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Exercise prescription for people with osteoporotic vertebral fracture
  1. Richard Kasch1,2,
  2. Harry Merk1,
  3. Rafael Z Pinto2
  1. 1Clinic and Outpatient Clinic for Orthopedics and Orthopedic Surgery, University Medicine Greifswald, Greifswald, Germany
  2. 2The George Institute for Global Health, Sydney Medical School, University of Sydney, Sydney, Australia
  1. Correspondence to Dr Richard Kasch, Clinic and Outpatient Clinic for Orthopedics and Orthopedic Surgery, University Medicine Greifswald, Ferdinand-Sauerbruch-Straße, 17475 Greifswald, Germany; richard.kasch{at}uni-greifswald.de

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Background

Osteoporotic vertebral fracture is a common type of fracture in people with osteoporosis and has been associated with a reduced quality of life1 and a higher risk of subsequent vertebral fracture.2 Exercise intervention is often recommended as part of the multimodal approach for the management of osteoporosis. It is unclear whether exercise intervention has benefits among people with osteoporotic vertebral fractures.

Aim

To evaluate the benefits and harms of exercise interventions on the incidence of future fractures and adverse events among adults with a history of osteoporotic vertebral fracture compared with non-exercise/non-active physical therapy intervention, no intervention or placebo. As a secondary objective of this review, the authors examined the effects of exercise on nine different clinical and physiological measures.

Searches and inclusion criteria

Six electronic databases (The Cochrane Library, MEDLINE, EMBASE, CINAHL, AMED and PEDro) were searched for randomised controlled trials or quasi-randomised trials published in any language up until November 2011. The authors aimed to locate ongoing or recently completed trials and conference proceedings by …

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Footnotes

  • ▸ Giangregorio LM, MacIntyre NJ, Thabane L, et al. Exercise for improving outcomes after osteoporotic vertebral fracture. Cochrane Database Syst Rev 2013(1):CD008618.

  • Contributors RK and RZP selected the systematic review and wrote the first draft of the manuscript. RK, RZP and HM contributed to the interpretation of the data and revisions of the drafts, approved the final manuscript, and are the guarantors.

  • Competing interests None.

  • Provenance and peer review Not commissioned; internally peer reviewed.

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