Background: Primary osteoporosis refers to a disease of aging characterized by reduced bone mass, damage to bone tissue microarchitecture, and predisposition to fracture.Sling core stabilization training emphasizes activating the deep local muscles of the spine under unstable conditions, and enhancing the body’s balance and control during exercise. Case presentation: A 70-year-old female went to the Acupuncture and Rehabilitation Department due to low back pain caused by osteoporosis.The patient received sling core stabilization training three times a week based on Calcium and Vitamin D Supplementation. After training, the patient’s back pain was significantly relieved and insisted one year. In the physical examination of bone mineral density, the results showed that the value of bone mineral density was better than last year.The patients adhered to sling core stabilization training and observed the changes of bone mineral density every year basis on calcium and vitamin D supplementation. Discussion: However, cases of calcium and vitamin D supplementation-based regular sling core stabilization training that improves bone density in osteoporosis patients have been rarely reported. Our group shared cases and analyzed possible mechanisms, hoping to provide reference for the prevention and treatment of primary osteoporosis.
4 May 2021 in Evidence-Based Complementary and Alternative Medicine
Objective. To evaluate the clinical efficacy of nonpharmacological interventions in improving balance function of patients with osteoporosis or osteopenia using network meta-analysis (NMA). Methods. We searched seven databases (PubMed, the Cochrane Library, Embase, CKNI, Wanfang Data, VIP, and CBM) for relevant randomized controlled trials (RCTs) up to August 31, 2020. Berg Balance Scale (BBS) and Time Up and Go Test (TUGT) were used as outcome measures. Two researchers independently screened studies, collected data from the studies, and estimated risk of study bias. Divergence in the evaluation process was settled by consulting a third researcher. We used Stata 15.1 software for network meta-analysis (NMA). Results. We identified 10 eligible RCTs, with a total of 737 patients and four intervention methods, including traditional Chinese medicine (TCM) exercises, pulsed electromagnetic fields (PEMFs), strength training, and balance and strength training. The results revealed that all nonpharmacological interventions could improve balance function, but the effect of balance and strength training was better than other interventions. Conclusion. Exercise can significantly improve the balance function of patients with osteoporosis and osteopenia, and balance combined with strength training has the best effect, followed by TCM exercises.
14 June 2021 in Evidence-Based Complementary and Alternative Medicine
Amid population aging and shifting rehabilitation concepts, society increasingly demands multidisciplinary rehabilitation professionals. Under national policies promoting integrated Chinese and Western medicine (ICWM), rehabilitation therapy education must shift from a “Chinese-Western divide” to an “integrated cultivation” model. The Rehabilitation Therapy program at Nanjing University of Chinese Medicine, a National First-Class Undergraduate Program, faces bottlenecks such as fragmented curricula, unidirectional teaching, disconnection from practice, and unitary assessment. Guided by “boundary-breaking” and “integration,” we systematically construct a six-dimensional ICWM rehabilitation teaching system covering philosophy, curriculum, instruction, practice, faculty, and assessment. By reshaping an integration-oriented training plan, innovating diversified teaching models, bridging stepwise clinical practice, fostering interdisciplinary faculty, and reforming competency-driven assessment, this system enhances students’ integrated clinical reasoning and practical skills. It provides a systematic, actionable pathway for educational reform in rehabilitation therapy.