identifier>ISSN: 1862-3522</identifier><identifier>EISSN: 1862-3514</identifier><identifier>DOI: 10.1007/s11657-019-0626-x</identifier><identifier>PMID: 31243557</identifier><language>eng</language><publisher>London: Springer London</publisher><subject>Aged ; Aged, 80 and over ; Cross-Sectional Studies ; Endocrinology ; Exercise Test ; Female ; Humans ; Lumbar Vertebrae - diagnostic imaging ; Lumbar Vertebrae - physiology ; Medicine ; Medicine & Public Health ; Middle Aged ; Original Paper ; Orthopedics ; Osteoporotic Fractures - physiopathology ; Posture ; Radiography ; Range of Motion, Articular ; Spinal Fractures - diagnostic imaging ; Spinal Fractures - physiopathology ; Thoracic Vertebrae - diagnostic imaging ; Thoracic Vertebrae - physiology ; Walking</subject><ispartof>Archives of osteoporosis, 2019-12, Vol.14 (1), p.67-67, Article 67</ispartof><rights>International Osteoporosis Foundation and National Osteoporosis Foundation 2019</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c377t-f56792fddb5b619d05c5ddda0506ad01388f36164723749d7461783f85a578b93</citedby><cites>FETCH-LOGICAL-c377t-f56792fddb5b619d05c5ddda0506ad01388f36164723749d7461783f85a578b93</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s11657-019-0626-x$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s11657-019-0626-x$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31243557$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ziebart, Christina</creatorcontrib><creatorcontrib>Gibbs, Jenna C.</creatorcontrib><creatorcontrib>McArthur, Caitlin</creatorcontrib><creatorcontrib>Papaioannou, Alexandra</creatorcontrib><creatorcontrib>Mittmann, Nicole</creatorcontrib><creatorcontrib>Laprade, Judi</creatorcontrib><creatorcontrib>Kim, Sandra</creatorcontrib><creatorcontrib>Khan, Aliya</creatorcontrib><creatorcontrib>Kendler, David L.</creatorcontrib><creatorcontrib>Wark, John D.</creatorcontrib><creatorcontrib>Thabane, Lehana</creatorcontrib><creatorcontrib>Scherer, Samuel C.</creatorcontrib><creatorcontrib>Prasad, Sadhana</creatorcontrib><creatorcontrib>Hill, Keith D.</creatorcontrib><creatorcontrib>Cheung, Angela M.</creatorcontrib><creatorcontrib>Bleakney, Robert R.</creatorcontrib><creatorcontrib>Ashe, Maureen C.</creatorcontrib><creatorcontrib>Adachi, Jonathan D.</creatorcontrib><creatorcontrib>Giangregorio, Lora M.</creatorcontrib><title>Are osteoporotic vertebral fractures or forward head posture associated with performance-based measures of balance and mobility?</title><title>Archives of osteoporosis</title><addtitle>Arch Osteoporos</addtitle><addtitle>Arch Osteoporos</addtitle><description>Summary
The main objective of this study was to explore whether vertebral fracture characteristics or posture is independently associated with physical performance. Posture was significantly associated with physical performance but fracture characteristics were not, suggesting posture should be the focus of physical performance variance.
Purpose
The main objective of this study was to explore whether vertebral fracture characteristics (number, severity, location) or occiput-to-wall distance (OWD) is independently associated with physical performance.
Methods
This was a secondary data analysis using baseline data from a randomized controlled trial, of community-dwelling women aged 65 years and older with a suspected vertebral fragility fracture. Lateral thoracic and lumbar spine radiographs were used to determine the number, location, and severity of fracture. The dependent variables were timed up and go (TUG), five times sit-to-stand, four-meter walk, and step test. The independent variables were number, severity, location of fracture, and OWD. Pain during movement and age were covariates. Multivariable regression analyses determined the association between each of the dependent and independent variables.
Results
Participants’ (
n
= 158) mean (standard deviation [SD]) age was 75.9 (6.5) years. They had a mean (SD) BMI, OWD, and number of fractures of 26.7 (5.3) kg/m
2
, 5.7 (4.6) cm, and 2.2 (1.8), respectively. OWD was independently associated with TUG (estimated coefficient [
B
] = 0.29, 95% confidence interval [CI] = 0.16, 0.42), five times sit-to-stand (
B
= 0.33, 95% CI = 0.12, 0.55), four-meter walk (
B
= 0.09, 95% CI = 0.05, 0.13), and step test (
B
= − 0.36, 95% CI = − 0.50, − 0.23) in the unadjusted model. OWD was independently associated with TUG (
B
= 0.25, 95% CI = 0.12, 0.38), five times sit-to-stand (
B
= 0.29, 95% CI = 0.07, 0.50), four-meter walk (
B
= 0.08, 95% CI = 0.03, 0.12), and step test (
B
= − 0.22, 95% CI = − 0.47, − 0.19) in the adjusted model.
Conclusion
OWD was significantly associated with physical performance but fracture characteristics were not. These analyses were exploratory and require replication in future studies.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Cross-Sectional Studies</subject><subject>Endocrinology</subject><subject>Exercise Test</subject><subject>Female</subject><subject>Humans</subject><subject>Lumbar Vertebrae - diagnostic imaging</subject><subject>Lumbar Vertebrae - physiology</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Original Paper</subject><subject>Orthopedics</subject><subject>Osteoporotic Fractures - physiopathology</subject><subject>Posture</subject><subject>Radiography</subject><subject>Range of Motion, Articular</subject><subject>Spinal Fractures - diagnostic imaging</subject><subject>Spinal Fractures - physiopathology</subject><subject>Thoracic Vertebrae - diagnostic imaging</subject><subject>Thoracic Vertebrae - physiology</subject><subject>Walking</subject><issn>1862-3522</issn><issn>1862-3514</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kMtu1jAQha0KRC_wAGyQl2zS-hJfskJVRS9SJTawtpx43KZKfoexQ9sdj45_pXTZ1YzmfOfIPoR85uyUM2bOMudamYbxrmFa6ObpgBxxq0UjFW_fve5CHJLjnB8Y04wr_YEcSi5aqZQ5In_PEWjKBdKSMJVxoH8AC_ToJxrRD2VFyDQhjQkfPQZ6Dz7QpTqqQH3OaRh9gUAfx3JPF8DKzX43QNP7XM8z-LxFRNr7aa9Qv6v31I_TWJ6_fSTvo58yfHqZJ-TX5fefF9fN7Y-rm4vz22aQxpQmKm06EUPoVa95F5gaVAjBM8W0D4xLa6PUXLdGSNN2wbSaGyujVV4Z23fyhHzdchdMv1fIxc1jHmCqT4K0ZidEa6WxmtmK8g0dMOWMEN2C4-zx2XHm9sW7rXhXi3f74t1T9Xx5iV_7GcKr43_TFRAbkKu0uwN0D2nFXf3yG6n_AAW6kME</recordid><startdate>20191201</startdate><enddate>20191201</enddate><creator>Ziebart, Christina</creator><creator>Gibbs, Jenna C.</creator><creator>McArthur, Caitlin</creator><creator>Papaioannou, Alexandra</creator><creator>Mittmann, Nicole</creator><creator>Laprade, Judi</creator><creator>Kim, Sandra</creator><creator>Khan, Aliya</creator><creator>Kendler, David L.</creator><creator>Wark, John D.</creator><creator>Thabane, Lehana</creator><creator>Scherer, Samuel C.</creator><creator>Prasad, Sadhana</creator><creator>Hill, Keith D.</creator><creator>Cheung, Angela M.</creator><creator>Bleakney, Robert R.</creator><creator>Ashe, Maureen C.</creator><creator>Adachi, Jonathan D.</creator><creator>Giangregorio, Lora M.</creator><general>Springer London</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20191201</creationdate><title>Are osteoporotic vertebral fractures or forward head posture associated with performance-based measures of balance and mobility?</title><author>Ziebart, Christina ; Gibbs, Jenna C. ; McArthur, Caitlin ; Papaioannou, Alexandra ; Mittmann, Nicole ; Laprade, Judi ; Kim, Sandra ; Khan, Aliya ; Kendler, David L. ; Wark, John D. ; Thabane, Lehana ; Scherer, Samuel C. ; Prasad, Sadhana ; Hill, Keith D. ; Cheung, Angela M. ; Bleakney, Robert R. ; Ashe, Maureen C. ; Adachi, Jonathan D. ; Giangregorio, Lora M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c377t-f56792fddb5b619d05c5ddda0506ad01388f36164723749d7461783f85a578b93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Cross-Sectional Studies</topic><topic>Endocrinology</topic><topic>Exercise Test</topic><topic>Female</topic><topic>Humans</topic><topic>Lumbar Vertebrae - diagnostic imaging</topic><topic>Lumbar Vertebrae - physiology</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Original Paper</topic><topic>Orthopedics</topic><topic>Osteoporotic Fractures - physiopathology</topic><topic>Posture</topic><topic>Radiography</topic><topic>Range of Motion, Articular</topic><topic>Spinal Fractures - diagnostic imaging</topic><topic>Spinal Fractures - physiopathology</topic><topic>Thoracic Vertebrae - diagnostic imaging</topic><topic>Thoracic Vertebrae - physiology</topic><topic>Walking</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ziebart, Christina</creatorcontrib><creatorcontrib>Gibbs, Jenna C.</creatorcontrib><creatorcontrib>McArthur, Caitlin</creatorcontrib><creatorcontrib>Papaioannou, Alexandra</creatorcontrib><creatorcontrib>Mittmann, Nicole</creatorcontrib><creatorcontrib>Laprade, Judi</creatorcontrib><creatorcontrib>Kim, Sandra</creatorcontrib><creatorcontrib>Khan, Aliya</creatorcontrib><creatorcontrib>Kendler, David L.</creatorcontrib><creatorcontrib>Wark, John D.</creatorcontrib><creatorcontrib>Thabane, Lehana</creatorcontrib><creatorcontrib>Scherer, Samuel C.</creatorcontrib><creatorcontrib>Prasad, Sadhana</creatorcontrib><creatorcontrib>Hill, Keith D.</creatorcontrib><creatorcontrib>Cheung, Angela M.</creatorcontrib><creatorcontrib>Bleakney, Robert R.</creatorcontrib><creatorcontrib>Ashe, Maureen C.</creatorcontrib><creatorcontrib>Adachi, Jonathan D.</creatorcontrib><creatorcontrib>Giangregorio, Lora M.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Archives of osteoporosis</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ziebart, Christina</au><au>Gibbs, Jenna C.</au><au>McArthur, Caitlin</au><au>Papaioannou, Alexandra</au><au>Mittmann, Nicole</au><au>Laprade, Judi</au><au>Kim, Sandra</au><au>Khan, Aliya</au><au>Kendler, David L.</au><au>Wark, John D.</au><au>Thabane, Lehana</au><au>Scherer, Samuel C.</au><au>Prasad, Sadhana</au><au>Hill, Keith D.</au><au>Cheung, Angela M.</au><au>Bleakney, Robert R.</au><au>Ashe, Maureen C.</au><au>Adachi, Jonathan D.</au><au>Giangregorio, Lora M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Are osteoporotic vertebral fractures or forward head posture associated with performance-based measures of balance and mobility?</atitle><jtitle>Archives of osteoporosis</jtitle><stitle>Arch Osteoporos</stitle><addtitle>Arch Osteoporos</addtitle><date>2019-12-01</date><risdate>2019</risdate><volume>14</volume><issue>1</issue><spage>67</spage><epage>67</epage><pages>67-67</pages><artnum>67</artnum><issn>1862-3522</issn><eissn>1862-3514</eissn><abstract>Summary
The main objective of this study was to explore whether vertebral fracture characteristics or posture is independently associated with physical performance. Posture was significantly associated with physical performance but fracture characteristics were not, suggesting posture should be the focus of physical performance variance.
Purpose
The main objective of this study was to explore whether vertebral fracture characteristics (number, severity, location) or occiput-to-wall distance (OWD) is independently associated with physical performance.
Methods
This was a secondary data analysis using baseline data from a randomized controlled trial, of community-dwelling women aged 65 years and older with a suspected vertebral fragility fracture. Lateral thoracic and lumbar spine radiographs were used to determine the number, location, and severity of fracture. The dependent variables were timed up and go (TUG), five times sit-to-stand, four-meter walk, and step test. The independent variables were number, severity, location of fracture, and OWD. Pain during movement and age were covariates. Multivariable regression analyses determined the association between each of the dependent and independent variables.
Results
Participants’ (
n
= 158) mean (standard deviation [SD]) age was 75.9 (6.5) years. They had a mean (SD) BMI, OWD, and number of fractures of 26.7 (5.3) kg/m
2
, 5.7 (4.6) cm, and 2.2 (1.8), respectively. OWD was independently associated with TUG (estimated coefficient [
B
] = 0.29, 95% confidence interval [CI] = 0.16, 0.42), five times sit-to-stand (
B
= 0.33, 95% CI = 0.12, 0.55), four-meter walk (
B
= 0.09, 95% CI = 0.05, 0.13), and step test (
B
= − 0.36, 95% CI = − 0.50, − 0.23) in the unadjusted model. OWD was independently associated with TUG (
B
= 0.25, 95% CI = 0.12, 0.38), five times sit-to-stand (
B
= 0.29, 95% CI = 0.07, 0.50), four-meter walk (
B
= 0.08, 95% CI = 0.03, 0.12), and step test (
B
= − 0.22, 95% CI = − 0.47, − 0.19) in the adjusted model.
Conclusion
OWD was significantly associated with physical performance but fracture characteristics were not. These analyses were exploratory and require replication in future studies.</abstract><cop>London</cop><pub>Springer London</pub><pmid>31243557</pmid><doi>10.1007/s11657-019-0626-x</doi><tpages>1</tpages></addata></record> |
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source | MEDLINE; SpringerLink Journals - AutoHoldings |
subjects | Aged Aged, 80 and over Cross-Sectional Studies Endocrinology Exercise Test Female Humans Lumbar Vertebrae - diagnostic imaging Lumbar Vertebrae - physiology Medicine Medicine & Public Health Middle Aged Original Paper Orthopedics Osteoporotic Fractures - physiopathology Posture Radiography Range of Motion, Articular Spinal Fractures - diagnostic imaging Spinal Fractures - physiopathology Thoracic Vertebrae - diagnostic imaging Thoracic Vertebrae - physiology Walking |
title | Are osteoporotic vertebral fractures or forward head posture associated with performance-based measures of balance and mobility? |
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