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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Veröffentlicht in:Archives of osteoporosis 2019-12, Vol.14 (1), p.67-67, Article 67
Hauptverfasser: 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.
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container_end_page 67
container_issue 1
container_start_page 67
container_title Archives of osteoporosis
container_volume 14
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
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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 &amp; 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 &amp; 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 &amp; 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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