201. Power training improves bone mineral density and fall risk for a postmenopausal woman with a history of osteoporosis and increased risk of falling: A case report
- Author
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Fred J. DiMenna, John Wygand, Michele Aquino, Robert M. Otto, and John Petrizzo
- Subjects
musculoskeletal diseases ,Complementary and Manual Therapy ,Bone mineral ,030222 orthopedics ,medicine.medical_specialty ,business.industry ,Rehabilitation ,Osteoporosis ,Poison control ,Physical Therapy, Sports Therapy and Rehabilitation ,030229 sport sciences ,Fall risk ,medicine.disease ,03 medical and health sciences ,0302 clinical medicine ,medicine.anatomical_structure ,Increased risk ,Complementary and alternative medicine ,Injury prevention ,Physical therapy ,medicine ,Falling (sensation) ,business ,Femoral neck - Abstract
The purpose of this case study was to assess the degree to which a 12-month power-based resistance-training program improved bone mineral density (BMD) and fall risk for a 70-year-old postmenopausal woman with osteoporosis and increased risk of falling. After an eight-week strength-development phase, we had the patient perform 44 weeks of resistance training with maximal force mobilization by instructing her to complete as many repetitions as possible during each 60-s set. We used dual-energy X-ray absorptiometry (DEXA) to assess BMD and Dynamic Gait Index (DGI) to assess fall risk before and after the intervention. Post compared to pre-training testing indicated an increase in BMD in the lumbar spine (24%) and femoral neck (29%) resulting in changes in T-score of 0.7 and 0.4 SD, respectively. Testing also revealed a seven-point change in DGI which improved her status to "safe ambulator." After a 12-month period of power training, BMD was increased and fall risk was reduced for a postmenopausal woman with osteoporosis and increased risk of falling.
- Published
- 2020
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