Are osteoporotic vertebral fractures or forward head posture associated with performance-based measures of balance and mobility?

Christina Ziebart, Jenna C. Gibbs, Caitlin McArthur, Alexandra Papaioannou, Nicole Mittmann, Judi Laprade, Sandra Kim, Aliya Khan, David L. Kendler, John D. Wark, Lehana Thabane, Samuel C. Scherer, Sadhana Prasad, Keith D. Hill, Angela M. Cheung, Robert R. Bleakney, Maureen C. Ashe, Jonathan D. Adachi, Lora M. Giangregorio

Research output: Contribution to journalArticleResearchpeer-review

Abstract

Summary: The main objective of this study was to explore whether vertebral fracture characteristics or posture is independently associated with physical performance. Posture was significantly associated with physical performance but fracture characteristics were not, suggesting posture should be the focus of physical performance variance. Purpose: The main objective of this study was to explore whether vertebral fracture characteristics (number, severity, location) or occiput-to-wall distance (OWD) is independently associated with physical performance. Methods: This was a secondary data analysis using baseline data from a randomized controlled trial, of community-dwelling women aged 65 years and older with a suspected vertebral fragility fracture. Lateral thoracic and lumbar spine radiographs were used to determine the number, location, and severity of fracture. The dependent variables were timed up and go (TUG), five times sit-to-stand, four-meter walk, and step test. The independent variables were number, severity, location of fracture, and OWD. Pain during movement and age were covariates. Multivariable regression analyses determined the association between each of the dependent and independent variables. Results: Participants’ (n = 158) mean (standard deviation [SD]) age was 75.9 (6.5) years. They had a mean (SD) BMI, OWD, and number of fractures of 26.7 (5.3) kg/m2, 5.7 (4.6) cm, and 2.2 (1.8), respectively. OWD was independently associated with TUG (estimated coefficient [B] = 0.29, 95% confidence interval [CI] = 0.16, 0.42), five times sit-to-stand (B = 0.33, 95% CI = 0.12, 0.55), four-meter walk (B = 0.09, 95% CI = 0.05, 0.13), and step test (B = − 0.36, 95% CI = − 0.50, − 0.23) in the unadjusted model. OWD was independently associated with TUG (B = 0.25, 95% CI = 0.12, 0.38), five times sit-to-stand (B = 0.29, 95% CI = 0.07, 0.50), four-meter walk (B = 0.08, 95% CI = 0.03, 0.12), and step test (B = − 0.22, 95% CI = − 0.47, − 0.19) in the adjusted model. Conclusion: OWD was significantly associated with physical performance but fracture characteristics were not. These analyses were exploratory and require replication in future studies.

Original languageEnglish
Article number67
Number of pages10
JournalArchives of Osteoporosis
Volume14
Issue number1
DOIs
Publication statusPublished - 26 Jun 2019
Externally publishedYes

Keywords

  • Hyperkyphosis
  • Occiput-to-wall distance
  • Older adults
  • Osteoporosis
  • Physical performance
  • Vertebral fractures

Cite this

Ziebart, C., Gibbs, J. C., McArthur, C., Papaioannou, A., Mittmann, N., Laprade, J., ... Giangregorio, L. M. (2019). Are osteoporotic vertebral fractures or forward head posture associated with performance-based measures of balance and mobility? Archives of Osteoporosis, 14(1), [67]. https://doi.org/10.1007/s11657-019-0626-x
Ziebart, Christina ; Gibbs, Jenna C. ; McArthur, Caitlin ; Papaioannou, Alexandra ; Mittmann, Nicole ; Laprade, Judi ; Kim, Sandra ; Khan, Aliya ; Kendler, David L. ; Wark, John D. ; Thabane, Lehana ; Scherer, Samuel C. ; Prasad, Sadhana ; Hill, Keith D. ; Cheung, Angela M. ; Bleakney, Robert R. ; Ashe, Maureen C. ; Adachi, Jonathan D. ; Giangregorio, Lora M. / Are osteoporotic vertebral fractures or forward head posture associated with performance-based measures of balance and mobility?. In: Archives of Osteoporosis. 2019 ; Vol. 14, No. 1.
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title = "Are osteoporotic vertebral fractures or forward head posture associated with performance-based measures of balance and mobility?",
abstract = "Summary: The main objective of this study was to explore whether vertebral fracture characteristics or posture is independently associated with physical performance. Posture was significantly associated with physical performance but fracture characteristics were not, suggesting posture should be the focus of physical performance variance. Purpose: The main objective of this study was to explore whether vertebral fracture characteristics (number, severity, location) or occiput-to-wall distance (OWD) is independently associated with physical performance. Methods: This was a secondary data analysis using baseline data from a randomized controlled trial, of community-dwelling women aged 65 years and older with a suspected vertebral fragility fracture. Lateral thoracic and lumbar spine radiographs were used to determine the number, location, and severity of fracture. The dependent variables were timed up and go (TUG), five times sit-to-stand, four-meter walk, and step test. The independent variables were number, severity, location of fracture, and OWD. Pain during movement and age were covariates. Multivariable regression analyses determined the association between each of the dependent and independent variables. Results: Participants’ (n = 158) mean (standard deviation [SD]) age was 75.9 (6.5) years. They had a mean (SD) BMI, OWD, and number of fractures of 26.7 (5.3) kg/m2, 5.7 (4.6) cm, and 2.2 (1.8), respectively. OWD was independently associated with TUG (estimated coefficient [B] = 0.29, 95{\%} confidence interval [CI] = 0.16, 0.42), five times sit-to-stand (B = 0.33, 95{\%} CI = 0.12, 0.55), four-meter walk (B = 0.09, 95{\%} CI = 0.05, 0.13), and step test (B = − 0.36, 95{\%} CI = − 0.50, − 0.23) in the unadjusted model. OWD was independently associated with TUG (B = 0.25, 95{\%} CI = 0.12, 0.38), five times sit-to-stand (B = 0.29, 95{\%} CI = 0.07, 0.50), four-meter walk (B = 0.08, 95{\%} CI = 0.03, 0.12), and step test (B = − 0.22, 95{\%} CI = − 0.47, − 0.19) in the adjusted model. Conclusion: OWD was significantly associated with physical performance but fracture characteristics were not. These analyses were exploratory and require replication in future studies.",
keywords = "Hyperkyphosis, Occiput-to-wall distance, Older adults, Osteoporosis, Physical performance, Vertebral fractures",
author = "Christina Ziebart and Gibbs, {Jenna C.} and Caitlin McArthur and Alexandra Papaioannou and Nicole Mittmann and Judi Laprade and Sandra Kim and Aliya Khan and Kendler, {David L.} and Wark, {John D.} and Lehana Thabane and Scherer, {Samuel C.} and Sadhana Prasad and Hill, {Keith D.} and Cheung, {Angela M.} and Bleakney, {Robert R.} and Ashe, {Maureen C.} and Adachi, {Jonathan D.} and Giangregorio, {Lora M.}",
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Ziebart, C, Gibbs, JC, McArthur, C, Papaioannou, A, Mittmann, N, Laprade, J, Kim, S, Khan, A, Kendler, DL, Wark, JD, Thabane, L, Scherer, SC, Prasad, S, Hill, KD, Cheung, AM, Bleakney, RR, Ashe, MC, Adachi, JD & Giangregorio, LM 2019, 'Are osteoporotic vertebral fractures or forward head posture associated with performance-based measures of balance and mobility?' Archives of Osteoporosis, vol. 14, no. 1, 67. https://doi.org/10.1007/s11657-019-0626-x

Are osteoporotic vertebral fractures or forward head posture associated with performance-based measures of balance and mobility? / Ziebart, Christina; Gibbs, Jenna C.; McArthur, Caitlin; Papaioannou, Alexandra; Mittmann, Nicole; Laprade, Judi; Kim, Sandra; Khan, Aliya; Kendler, David L.; Wark, John D.; Thabane, Lehana; Scherer, Samuel C.; Prasad, Sadhana; Hill, Keith D.; Cheung, Angela M.; Bleakney, Robert R.; Ashe, Maureen C.; Adachi, Jonathan D.; Giangregorio, Lora M.

In: Archives of Osteoporosis, Vol. 14, No. 1, 67, 26.06.2019.

Research output: Contribution to journalArticleResearchpeer-review

TY - JOUR

T1 - Are osteoporotic vertebral fractures or forward head posture associated with performance-based measures of balance and mobility?

AU - Ziebart, Christina

AU - Gibbs, Jenna C.

AU - McArthur, Caitlin

AU - Papaioannou, Alexandra

AU - Mittmann, Nicole

AU - Laprade, Judi

AU - Kim, Sandra

AU - Khan, Aliya

AU - Kendler, David L.

AU - Wark, John D.

AU - Thabane, Lehana

AU - Scherer, Samuel C.

AU - Prasad, Sadhana

AU - Hill, Keith D.

AU - Cheung, Angela M.

AU - Bleakney, Robert R.

AU - Ashe, Maureen C.

AU - Adachi, Jonathan D.

AU - Giangregorio, Lora M.

PY - 2019/6/26

Y1 - 2019/6/26

N2 - Summary: The main objective of this study was to explore whether vertebral fracture characteristics or posture is independently associated with physical performance. Posture was significantly associated with physical performance but fracture characteristics were not, suggesting posture should be the focus of physical performance variance. Purpose: The main objective of this study was to explore whether vertebral fracture characteristics (number, severity, location) or occiput-to-wall distance (OWD) is independently associated with physical performance. Methods: This was a secondary data analysis using baseline data from a randomized controlled trial, of community-dwelling women aged 65 years and older with a suspected vertebral fragility fracture. Lateral thoracic and lumbar spine radiographs were used to determine the number, location, and severity of fracture. The dependent variables were timed up and go (TUG), five times sit-to-stand, four-meter walk, and step test. The independent variables were number, severity, location of fracture, and OWD. Pain during movement and age were covariates. Multivariable regression analyses determined the association between each of the dependent and independent variables. Results: Participants’ (n = 158) mean (standard deviation [SD]) age was 75.9 (6.5) years. They had a mean (SD) BMI, OWD, and number of fractures of 26.7 (5.3) kg/m2, 5.7 (4.6) cm, and 2.2 (1.8), respectively. OWD was independently associated with TUG (estimated coefficient [B] = 0.29, 95% confidence interval [CI] = 0.16, 0.42), five times sit-to-stand (B = 0.33, 95% CI = 0.12, 0.55), four-meter walk (B = 0.09, 95% CI = 0.05, 0.13), and step test (B = − 0.36, 95% CI = − 0.50, − 0.23) in the unadjusted model. OWD was independently associated with TUG (B = 0.25, 95% CI = 0.12, 0.38), five times sit-to-stand (B = 0.29, 95% CI = 0.07, 0.50), four-meter walk (B = 0.08, 95% CI = 0.03, 0.12), and step test (B = − 0.22, 95% CI = − 0.47, − 0.19) in the adjusted model. Conclusion: OWD was significantly associated with physical performance but fracture characteristics were not. These analyses were exploratory and require replication in future studies.

AB - Summary: The main objective of this study was to explore whether vertebral fracture characteristics or posture is independently associated with physical performance. Posture was significantly associated with physical performance but fracture characteristics were not, suggesting posture should be the focus of physical performance variance. Purpose: The main objective of this study was to explore whether vertebral fracture characteristics (number, severity, location) or occiput-to-wall distance (OWD) is independently associated with physical performance. Methods: This was a secondary data analysis using baseline data from a randomized controlled trial, of community-dwelling women aged 65 years and older with a suspected vertebral fragility fracture. Lateral thoracic and lumbar spine radiographs were used to determine the number, location, and severity of fracture. The dependent variables were timed up and go (TUG), five times sit-to-stand, four-meter walk, and step test. The independent variables were number, severity, location of fracture, and OWD. Pain during movement and age were covariates. Multivariable regression analyses determined the association between each of the dependent and independent variables. Results: Participants’ (n = 158) mean (standard deviation [SD]) age was 75.9 (6.5) years. They had a mean (SD) BMI, OWD, and number of fractures of 26.7 (5.3) kg/m2, 5.7 (4.6) cm, and 2.2 (1.8), respectively. OWD was independently associated with TUG (estimated coefficient [B] = 0.29, 95% confidence interval [CI] = 0.16, 0.42), five times sit-to-stand (B = 0.33, 95% CI = 0.12, 0.55), four-meter walk (B = 0.09, 95% CI = 0.05, 0.13), and step test (B = − 0.36, 95% CI = − 0.50, − 0.23) in the unadjusted model. OWD was independently associated with TUG (B = 0.25, 95% CI = 0.12, 0.38), five times sit-to-stand (B = 0.29, 95% CI = 0.07, 0.50), four-meter walk (B = 0.08, 95% CI = 0.03, 0.12), and step test (B = − 0.22, 95% CI = − 0.47, − 0.19) in the adjusted model. Conclusion: OWD was significantly associated with physical performance but fracture characteristics were not. These analyses were exploratory and require replication in future studies.

KW - Hyperkyphosis

KW - Occiput-to-wall distance

KW - Older adults

KW - Osteoporosis

KW - Physical performance

KW - Vertebral fractures

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U2 - 10.1007/s11657-019-0626-x

DO - 10.1007/s11657-019-0626-x

M3 - Article

VL - 14

JO - Archives of Osteoporosis

JF - Archives of Osteoporosis

SN - 1862-3522

IS - 1

M1 - 67

ER -