| Titre : | Exercise Interventions for Preventing and Treating Low Bone Mass in the Forearm: A Systematic Review and Meta-analysis (2020) |
| Auteurs : | Opeyemi O. Babatunde ; Amy L. Bourton ; Karen Hind |
| Type de document : | Article |
| Dans : | Archives of Physical Medicine and Rehabilitation (Vol. 101, n° 3, 2020) |
| Article en page(s) : | p. 487-511 |
| Note générale : |
https://doi.org/10.1016/j.apmr.2019.07.007
|
| Langues: | Anglais |
| Descripteurs : |
HE Vinci Densite osseuse ; Entraînement en résistance ; Membre supérieur ; Ostéoporose ; Réadaptation |
| Résumé : |
Objective
To examine the effectiveness of exercises for improving forearm bone mass. Data Sources MEDLINE, EMBASE, CINAHL, AMED, Web of Science, and Cochrane CENTRAL were searched from their inception until December 2018. Study Selection Eligibility included adults undertaking upper limb exercise interventions (≥12wk) to improve bone mass. Data Extraction Screening of titles, abstracts, and full texts and data extraction were undertaken independently by pairs of reviewers. Included studies were quality appraised using Cochrane risk of bias tool. Data Synthesis Exercise interventions were classified into “resistance training” of high or low intensity (HIRT/LIRT, respectively) or “impact.” Random-effects meta-analysis of the percentage change in forearm bone mass from baseline was conducted. Twenty-six studies were included in the review, of which 21 provided suitable data for meta-analysis. Methodological quality ranged from “low” to “unclear” risk of bias. Exercise generally led to increases (moderate-quality evidence) in forearm bone mass (standard mean difference [SMD], 1.27; 95% CI, 0.66-1.88; overall effect Z value=4.10; P<.001 hirt ci z value="3.11;" p=".002)," and lirt led to moderate increases in forearm bone mass. improvements resulting from impact exercises were not statistically significant evidence> Conclusions There is moderate-quality evidence that exercise is effective for improving forearm bone mass. There is moderate-quality evidence that upper body resistance exercise (HIRT/LIRT) promotes forearm bone mass but low-quality evidence for impact exercise. Current evidence is equivocal regarding which exercise is most effective for improving forearm bone mass. |
| Disponible en ligne : | Oui |
| En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999319309852 |
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