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ReviewOsteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA2025

The role of physical performance measures in the physiotherapy assessment and management of older adults with osteoporotic vertebral fractures: a narrative review.

Bonny O'Hare, Pasqualina Santaguida, Ashlee M Azizudin, Alexandra Papaioannou

Abstract readReview
PubMed Publisher
In one paragraph

Review in Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Transverse process-pedicle versus conventional transpedicular approach in percutaneous kyphoplasty for osteoporotic vertebral compression fractures: a systematic review and pilot meta-analysis.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2026
    Pooled it
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Bonny O'HareFaculty of Health Sciences, Department of Rehabilitation Sciences, McMaster University, Hamilton, ON, Canada. bonny@promotionphysiotherapy.com.
Pasqualina SantaguidaFaculty of Health Sciences, Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, ON, Canada.
Ashlee M AzizudinFaculty of Health Sciences, Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, ON, Canada.
Alexandra PapaioannouFaculty of Health Sciences, Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, ON, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOsteoporotic vertebral fractures (OVFs) are the most common type of major osteoporotic fracture and can result in significant morbidity, reduced survival, and economic burden. Exercise is a key management strategy for osteoporosis, but it must be appropriately tailored by physiotherapists considering previous fractures and co-morbidities following evidence-based assessments. Limited guidance exists for selecting appropriate physical performance measures (PPMs) for OVFs. The purpose of this narrative review was to determine the role of PPMs in the physiotherapy assessment and management of older adults with OVFs.

methodsA literature search was conducted in MEDLINE, CINAHL, PubMed, and PEDro to identify systematic reviews, randomized controlled trials, and observational studies addressing exercise and OVFs. Data extraction of age, gender, quality of life measurements, PPMs, and types of exercise programs was completed, and study risk of bias was assessed.

resultsThis review offers guidance on the physiotherapy assessment and management of older adults with OVFs. A Reference Chart of PPMs was developed to aid in the selection of additional measures and to create a Clinical Care Pathway that informs assessments and customizes exercise programs. Incorporating a patient feedback mechanism that shares retesting results with patients may enhance exercise adherence and warrants further investigation.

conclusionPPMs are important in tailoring individual exercise programs for people with OVFs. Results from patient self-reported questionnaires and addressing known barriers to recovery can guide the selection of PPMs. Future research on the clinical use of PPMs can aid in developing individualized exercise programs for OVFs.

Indexed as

Osteoporotic FracturesPhysical Functional PerformancePhysical Therapy ModalitiesSpinal FracturesAgedExercise TherapyHumansQuality of LifeOsteoporosisPhysical performance measuresPhysiotherapyVertebral fractures

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.