Postmenopausal Symptoms Clinical Trial
Official title:
The Effects of PNF and Frenkel's Exercises on Balance, Fall Risk, and Quality of Life in Postmenopausal Women
Postural stability is impaired due to the decrease in estrogen in the postmenopausal period,
which may lead to disruption of balance and risk of falling. Our objective was to investigate
the effects of PNF and Frenkel's exercises on balance, fall risk, and quality of life in
postmenopausal women.
Methods: Forty-eight postmenopausal women were randomized into PNF (n = 24) (5 days a week)
and Frenkel (n = 24) (5 days a week as a home exercise program) exercise groups. Hand grip
strength, quality of life (short form- 36), falling risk (Falls Risk of Older
People-Community Setting [FROP-COM]), and balance (functional reach test [FRT], one - leg
stand test [OLST], timed up and go test [TUG], and Berg balance scale [BBS]) of all patients
were evaluated prior to treatment, and at 4th week follow-up. The treatment responses were
evaluated at the beginning, and at the 4th week.
In this study, we aimed to investigate the effects of PNF and Frenkel's exercises on balance,
fall risk, and quality of life in postmenopausal women.
Methods: Forty-eight postmenopausal women were randomized into PNF (n = 24) (5 days a week)
and Frenkel (n = 24) (5 days a week as a home exercise program) exercise groups. Hand grip
strength, quality of life (short form- 36), falling risk (Falls Risk of Older
People-Community Setting [FROP-COM]), and balance (functional reach test [FRT], one - leg
stand test [OLST], timed up and go test [TUG], and Berg balance scale [BBS]) of all patients
were evaluated prior to treatment, and at 4th week follow-up. The treatment responses were
evaluated at the beginning, and at the 4th week. A total of 13 patients (27.1%) had a history
of falls in the last 6 months and 12 months. According to the intra-group assessment; there
was a significant improvement in all parameters in PNF group (p<0.05). In Frenkel group,
there was a significant improvement in all evaluations except the OLST (p=0.064), and the
short form-36 mental health score (p=0.057). Among the groups; no significant difference was
detected in terms of hand grip strength, FROP-COM, FRT and TUG scores (p > 0.05). The OLST
and BBS scores was significantly higher in the PNF group (p=0.022, and p= 0.002,
respectively). To conclude, PNF and Frenkel exercise programs had significant effects on
balance parameters, risk of falling and quality of life in postmenopausal women. Frenkel home
exercise program is cheaper, easier, and requires less manpower, therefore, we think that it
may be more preferable in terms of improving balance and reducing fall risk in postmenopausal
women.
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