Vertebral fracture during one repetition maximum testing in a breast cancer survivor: a case report
Rationale: One repetition maximum (1-RM) testing is a standard strength assessment procedure in clinical exercise intervention trials. Because no adverse events (AEs) are published, expert panels usually consider it safe for patient populations. However, we here report a vertebral fracture during 1-...
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| Main Authors: | , , , , |
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| Format: | Article (Journal) |
| Language: | English |
| Published: |
2021
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| In: |
Medicine
Year: 2021, Volume: 100, Issue: 20, Pages: 1-4 |
| ISSN: | 1536-5964 |
| DOI: | 10.1097/MD.0000000000025705 |
| Online Access: | Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1097/MD.0000000000025705 Verlag, lizenzpflichtig, Volltext: https://journals.lww.com/md-journal/Fulltext/2021/05210/Vertebral_fracture_during_one_repetition_maximum.9.aspx 
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| Author Notes: | Friederike Rosenberger, Justine Schneider, Kathrin Schlueter, Jean-Luc Paratte, Joachim Wiskemann |
MARC
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| 520 | |a Rationale: One repetition maximum (1-RM) testing is a standard strength assessment procedure in clinical exercise intervention trials. Because no adverse events (AEs) are published, expert panels usually consider it safe for patient populations. However, we here report a vertebral fracture during 1-RM testing. - Patient concerns: - A 69-year-old breast cancer survivor (body-mass-index 31.6 kg/m2), 3 months after primary therapy, underwent 1-RM testing within an exercise intervention trial. At the leg press, she experienced pain accompanied by a soft crackling. - Diagnosis: - Imaging revealed a partially unstable cover plate compression fracture of the fourth lumbar vertebra (L4) with a vertical fracture line to the base plate, an extended bone marrow edema and a relative stenosis of the spinal canal. - Interventions: - It was treated with an orthosis and vitamin D supplementation. Another imaging to exclude bone metastases revealed previously unknown osteoporosis. - Outcomes: - The patient was symptom-free 6.5 weeks after the event but did not return to exercise. - Conclusion: - This case challenges safety of 1-RM testing in elderly clinical populations. - Lessons: - Pre-exercise osteoporosis risk assessment might help reducing fracture risk. However, changing the standard procedure from 1-RM to multiple repetition maximum (x-RM) testing in studies with elderly or clinical populations would be the safest solution. | ||
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