• Thomaz Nogueira Burke, FrançaFabio Jorge RenovatoFJ, Sarah Rúbia Ferreira de Meneses, Viviam Inhasz Cardoso, Rosa Maria Rodrigues Pereira, Camille Figueredo Danilevicius, and Amélia Pasqual Marques.
• School of Medicine, Universidade de São Paulo, São Paulo, Brazil.
• Sao Paulo Med J. 2010 Jul 1; 128 (4): 219224219-24.

Context And ObjectiveLittle is known about postural control among elderly individuals with osteoporosis and its relationship with falls. It has been suggested that elderly women with kyphosis and osteoporosis are at greater risk of falling. The aim of this study was to evaluate posture and postural control among elderly women with and without osteoporosis.Design And SettingCross-sectional study conducted at the Physical Therapy and Electromyography Laboratory, School of Medicine, Universidade de São Paulo (USP).MethodsSixty-six elderly women were selected from the bone metabolism disorders clinic, Division of Rheumatology, USP, and were divided into two groups: osteoporosis and controls, according to their bone mineral density (BMD). Postural control was assessed using the Limits of Stability (LOS) test and the Modified Clinical Test of Sensory Interaction and Balance (CTSIBm) and posture, using photometry.ResultsThe elderly women with osteoporosis swayed at higher velocity on a stable surface with opened eyes (0.30 versus 0.20 degrees/second; P = 0.038). In both groups, the center of pressure (COP) was at 30% in the LOS, but with different placements: 156° in the osteoporosis group and 178° in the controls (P = 0.045). Osteoporosis patients fell more than controls did (1.0 versus 0.0; P = 0.036).ConclusionsThe postural control in elderly women with osteoporosis differed from that of the controls, with higher sway velocity and maximum displacement of COP. Despite postural abnormalities such as hyperkyphosis and forward head, the COP position was posteriorized.

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