Indian Journal of Physiotherapy and Occupational Therapy - An International Journal
  • Year: 2016
  • Volume: 10
  • Issue: 2

Impact of Therapeutic Interventions in Patients of Osteoporosis

1Assistant Professor, Department of Physiotherapy, Jazan University, Saudi Arabia

2Professor, Department of Physiotherapy, Punjabi University, Patiala

3Professor, Department of Medicine, Gian Sagar Medical College, Rajpura

*Corresponding author: Narinder Kaur Multani, Professor, Department of Physiotherapy, Punjabi University, Patiala Email: drnkmultani@rediffmail.com

Online published on 27 April, 2016.

Abstract

To study the impact of lifestyle modification (de-addiction), diet prescription (orange juice), calcium supplementation and exercise interventions in patients of osteoporosis and to compare the different options of therapeutic interventions in patients of osteoporosis.

A total of 120 subjects were divided into 4 groups with 30 subjects in each group. Four kinds of therapeutic interventions were administered for the duration of two years. Group A (n=30) was subjected to de-addiction from narcotics drugs. Group B (n=30) was given 250ml of widely available fresh Orange/Kinu/Mausami Juice thrice weekly. Group C (n=30) was given a dose of 500mg of calcium tablets named ‘cipcal 500’ all days a week. Group D (n=30) underwent exercise program thrice weekly.

The findings revealed that there was statistically significant improvement in bone mineral density in group A, C and D with t=-4.749 (pre-intervention mean=-3.798 & post-intervention mean=-2.747), t=-3.409 (pre-intervention mean=-3.754 & post-intervention mean=2.878)& t=-5.126 (pre-intervention mean=-3.573 & post-intervention mean=-2.780) respectively. However, the study exhibited a slight decline (statistically non-significant with t=0.746) in bone mineral density in group B with pre-intervention mean=-3.583 & post-intervention mean=-4.609. The results of ANOVA indicated that de-addiction was most effective followed by calcium supplementation and then exercise intervention with mean improvement score=-1.05, -0.876 and-0.792, respectively. Nevertheless, the difference in the level of improvement amongst these different types of therapeutic interventions was statistically non-significant (F=0.374).

Lifestyle modification (de-addiction from narcotic drugs), Calcium supplementation and Exercise intervention exert comparable beneficial effects in improving bone mineral density in osteoporosis while the administration of orange juice alone is not effective in improving the level of bone mineral density in patients of osteoporosis.

Keywords

Osteoporosis, Bone Mineral Density, De-addiction, Orange juice, Calcium, therapeutic exercises