The Impact of Osteoporosis and Thoracic Kyphosis on the Parameters of Quality of Life in Postmenopausal Women

Document Type : Original Articles

Authors
Zeinab Mohammadjannataj 1
Sedigheh Kahrizi 2
Noshin Bayat 3
1 Department of Physical Therapy, School of Medical Sciences, Tarbiat Modares University, Tehran, Iran
2 Associate Professor, Department of Physical Therapy, School of Medical Sciences, Tarbiat Modares University, Tehran, Iran
3 Associate Professor, Department of Rheumatology, Baqiyatallah Hospital, Baqiyatallah University of Medical Sciences, Tehran ,Iran
10.22122/jrrs.v15i4.3431
Abstract
Introduction: Osteoporosis is caused by a loss in the bone mass and the subsequent complications decrease quality of life (QOL) of the patients. This study is performed aiming to determine the effects of osteoporosis and thoracic kyphosis on the parameters of QOL in postmenopausal women.Materials and Methods: This was a case-control study in which 53 postmenopausal women participated according to the T-score and thoracic kyphosis and were divided into four groups. Then, QOL and also different fields were compared among the groups using the 36-Item Short Form Health Survey questionnaire (SF-36). The data analysis was performed using SPSS software.Results: According to the results, the impact of osteoporosis on total scores of QOL was not significant (P = 0.783). In the areas of QOL, there was a significant difference only in the area of pain (P = 0.030). However, there was a significant difference regarding the effect of postural kyphosis on the total score of QOL (P = 0.021). In addition, in the fields of mental health problems, energy, mental feelings, and general health status, the differences were significant (P < 0.050).Conclusion: Comparing the two factors affecting QOL in postmenopausal women (osteoporosis and postural kyphosis), it was revealed that the increased thoracic kyphosis had a more remarkable role in lowering the total score of QOL. Therefore, it is necessary to correct this situation in postmenopausal women.

Keywords

  1. Olazabal Ulacia JC, Garcia PR, Montero LJ, Garcia Gutierrez JF, Sendin Melguizo PP, Holgado Sanchez MA. Models of intervention in menopause: Proposal of a holistic or integral model. Menopause 1999; 6(3): 264-72.
  2. Cortet B, Blotman F, Debiais F, Huas D, Mercier F, Rousseaux C, et al. Management of osteoporosis and associated quality of life in post menopausal women. BMC Musculoskelet Disord 2011; 12: 7.
  3. Holroyd C, Cooper C, Dennison E. Epidemiology of osteoporosis. Best Pract Res Clin Endocrinol Metab 2008; 22(5): 671-85.
  4. Berarducci A. Osteoporosis education. A health-promotion mandate for nurses. Orthop Nurs 2004; 23(2): 118-20.
  5. Cunha-Henriques S, Costa-Paiva L, Pinto-Neto AM, Fonsechi-Carvesan G, Nanni L, Morais SS. Postmenopausal women with osteoporosis and musculoskeletal status: a comparative cross-sectional study. J Clin Med Res 2011; 3(4): 168-76.
  6. Burke TN, Franca FJ, Ferreira de Meneses SR, Cardoso VI, Marques AP. Postural control in elderly persons with osteoporosis: Efficacy of an intervention program to improve balance and muscle strength: A randomized controlled trial. Am J Phys Med Rehabil 2010; 89(7): 549-56.
  7. Harrison RA, Siminoski K, Vethanayagam D, Majumdar SR. Osteoporosis-related kyphosis and impairments in pulmonary function: A systematic review. J Bone Miner Res 2007; 22(3): 447-57.
  8. Wang HJ, Giambini H, Zhang WJ, Ye GH, Zhao C, An KN, et al. A modified sagittal spine postural classification and its relationship to deformities and spinal mobility in a chinese osteoporotic population. PLoS One 2012; 7(6): e38560.
  9. Takahashi T, Ishida K, Hirose D, Nagano Y, Okumiya K, Nishinaga M, et al. Trunk deformity is associated with a reduction in outdoor activities of daily living and life satisfaction in community-dwelling older people. Osteoporos Int 2005; 16(3): 273-9.
  10. Miyakoshi N, Hongo M, Maekawa S, Ishikawa Y, Shimada Y, Okada K, et al. Factors related to spinal mobility in patients with postmenopausal osteoporosis. Osteoporos Int 2005; 16(12): 1871-4.
  11. Osteoporosis prevention, diagnosis, and therapy. JAMA 2001; 285(6): 785-95.
  12. Chow RK, Harrison JE. Relationship of kyphosis to physical fitness and bone mass on post-menopausal women. Am J Phys Med 1987; 66(5): 219-27.
  13. de Oliveira TS, Candotti CT, La TM, Pelinson PP, Furlanetto TS, Kutchak FM, et al. Validity and reproducibility of the measurements obtained using the flexicurve instrument to evaluate the angles of thoracic and lumbar curvatures of the spine in the sagittal plane. Rehabil Res Pract 2012; 2012: 186156.
  14. Teixeira FA, Carvalho GA. Reliability and validity of thoracic kyphosis measurements using flexicurve method. Brazilian Journal of Physical Therapy 2007; 11(3): 199-204.
  15. Ware JE, Sherbourne CD. The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Med Care 1992; 30(6): 473-83.
  16. Darbani M, Torkaman G. The comparison of static, dynamic and functional balance parameters in osteoporotic and non-osteoporotic women [MSc Thesis]. Tehran, Iran: Tarbiat Modares University; 2014. [In Persian].
  17. Montazeri A, Goshtasebi A, Vahdaninia M, Gandek B. The Short Form Health Survey (SF-36): Translation and validation study of the Iranian version. Qual Life Res 2005; 14(3): 875-82.
  18. Martin AR, Sornay-Rendu E, Chandler JM, Duboeuf F, Girman CJ, Delmas PD. The impact of osteoporosis on quality-of-life: the OFELY cohort. Bone 2002; 31(1): 32-6.
  19. Lips P, Cooper C, Agnusdei D, Caulin F, Egger P, Johnell O, et al. Quality of life in patients with vertebral fractures: Validation of the Quality of Life Questionnaire of the European Foundation for Osteoporosis (QUALEFFO). Working Party for Quality of Life of the European Foundation for Osteoporosis. Osteoporos Int 1999; 10(2): 150-60.
  20. Hassanzadeh J, Nasimi B, Ranjbar Omrani G, Nazari M, Mohammadbeigi A. Evaluating the quality of life of osteoporotic postmenopausal women. Iran J Endocrinol Metab 2012; 14(3): 234-40. [In Persian].
  21. Ettinger B, Black DM, Nevitt MC, Rundle AC, Cauley JA, Cummings SR, et al. Contribution of vertebral deformities to chronic back pain and disability. The Study of Osteoporotic Fractures Research Group. J Bone Miner Res 1992; 7(4): 449-56.
  22. Sinaki M, Khosla S, Limburg PJ, Rogers JW, Murtaugh PA. Muscle strength in osteoporotic versus normal women. Osteoporos Int 1993; 3(1): 8-12.
  23. Ross PD, Ettinger B, Davis JW, Melton LJ 3rd, Wasnich RD. Evaluation of adverse health outcomes associated with vertebral fractures. Osteoporos Int 1991; 1(3): 134-40.
  24. De Smet AA, Robinson RG, Johnson BE, Lukert BP. Spinal compression fractures in osteoporotic women: Patterns and relationship to hyperkyphosis. Radiology 1988; 166(2): 497-500.
  25. Miyakoshi N, Itoi E, Kobayashi M, Kodama H. Impact of postural deformities and spinal mobility on quality of life in postmenopausal osteoporosis. Osteoporos Int 2003; 14(12): 1007-12.
  26. Ettinger B, Black DM, Palermo L, Nevitt MC, Melnikoff S, Cummings SR. Kyphosis in older women and its relation to back pain, disability and osteopenia: the study of osteoporotic fractures. Osteoporos Int 1994; 4(1): 55-60.
Journal of Research in Rehabilitation Sciences
Volume 15, Issue 4 - Serial Number 4
September 2019
Pages 190-196