Review Article

The Effect of Kinesitherapy on Bone Mineral Density in Primary Osteoporosis: A Systematic Review and Meta-Analysis of Randomized Controlled Trial

Table 1

The characteristics of all the trails.

Author, yearParticipants (type, source, age, sample)Duration (months)InterventionOutcomes
Kinesitherapy groupControl group

Iwamoto et al., 2001 [34]PMOP, unspecified, 53–77 years, 28 (KT: 8, CON: 20)24Brisk walking (1000 steps in the first 7 days, increase the step count by 30%/week) + gymnastic training (no details provided)) + CONCalcium lactate (2.0 g, Qd) and 1α-hydroxyvitamin D3 (1 µg, Qd)Lumbar spine BMD

Shen, 2003 [35]POP, outpatient and inpatient, 45–80 years, 60 (KT: 30, CON: 30)3Aerobics, tai chi, dance, yangko, jogging, walking etc. (30–60 min/time, 5–7 times/week) + CONTonifying kidney granules (3 times/day, 1 dose/time)Lumbar spine BMD

Zhu, 2007 [36]SOP, outpatient, 60–72 years, 96 (KT: 48, CON: 48)12Walking, jogging, tai chi (30–60 min/time, 3–5 times/week) + CONCalcium (600 mg/d)Lumbar spine BMD

Liu et al., 2007 [37]PMOP, outpatient, 48–61 years, 68 (KT: 36, CON: 32)6Draft movement, abdominal isometric exercises, flexion, and extension of the upper limbs (20 minutes each time, once every 3 days) + CONCaltrate D (600 mg, Qd)Lumbar spine BMD

Li et al., 2008 [38]PMOP, unspecified, 48–61 years, 70 (KT: 38, CON: 32)6Draft movement, abdominal isometric exercises, flexion, and extension of the upper limbs (20 min/time, once every four days) + CONOssotide injection (50 mg, Qd, 20 days in total)Lumbar spine BMD

Liu et al., 2009 [39]SOP, outpatient service, 60–94 years, 60 (KT: 30, CON: 30)12Walking, jogging, tai chi (60 min/time, 1 time/day) + CONFosamax (10 mg, once a day) and calcium (600 mg/d)Lumbar spine BMD
Liu and Wang, 2012 [40]
SOP, unspecified, 60–81 years, 320 (KT: 162, CON: 158)
12
Tai chi and jogging (no less than 30 min/time, no less than 4 times/week) + CON
Calcium carbonate D3 (600 mg, Qd)
Lumbar spine BMD
Li et al., 2013 [41]SOP, hospital, 67 ± 4 years, 86 (KT:43, CON: 43)6Progressive lumbar dorsal muscle function exercise includes sitting training, swallow training and five-point support training (1-2 times/day) + CONLorelli calcium capsule (l capsules, 1 time/d for 2 consecutive months)Lumbar spine BMD

Ming, 2013 [42]SOP, hospital, 60–78 years, 96 (KT: 48, CON: 48)12Walking, aerobics, running ,and tai chi (5 to 7 times a week for 45 to 60 minutes)+ CONCalcium gluconate (20 ml/time, 3 times/day) and vitamin D (400 units, 2 times/day)Lumbar spine BMD

Chen, 2015 [43]PMOP, clinic, 53– years, 57 (KT: 27, CON: 30)12Brisk walking (15–30 minutes), resistance strength exercises (15–20 minutes), and balance and flexibility exercises (simplify tai chi and five birds, 15–20 min) + CONAlendronate (70 mg, Qd), caltrate D (600 mg, Qd), and alfacalcidol soft capsules (0.25 μg, Qd)Lumbar spine and femoral neck BMD

Dischereit et al., 2016 [44]PMOP, unspecified, 68 years, 42(KT: 25, CON: 17)24Endurance and strength training program (3 sessions once weekly, 65 min) + CONAdequate calcium and vitamin D supplementation and bisphosphonate therapyLumbar spine and femoral neck BMD

Li et al., 2016 [45]PMOP, unspecified, 52–76 years, 188 (KT: 94, CON: 94)6Mainly includes walking, aerobics, running, and tai chi (30–60 min/time, more than 3 times/week) + CONCaltrate D (1000 mg, Qd), derivatives, vitamin D, and raloxifene (1 pill, Qd)Lumbar spine and femoral neck BMD

Chen, 2016 [46]PMOP, unspecified, 53–77 years, 65(KT:33, CON:32)6Brisk walking and tai chi (30–50 min/time, 2-3 times/week) + CONAlendronate (70 mg,Qd), caltrate D (600 mg, Qd), and alfacalcidol soft capsules(0.25 μg, Qd)Lumbar spine BMD

Xu, 2017 [47]PMOP, unspecified, 51–67 years, 100 (KT:50, CON:50)6Aerobics, tai chi, and jogging (more than 30 min, more than 3 times/week) + CONCalcine D (2 times/day, 2pills/time) + estrogen (1 time/day, 60 mg/time)Lumbar spine and femoral neck BMD

Chang, 2017 [48]POP, unspecified, 60–79 years, 84 (KT: 42, CON: 42)12Aerobics, walking, swimming, jogging, and cycling (3–4 times, not less than 2 times, each exercise 30–60 minutes) + CONCalcine D 600 (1 tablet once, 2 times a day) and health educationLumbar spine BMD

Qi, 2017 [49]PMOP, community healthcare center, 45–65 years, 56 (KT:28, CON:28)12Aerobic exercise resistance group, load bearing, and stretching (30 min/time, 3–5 times/week, more than 1 h) + CONConventional treatmentLumbar spine BMD

Wen, 2017 [50]POP, unspecified, 60–78 years, 96 (KT: 48, CON: 48)12Jogging, tai chi, etc. (daily) + CONRoutine prevention and taking medicineLumbar spine BMD

Liu and Yang, 2018 [51]POP, unspecified, 36–79 years, 80 (KT: 40, CON: 40)6Walking, fitness running, ballroom dancing, and swimming (at least 12 times a month, each time ≥30 min) + CONCalcium and vitamin D3Lumbar spine BMD

Zheng et al., 2019 [52]POP, unspecified, 53–77 years, 84 (KT: 42, CON: 42)12Walking, jogging, alternate running, cycling, etc. (3 to 4 times per week, the minimum 2 times, 30–60 min) + CONCalcium (300 mg/tablet, 2 times/d,1 tablet/time)Lumbar spine BMD

Li et al., 2019 [53]PMOP, unspecified, 50–65 years, 52 (KT: 26, CON: 26)3Brisk walking (30 min, once a day, 4d/week) and resistance training (week 1, 2 weekly complete 1 set (15 times/set), and then add 1 set every 2 weeks) + CONCalcium carbonate D3 (600 mg, 1 time/d), alfacalcidol soft capsule (0.5 g, 1time/d), and sodium alendronate (70 mg, 1 time/d/weeks) for 3 monthsLumbar spine and femoral neck BMD

Yan et al., 2019 [54]POP, unspecified, 53–77 years, 52 (KT: 26, CON: 26)6Flexible resistance exercise therapy to exercise the lumbar and dorsal muscles (5 times/week) + CONCalcium carbonate D3 (600 mg), vitamin D3 (0.25 UG), health education, and routine nursingLumbar spine BMD

PMOP, postmenopausal osteoporosis; POP, primary osteoporosis; SOP, senile osteoporosis; KT, kinesitherapy group; CON, control group; BMD, bone mineral density.