Telerehabilitation Versus Traditional Balance Training in Women With Osteoporosis.

NCT07148479 | Not Yet Recruiting

• 1 other identifier: Mehak bibi
• Study Type: interventional
• Target: 60
• Locations: 1 country
• Sites: 1

Brief Summary

Osteoporosis is a silent disease that leads to fractures, postural deformities, and impaired balance, especially in postmenopausal women. In Pakistan, prevalence is high, with 39% of women reported as severely osteoporotic. Postmenopausal women with osteoporosis and balance issues face increased fall risk due to poor bone density, weakened muscles especially in the lower limb band altered posture .Balance and strength training reduce fall risk, but access to in-person rehabilitation is limited. Telerehabilitation provides remote delivery of structured exercise programs and has shown positive outcomes in balance and bone health. Few studies, however, have compared telerehabilitation with conventional training across all balance domains. The goal of this randomized controlled trial is to compare the effect of Telerehabilitation and Traditional Balance Training in Post Menopausal Women with osteoporosis. Participants will be randomly assigned to one of the two groups, and both will receive an identical standardized balance training program . The results of this clinical trial will help evaluate how telerehabilitation can improve the balance of postmenopausal women with osteoporosis and improve health outcomes.

Conditions

Osteoporosis Postmenopausal

Keywords

Telerehabilitation; Balance; Osteoporosis; Posmenopausal; Virtual exercise

Outcome Measures

Primary Outcomes (1)

• Change in Berg Balance Scale score

  The Berg Balance Scale (BBS) is a widely used clinical tool to assess static and dynamic balance in individuals, particularly older adults. It's a 14-item test that evaluates a person's ability to perform various balance-related tasks, such as sitting, standing, reaching, and turning. Each item is scored on a 0-4 scale, with 0 indicating the lowest level of function and 4 indicating the highest. The total score ranges from 0 to 56, with lower scores suggesting a higher risk of falls

  Baseline and 6 weeks

Secondary Outcomes (4)

• Change in Time up and Go test score

  Baseline and 6 weeks

• Functional reach test

  Baseline and 6 weeks

• Change in Push and release test score

  Baseline and 6 weeks

• Change in Single leg stance test score

  Baseline and 6 weeks

Study Arms (2)

Telerehabilitation group

EXPERIMENTAL

This group will receive a 6 week structured telerehabilitation exercise protocol of low to moderate intensity (18 sessions , 3 sessions per week,45 to 60 minutes ), warmup, balance training and cool down exercises. delivered online by a physiotherapist and progressively increasing every three weeks.

Other: Telerehabilitation group

Traditional Balance Training group

ACTIVE COMPARATOR

In the traditional balance training group the protocol will be delivered by a physiotherapist in a clinical environment face to face. The standardized balance training protocol will be monitored exactly the same as telerehabilitation group

Other: Traditional balance training group

Interventions

Telerehabilitation group OTHER

The telerehabilitation group participated in balance training sessions delivered through secure virtual platforms such as WhatsApp video calls. Participants completed 3 sessions per week, each lasting 45-60 minutes, over a total of 6 weeks (18 sessions). The program target static, dynamic, anticipatory, and reactive balance. participants will use households items.session began with warm-up exercises such as gentle marching, arm circles, and hamstring stretches, followed by balance training targeting static, dynamic, anticipatory, and reactive components. Exercises included heel-to-toe standing, single-leg stance, tandem stance, obstacle walking, heel-to-toe walking, side stepping, functional reach, weight shifting, caregiver-assisted perturbations, and foam surface standing. All exercises were performed in 3 sets with specified holds or repetitions. Sessions concluded with cool-down activities including tricep stretches, forward bends, and deep breathing.

Telerehabilitation group

Traditional balance training group OTHER

Same as telerehabilitation group but it will concluded in a clinical setting.

Traditional Balance Training group

Eligibility Criteria

• Age: 50 Years - 70 Years
• Sex: female
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Women diagnosed with osteopenia and osteoporosis at hip and lumbar spine through DEXA
• Age 50-70 years
• Have mobile phones and can communicate in video call
• Have Balance score (21-44) on berg balance scale
• A caregiver must be available to assist the participant during Tele sessions.

You may not qualify if:

• Women with severe mobility impairments.
• Women with cognitive conditions affecting participation.
• Women with lower limb joint injury or surgery

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Riphah International Hospital

Islamabad, ICT, Pakistan

Location

Related Publications (3)

• Li S, Li Y, Liang Q, Yang WJ, Zi R, Wu X, Du C, Jiang Y. Effects of tele-exercise rehabilitation intervention on women at high risk of osteoporotic fractures: study protocol for a randomised controlled trial. BMJ Open. 2022 Nov 7;12(11):e064328. doi: 10.1136/bmjopen-2022-064328.

  PMID: 36344002 RESULT

• Rezaei MK, Torkaman G, Bahrami F, Bayat N. The effect of six week virtual reality training on the improvement of functional balance in women with type-I osteoporosis: A preliminary study. Sport Sci Health. 2023;19(1):185-194. doi: 10.1007/s11332-022-01018-8. Epub 2022 Nov 15.

  PMID: 36408530 RESULT

• Wei F, Hu Z, He R, Wang Y. Effects of balance training on balance and fall efficacy in patients with Osteoporosis: A systematic review and meta-analysis with trial sequential analysis. J Rehabil Med. 2023 May 17;55:jrm00390. doi: 10.2340/jrm.v55.4529.

  PMID: 37194565 RESULT

MeSH Terms

Conditions

Osteoporosis, Postmenopausal; Osteoporosis

Condition Hierarchy (Ancestors)

Bone Diseases, Metabolic; Bone Diseases; Musculoskeletal Diseases; Metabolic Diseases; Nutritional and Metabolic Diseases

Study Officials

• Prof. Dr. Huma Riaz

  Riphah International University

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Prof. Dr. Huma Riaz

CONTACT

+92 3215242874; huma.riaz@riphah.edu.pk

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: There will be comparison between the two groups, experimental and control.

Study Record Dates

• First Submitted: August 24, 2025
• First Posted: August 29, 2025
• Study Start: January 1, 2026
• Primary Completion (Estimated): June 1, 2026
• Study Completion (Estimated): July 1, 2026
• Last Updated: December 1, 2025

Record last verified: 2025-11

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)