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The Relationship Between Postural Balance, Posture and Postural Awareness in Patients Diagnosed with Osteoporosis.

Objective: Osteoporosis, characterized by low bone mass and microarchitectural deterioration, leads to increased fracture risk. Beyond skeletal fragility, it is associated with postural deformities, balance impairments, and potentially diminished postural awareness, which are critical factors for fa...

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Publicado en:Turkish Journal of Osteoporosis / Türk Osteoporoz Dergisi Vol. 32; no. 2; pp. 117 - 124
Autores principales: Elbastı, Muhammet Şahin, Çelebi, Kardelen, Yentür, Songül Bağlan
Formato: research tables/charts Journal Article
Publicado: Galenos Yayinevi Tic. LTD. STI 2026
Acceso en línea:Ver este registro en EBSCOhost
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        21463816
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      jtl: Turkish Journal of Osteoporosis / Türk Osteoporoz Dergisi
      issn: 21463816
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      dt: 2026
      vid: 32
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      pid: 28155
      pub: Galenos Yayinevi Tic. LTD. STI
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        195930920
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        195930920
        10.4274/tod.galenos.2025.70594
        195930920
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        atl: The Relationship Between Postural Balance, Posture and Postural Awareness in Patients Diagnosed with Osteoporosis.
      aug:
        au:
          Elbastı, Muhammet Şahin
          Çelebi, Kardelen
          Yentür, Songül Bağlan
        affil: University of Health Sciences Türkiye, Elazığ Fethi Sekin City Hospital, Department of Physical Medicine and Rehabilitation, Elazığ, Türkiye
      sug:
        subj:
          Osteoporosis Diagnosis
          Postmenopause
          Balance, Postural Evaluation
          Posture Evaluation
          Functional Assessment
          Bone Diseases, Metabolic
          Human
          Female
          Middle Age
          Aged
          Cross Sectional Studies
          Bone Density
          Lumbar Vertebrae
          Mann-Whitney U Test
          Comparative Studies
          Spearman's Rank Correlation Coefficient
          Accidental Falls Risk Factors
          Risk Assessment
          Accidental Falls Prevention and Control
          Descriptive Statistics
          Clinical Assessment Tools
          Scales
          Middle Aged: 45-64 years
          Aged: 65+ years
          Female
      ab:
        Objective: Osteoporosis, characterized by low bone mass and microarchitectural deterioration, leads to increased fracture risk. Beyond skeletal fragility, it is associated with postural deformities, balance impairments, and potentially diminished postural awareness, which are critical factors for fall prevention. This study aims to investigate the relationship between postural balance, posture, and postural awareness in postmenopausal women diagnosed with osteoporosis compared to those with osteopenia. Materials and Methods: A cross-sectional study was conducted with 32 postmenopausal women (osteoporosis, n=16; osteopenia, n=16). Participants were assessed using the timed up and go (TUG) test for functional mobility, the Berg balance scale (BBS) for balance, the New York posture scale (NYPS) for postural alignment, and the postural awareness scale (PAS) for body awareness. Bone mineral density was determined by lumbar spine T-scores. Statistical analyses included the Mann-Whitney U test for group comparisons and Spearman's correlation to examine relationships between variables. Results: The osteoporosis group demonstrated significantly lower postural awareness (PAS), poorer balance (BBS), longer TUG times, and more postural deviations (NYPS) compared to the osteopenia group (p<0.05), despite similar age and body mass index. Lumbar T-scores were significantly correlated with better PAS, BBS, and NYPS scores (p<0.01), and negatively correlated with TUG times (p<0.01), with stronger correlations observed in the osteoporosis group. A significant proportion of the osteoporosis group was classified as having low awareness, high fall risk, and poor posture. Conclusion: Osteoporosis is associated with significantly impaired postural awareness, poorer postural alignment, and reduced balance compared to osteopenia. The strong correlations between bone mineral density and functional parameters underscore the interconnection between skeletal and neuromuscular health. These findings highlight the necessity of integrating functional assessments and targeted interventions, such as balance training and postural awareness education, into standard osteoporosis management to reduce fall risk and improve quality of life.
        Amaç: Kemik kütlesinin azalması ve mikro-mimari bozulma ile karakterize osteoporoz, kırık riskini artırır. Osteoporoz; postüral deformiteler, denge bozuklukları ve düşmeyi önlemede kritik olan postüral farkındalıkta azalma ile ilişkili olabilir. Bu çalışmanın amacı, osteoporoz tanılı postmenopozal kadınlarda postüral denge, postür ve postüral farkındalığın osteopenili kadınlara göre farklılığını ve bu değişkenler arasındaki ilişkileri incelemektir. Gereç ve Yöntem: Kesitsel çalışmaya 32 postmenopozal kadın dahil edildi (osteoporoz n=16; osteopeni n=16). Fonksiyonel mobilite timed up and go (TUG) testi ile, denge Berg denge skalası (BDS) ile, postür New York postür skalası (NYPS) ile ve postüral farkındalık postüral farkındalık skalası (PFS) ile değerlendirildi. Kemik mineral yoğunluğu lomber omurga T-skoru ile belirlendi. Gruplar arası karşılaştırmalarda Mann-Whitney U testi, değişkenler arası ilişkilerde Spearman korelasyon analizi kullanıldı. Bulgular: Gruplar yaş ve vücut kitle indeksi açısından benzerdi. Osteoporoz grubu osteopeni grubuna göre anlamlı derecede daha düşük postüral farkındalık (PFS), daha kötü denge (BDS), daha uzun TUG süreleri ve daha fazla postüral sapma (NYPS) gösterdi (p<0,05). Lomber T-skoru; PAS, BBS ve NYPS ile pozitif (p<0,01), TUG süresi ile negatif yönde anlamlı korelasyon gösterdi (p<0,01) ve bu ilişkiler osteoporoz grubunda daha güçlüydü. Osteoporoz grubunun önemli bir kısmı düşük farkındalık, yüksek düşme riski ve kötü postür sınıflamasındaydı. Sonuç: Osteoporoz, osteopeniye kıyasla postüral farkındalıkta belirgin azalma, postüral hizalanmada bozulma ve dengede zayıflama ile ilişkilidir. Kemik mineral yoğunluğu ile fonksiyonel parametreler arasındaki güçlü ilişkiler, iskelet ve nöromusküler sağlık arasındaki bağlantıyı desteklemektedir. Düşme riskini azaltmak ve yaşam kalitesini artırmak için fonksiyonel değerlendirmelerin ve denge eğitimi ile postüral farkındalık eğitimini içeren hedef müdahalelerin standart osteoporoz yönetimine entegre edilmesi önerilir.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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