Development of an exercise program for patients with osteoporotic vertebral compression fractures
10.3969/j.issn.1671-8283.2025.07.008
- VernacularTitle:骨质疏松椎体压缩性骨折患者运动方案的构建
- Author:
Xiaoqiong PENG
1
;
Li PENG
;
Xiaoxia LI
;
Yuanyuan LIU
;
Yawen HE
;
Qiuyan FU
;
Ping XIAO
;
Tianwen HUANG
Author Information
1. 中山大学附属第一医院 骨显微医学部,广东 广州,510080
- Publication Type:Journal Article
- Keywords:
exercise program;
rehabilitation;
osteoporosis;
vertebral compression fracture;
Delphi method
- From:
Modern Clinical Nursing
2025;24(7):60-67
- CountryChina
- Language:Chinese
-
Abstract:
Objective To develop a rehabilitation exercise program for the patients with osteoporotic vertebral compression fractures.Methods An online search was performed across both Chinese and English databases and websites to retrieve literature on rehabilitation exercises and related therapeutic measures for patients with osteoporotic vertebral compression fractures.Two researchers independently screened the retrieved literature,evaluated the quality,and extracted relevant evidence.Semi-structured interviews were conducted among 15 patients at various rehabilitation phases about the requirements of rehabilitation.A preliminary exercise program was developed and verified for the validity and feasibility using Delphi method.Results A rehabilitation exercise program was formulated.The program included five periods of preoperative period,bedridden period after surgery,ambulation period(1 week after surgery),weeks 2-8 after surgery and weeks 9-12 after surgery covering six domains of exercise type,exercise items,exercise duration,exercise frequency,exercise intensity and exercise safety.The response rate and effective rate over the two rounds of expert consultation were both 100.00%,with an authority coefficient of 0.94.The Kendall's W coefficients for secondary indicators in the two rounds of expert consultation were 0.184 and 0.334,respectively(both P<0.001).Conclusion The exercise program developed in this study for the patients with osteoporotic vertebral compression fractures is scientifically reliable and reasonable.The two features of continuity and staged characteristics in rehabilitation process are fully considered,thereby it offers a guidance for clinical healthcare professionals as well as the patients in development of practical and effective rehabilitation exercise plans.
