ONERO Exercise Case Study – Client A
CASE STUDY – CLIENT A
Background: 34 year-old female with osteoporosis of unknown origin
METHODS
Exercise Intervention: Onero™ is a high-intensity resistance and impact training programme which consists of lifting weights, impact, and balance activities. The private sessions were 40 minutes in duration and clients attended a maximum of once a week for between 16 to 78 weeks
Measurements: The before and after exercise intervention DXA tests were taken at various radiology clinics in HK (chosen by the individual client) and included different regions of interest (ROI). Each client was able to be retested at the same radiology clinic using the same equipment.
The functional measurements tested gait speed, lower extremity strength, and balance. Measurements included the following tests: tandem gait, 5 times sit to stand (5xSTS),functional reach (FR), Timed up and Go (TUG), Tragus to Wall (TTW), Knees to Wall (KTW),Single Leg Stance (SLST).
Exercise Progression: The exercises were progressively increased in intensity and difficulty over the course of the program according to the subject’s capabilities.
Graph 2 shows the progression of weights lifted by Subject A over the course of her treatment.
Graph 2: Example of weight progression for Subject A (once a week over 38 weeks)
Graph 2: Example of weight progression for Subject A (once a week over 38 weeks)
RESULTS
Graph 3 BMD Results & Measurements for Subject A
Functional Tests:
In addition to the Bone Mineral Density tests, Client A had functional measurements taken at baseline and at the conclusion of their exercise programme.
Graph 7 Subject A – Baseline and Discharge Functional Measurements
PERCENTAGE IMPROVEMENT OF BONE MINERAL DENSITY
After 38 sessions over 38 weeks, Subject A’s DXA showed improvement in her BMD in the following regions of interest:
total body 1.2 %
total hip (left) 2.7%
femoral neck (left) 0.4%
total spine 2.1%
PERCENTAGE IMPROVEMENT IN FUNCTIONAL TESTS
In addition to the Bone Mineral Density tests, Client A had her functional measurements taken at baseline and at the conclusion of the ONERO exercise programme.
Client A recorded improvement in all functional tests.
Balance improved as demonstrated in the tandem gait test (18.2%) and single leg stance test (SLST) right (25%)
Dynamic balance, functional mobility and walking ability as measured by the functional reach (FR) and timed up and go (TUG) tests improved by 41.7% and 5.4% respectively
Her tragus to wall (TTW) improved 5% indicating decreased thoracic spine kyphosis
Back and leg strength and endurance improved by 3.8 % in the 5 times sit to stand test
