Correlation of Strength and Change in the Thickness of Back Extensor Muscles during Maximal Isometric Contraction in Healthy and Osteoporotic Postmenopausal Women
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Abstract
Introduction: According to the importance of the back extensor muscle strength in postmenopausal women, this study aimed to determine the relationship between strength and changes in the thickness of back extensor muscles during isometric contraction in healthy and osteoporotic postmenopausal women.
Material and Methods: 42 volunteer postmenopausal women according to their Bone Mineral Density divided into two groups “healthy” and “osteoporosis.” Strength and thickness of the muscles were measured, respectively, using a handheld dynamometer and ultrasonography. The interclass correlation was used to evaluate the relative reliability dynamometer and ultrasonography. In addition, the Pearson’s correlation coefficient was used to analyze the relationship between the strength and thickness.
Results: The results indicated a high reproducibility dynamometer test and ultrasonography. There was a good significant positive correlation between strength and the thickness change of the muscles during isometric contractions in the healthy group (P < 0.050), but in the osteoporosis group, there was no significant relationship between these two variables.
Conclusion: In postmenopausal women with osteoporosis, due to the low quality of muscles (muscular component of strength), changes of the muscle thickness is not in line with muscle strength during isometric contraction, so it is necessary special back muscle training for these subjects besides of other treat intervention from the point of rehabilitation
Sanchez-Riera L, Wilson N, Kamalaraj N, Nolla JM, Kok C, Li Y, et al. Osteoporosis and fragility fractures. Best Pract Res Clin Rheumatol 2010; 24(6): 793-810.
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.
Itoi E, Sinaki M. Effect of back-strengthening exercise on posture in healthy women 49 to 65 years of age. Mayo Clin Proc 1994; 69(11): 1054-9.
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.
Sinaki M, Khosla S, Limburg PJ, Rogers JW, Murtaugh PA. Muscle strength in osteoporotic versus normal women. Osteoporos Int 1993; 3(1): 8-12.
Mika A, Unnithan VB, Mika P. Differences in thoracic kyphosis and in back muscle strength in women with bone loss due to osteoporosis. Spine (Phila Pa 1976) 2005; 30(2): 241-6.
Aagaard P, Suetta C, Caserotti P, Magnusson SP, Kjaer M. Role of the nervous system in sarcopenia and muscle atrophy with aging: strength training as a countermeasure. Scand J Med Sci Sports 2010; 20(1): 49-64.
Sinaki M, Itoi E, Rogers JW, Bergstralh EJ, Wahner HW. Correlation of back extensor strength with thoracic kyphosis and lumbar lordosis in estrogen-deficient women. Am J Phys Med Rehabil 1996; 75(5): 370-4.
Lieber RL. Skeletal muscle structure, function, and plasticity. Philadelphia, PA: Lippincott Williams & Wilkins; 2002. p. 277-89.
Watanabe K, Miyamoto K, Masuda T, Shimizu K. Use of ultrasonography to evaluate thickness of the erector spinae muscle in maximum flexion and extension of the lumbar spine. Spine (Phila Pa 1976) 2004; 29(13): 1472-7.
Osteoporosis prevention, diagnosis, and therapy. JAMA 2001; 285(6): 785-95.
Darbani M, Torkaman G, Movassaghe S, Bayat N. Comparison of the hip, ankle and back extensor muscle strength and its correlation with functional balance in healthy and osteoporotic postmenopausal women. J Mod Rehabil 2015; 9(1): 40-52. [In Persian].
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.
Sinaki M, Brey RH, Hughes CA, Larson DR, Kaufman KR. Balance disorder and increased risk of falls in osteoporosis and kyphosis: significance of kyphotic posture and muscle strength. Osteoporos Int 2005; 16(8): 1004-10.
Granito RN, Aveiro MC, Renno AC, Oishi J, Driusso P. Comparison of thoracic kyphosis degree, trunk muscle strength and joint position sense among healthy and osteoporotic elderly women: a cross-sectional preliminary study. Arch Gerontol Geriatr 2012; 54(2): e199-e202.
Wolfe RR. The underappreciated role of muscle in health and disease. Am J Clin Nutr 2006; 84(3): 475-82.
Balzini L, Vannucchi L, Benvenuti F, Benucci M, Monni M, Cappozzo A, et al. Clinical characteristics of flexed posture in elderly women. J Am Geriatr Soc 2003; 51(10): 1419-26.
Ryan SD, Fried LP. The impact of kyphosis on daily functioning. J Am Geriatr Soc 1997; 45(12): 1479-86.
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.
Sinaki M, Wollan PC, Scott RW, Gelczer RK. Can strong back extensors prevent vertebral fractures in women with osteoporosis? Mayo Clin Proc 1996; 71(10): 951-6.
Sinaki M, Itoi E, Wahner HW, Wollan P, Gelzcer R, Mullan BP, et al. Stronger back muscles reduce the incidence of vertebral fractures: a prospective 10 year follow-up of postmenopausal women. Bone 2002; 30(6): 836-41.
Kado DM, Huang MH, Barrett-Connor E, Greendale GA. Hyperkyphotic posture and poor physical functional ability in older community-dwelling men and women: the Rancho Bernardo study. J Gerontol A Biol Sci Med Sci 2005; 60(5): 633-7.
Huang MH, Barrett-Connor E, Greendale GA, Kado DM. Hyperkyphotic posture and risk of future osteoporotic fractures: the Rancho Bernardo study. J Bone Miner Res 2006; 21(3): 419-23.
Katzman WB, Vittinghoff E, Kado DM. Age-related hyperkyphosis, independent of spinal osteoporosis, is associated with impaired mobility in older community-dwelling women. Osteoporos Int 2011; 22(1): 85-90.
Kado DM, Browner WS, Palermo L, Nevitt MC, Genant HK, Cummings SR. Vertebral fractures and mortality in older women: a prospective study. Study of Osteoporotic Fractures Research Group. Arch Intern Med 1999; 159(11): 1215-20.
Kado DM, Huang MH, Nguyen CB, Barrett-
Connor E, Greendale GA. Hyperkyphotic posture and risk of injurious falls in older persons: the Rancho Bernardo Study. J Gerontol A Biol Sci Med Sci 2007; 62(6): 652-7.
Morkved S, Salvesen KA, Bo K, Eik-Nes S. Pelvic floor muscle strength and thickness in continent and incontinent nulliparous pregnant women. Int Urogynecol J Pelvic Floor Dysfunct 2004; 15(6): 384-9.
Akima H, Kano Y, Enomoto Y, Ishizu M, Okada M, Oishi Y, et al. Muscle function in 164 men and women aged 20--84 yr. Med Sci Sports Exerc 2001; 33(2): 220-6.
Freilich RJ, Kirsner RL, Byrne E. Isometric strength and thickness relationships in human quadriceps muscle. Neuromuscul Disord 1995; 5(5): 415-22.
Fukunaga T, Miyatani M, Tachi M, Kouzaki M, Kawakami Y, Kanehisa H. Muscle volume is a major determinant of joint torque in humans. Acta Physiol Scand 2001; 172(4): 249-55.
Maughan RJ, Watson JS, Weir J. Relationships between muscle strength and muscle cross-sectional area in male sprinters and endurance runners. Eur J Appl Physiol Occup Physiol 1983; 50(3): 309-18.
Lowe DA, Baltgalvis KA, Greising SM. Mechanisms behind estrogen's beneficial effect on muscle strength in females. Exerc Sport Sci Rev 2010; 38(2): 61-7.
Rolland YM, Perry HM 3rd, Patrick P, Banks WA, Morley JE. Loss of appendicular muscle mass and loss of muscle strength in young postmenopausal women. J Gerontol A Biol Sci Med Sci 2007; 62(3): 330-5.
Walsh MC, Hunter GR, Livingstone MB. Sarcopenia in premenopausal and postmenopausal women with osteopenia, osteoporosis and normal bone mineral density. Osteoporos Int 2006; 17(1): 61-7.
Narici MV, Maffulli N. Sarcopenia: characteristics, mechanisms and functional significance. Br Med Bull 2010; 95: 139-59.
Di Monaco M, Vallero F, Di Monaco R, Tappero R. Prevalence of sarcopenia and its association with osteoporosis in 313 older women following a hip fracture. Arch Gerontol Geriatr 2011; 52(1): 71-4.
Sjoblom S, Suuronen J, Rikkonen T, Honkanen R, Kroger H, Sirola J. Relationship between postmenopausal osteoporosis and the components of clinical sarcopenia. Maturitas 2013; 75(2): 175-80
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| Issue | Vol 10 No 2 (2016) | |
| Section | Research Article(s) | |
| Keywords | ||
| Back extensor muscles Strength Thickness Osteoporosis | ||
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