Thesis (Ph.D)-Cairo University, 2024.

Bibliography: pages 84-108.

Purpose: This study was conducted to investigate the combined effect of core stability exercise and
dynamic resistance exercise on osteoporosis in postmenopausal women. Subjects: Sixty post-
menopausal women participated in this study. They were selected randomly from Kasr El Ainy
University Hospital in Cairo, Cairo University. Their ages were ranged from 50-60 years. Their BMI
was not exceeded 30 kg/m2. All women were at least one year after menopause. All women were
physically inactive during the last 6 months. Women who took any drug before the study (e.g.
calcium tablets, multivitamins containing calcium and vitamin D) that affects bone metabolism,
women who were smoking or having alcohol consumption and women who had histories of fracture
and surgery, or severe injuries were excluded from the study. Design: The design of the study was
randomized controlled trial. All women were divided randomly into two equal groups (A&B). Group
A (Control group) consisted of thirty post-menopausal women and treated by medication only
(Alendronate) 70 mg 1 tab every week for 4 months. Group B (Study group) consisted of thirty post-
menopausal women and treated by medication (Alendronate) 70 mg 1 tab every week in addition to
core stability and dynamic resistive exercises twice a week for 4 months. Assessment: Body mass
index was assessed by using a standard weight and height scale. Bone mineral density was assessed
by using Dual-energy x-ray absorptiometry (DEXA) and quality of life was assessed by Oswestry
Disability Index (ODI) for each woman in both groups (A&B) before and after treatment. Results:
Results showed that; there was no statistically significant difference between both groups A and B in
age, weight, height and BMI. Within groups, there was significant increase in bone mineral density
and significant decrease in the value of ODI in both groups A and B post treatment in comparison
with pre-treatment values. Between groups, pre- treatment, there was no significant difference
between both groups A & B in bone mineral density and the value of ODI. Post-treatment, there was
a significant difference between groups A and B in bone mineral density (more increase in group B)
and the value of ODI (more decrease in group B). Conclusion: Accordingly, it can be concluded that
core stability and dynamic resistance exercise are safe and effective methods in the treatment of
osteoporosis in post-menopausal women.

شاركت في هذه الدراسة 60 امرأة بعد انقطاع الطمث. وتراوحت أعمارهم بين 50-60 سنة. كانت جميع النساء بعد سنة واحدة على الأقل من انقطاع الطمث. تم تقسيم جميع النساء بشكل عشوائي إلى مجموعتين متساويتين (A & B). المجموعة (أ) (المجموعة الضابطة) تكونت من ثلاثين امرأة بعد انقطاع الطمث وتم علاجهن بالأدوية فقط (أليندرونات) 70 ملغ قرص واحد كل أسبوع لمدة 4 أشهر. المجموعة ب (مجموعة الدراسة) تكونت من ثلاثين امرأة بعد انقطاع الطمث وتم علاجهن بأدوية (أليندرونات) 70 ملجم قرص واحد كل أسبوع بالإضافة إلى تمارين الثبات الأساسية والمقاومة الديناميكية مرتين أسبوعياً لمدة 4 أشهر. التقييم: تم تقييم مؤشر كتلة الجسم باستخدام مقياس الوزن والطول القياسي. تم تقييم كثافة المعادن في العظام باستخدام قياس امتصاص الأشعة السينية ثنائي الطاقة (DEXA) وتم تقييم نوعية الحياة من خلال مؤشر أوسويستري للإعاقة (ODI) لكل امرأة في كلا المجموعتين (A & B) قبل وبعد العلاج.

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