Activating thoracolumbar orthoses as a non-pharmacological component in the treatment of vertebral fractures due to osteoporosis



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Abstract

Background: The duration and mode of use of activating thoracolumbar orthoses for low-energy vertebral fractures remains a subject of debate.

Aim: To evaluate the effect of an activating thoracolumbar orthosis in women with a fracture due to osteoporosis on pain, strength of the back and abdominal muscles when worn throughout the day and for up to 2 months.

Materials and methods: Prospective single-center cohort study. Muscle strength was assessed using the Kraus-Weber test, the modified SSD test (strength-static-dynamic), the “Get up from a chair 5 times with your arms crossed on your chest” test, pain was assessed using a visual analogue scale (VAS). Nonparametric statistics were used, Wilcoxon test for pairwise comparisons, and Friedman test for cross-tabulation.

Results: After 2 months, there was a significant increase in the strength of the lower abdominal muscles (p=0.008), all abdominal muscles (p=0.016), upper back muscles (p=0.018), all back muscles in the strength-static-dynamic test (p=0.033) and significant reduction in pain (p=0.016).

Conclusion: The use of the ORLETT OBS-300 activating orthosis, worn continuously throughout the day and for up to 2 months, is an effective method of non-pharmacological treatment of low-energy fractures due to osteoporosis.

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About the authors

Svetlana S. Rodionova

N.N. Priorov National Medical Research Center of Traumatology and Orthopaedics, Moscow

Author for correspondence.
Email: rod06@inbox.ru
ORCID iD: 0000-0002-2726-8758
https://www.cito-priorov.ru/doctors/Rodionova-Svetlana-Semenovna/?sphrase_id=7197

Prof.
Dr. Sci. (Med.)
Head of the Scientific and Clinical Center of Osteoporosis

Russian Federation

A. A Panov

N.N. Priorov National Medical Research Center of Traumatology and Orthopaedics, Moscow

Email: panovdoc@gmail.com

Liubov V. Rudinskaya

N.N. Priorov National Medical Research Center of Traumatology and Orthopaedics, Moscow

Email: vishnia103@mail.ru
ORCID iD: 0009-0004-2620-9504
Russian Federation

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