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The effects of Sitting Baduanjin intervention based on the COM-B model for elderly patients with osteoporosis after
Lidan Yang1, Fang Lu1, Jing Chen2
1Shenzhen Pingle Orthopedic Hospital (Shenzhen Pingshan Traditional Chinese Medicine Hospital), Shenzhen, Guangdong Province, China.
Insights
Sitting Baduanjin (SBDJ) improved osteoporosis self-efficacy and quality of life in elderly patients post-vertebroplasty. The SBDJ combined with the COM-B model (SBDJ-CB) showed superior results, enhancing bone health and compliance.
Area of Science:
- Gerontology
- Rehabilitation Medicine
- Integrative and Complementary Medicine
Background:
- Osteoporosis and vertebral fractures significantly impact elderly quality of life and increase healthcare burdens.
- Sitting Baduanjin (SBDJ) is a gentle exercise suitable for frail elderly, but its efficacy post-vertebroplasty for osteoporosis remains unexplored.
Purpose of the Study:
- To evaluate the effectiveness of SBDJ interventions on osteoporosis self-efficacy, quality of life, and bone health in elderly patients after vertebroplasty.
- To compare a standard SBDJ program with a SBDJ program enhanced by the COM-B model (SBDJ-CB).
Main Methods:
- A randomized controlled trial involved 123 elderly patients post-vertebroplasty, assigned to control, SBDJ, or SBDJ-CB groups.
- Interventions included routine care, weekly SBDJ sessions, or SBDJ-CB with added lectures, videos, online instructions, and focus groups over six months.
- Primary outcomes: osteoporosis self-efficacy (OSES) and quality of life (SF-12). Secondary outcomes: bone mineral density (BMD) and bone metabolism markers.
Main Results:
- Both SBDJ and SBDJ-CB groups improved self-efficacy, physical/mental scores, and BMD compared to controls (P<0.001).
- The SBDJ-CB group demonstrated significantly better outcomes than the SBDJ group (P<0.05), including lower osteoclastic activity (P<0.001).
- SBDJ-CB also led to higher osteoporosis remission rates and practice compliance (P<0.001).
Conclusions:
- SBDJ interventions effectively enhance self-efficacy, psychophysical health, and bone health in elderly osteoporosis patients post-vertebroplasty.
- The SBDJ-CB intervention yielded superior results and is recommended as a priority for postoperative rehabilitation.
Background:
Osteoporosis and osteoporotic vertebral fractures can cause decreased quality of life and increased hospitalization, morbidity, and mortality for older people. Sitting Baduanjin (SBDJ) is suitable for frail elderly patients, but its application to elderly osteoporosis patients after vertebroplasty has not yet been explored.
Methods:
A randomized controlled trial was conducted with 123 participants from a hospital in China. Participants were randomly assigned to one of three groups: control (n = 41, routine care), SBDJ (n = 41, routine care plus five weekly 30-minute sessions of SBDJ), and SBDJ-based on the COM-B model (SBDJ-CB, n = 41). The SBDJ-CB group received additional interventions, including monthly 30-minute face-to-face lectures, daily practice videos via a WeChat group, weekly online instructions, and monthly 30-minute focus group meetings. The primary outcomes were osteoporosis self-efficacy, measured using the Osteoporosis Self-efficacy Scale (OSES), and quality of life, assessed by the 12-item Short-Form Health Survey (SF-12). Secondary outcomes included bone mineral density (BMD), measured via dual-energy X-ray absorptiometry (DXA), and biochemical markers of bone metabolism analyzed from blood samples. Data were collected at baseline (T0), three-month intervention (T1), and six-month intervention (T2). Statistical analyses were performed using Generalized Estimating Equation (GEE) and Analysis of Variance (ANOVA) to evaluate intervention effects.
Results:
Both intervention groups showed higher osteoporosis self-efficacy, physical, and mental scores at T1 and T2 (all P < 0.001), and greater BMD and osteogenic activity at T2 compared to the control group. The SBDJ-CB group had significantly better outcomes than the SBDJ group (all P < 0.05). At T2, only the SBDJ-CB group exhibited significantly lower osteoclastic activity than the control group (P < 0.001). The SBDJ-CB group also had a higher rate of osteoporosis remission and practice compliance at T2 than the SBDJ group (all P < 0.001).
Conclusions:
The SBDJ intervention demonstrated efficacy in enhancing self-efficacy, psychophysical health, and bone health among elderly osteoporosis patients post-vertebroplasty. Notably, the SBDJ-CB achieved superior outcomes and is recommended as a priority intervention for postoperative rehabilitation.
Trial Registration:
ChiCTR2500095266, registration date:2025.01.03.
