ONERO Exercise Case Study – Client D

CASE STUDY – CLIENT D

Background: 35-year-old old male with osteoporosis secondary to hyperparathyroidism

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.

Client D attended a total of 16 sessions over a period of 22 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.

RESULTS

Functional Tests:

In addition to the Bone Mineral Density tests, Client D had functional measurements taken at baseline and at the conclusion of their exercise programme.

PERCENTAGE IMPROVEMENT OF BONE MINERAL DENSITY

Following 16 sessions over 22 weeks, Subject D’s DXA reported improvement in his  BMD in the following regions of interest:

• total hip (left) 10.6%
• femoral neck (left) 4.1%
• lumbar spine (L1-L4) 7.9%

Please see the graph below.

PERCENTAGE IMPROVEMENT IN FUNCTIONAL TESTS

In addition to the Bone Mineral Density tests, Client D had his functional measurements taken at baseline and at the conclusion of the ONERO exercise programme.

Client D recorded improvement in all functional tests:

• His balance improved as demonstrated in the tandem gait test  (increased by 24.4%)
• Dynamic balance, functional mobility and walking ability as measured by the functional reach (FR) and timed up and go (TUG) tests improved by 3.7% and 14.7% respectively
• His tragus to wall (TTW) increased 7.6% showing an improvement in his thoracic spine kyphosis
• The 5 times sit to stand (5xSTS) improved 20.7% indicating increased back and leg strength and endurance

Client D was tested by the same treating Physiotherapist at baseline and discharge.