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Write us. Support chat. Open Access. Ping-Chiao Tsai 1 ,. Ssu-Hsien Lee 1 ,. Wen-Tien Wu 1, 2, 3 ,. Tzai-Chiu Yu 1, 3 ,. Ru-Ping Lee 2 ,. Ing-Ho Chen 1, 3 ,. Jen Hung Wang 4 ,. Kuang Ting Yeh 1, 2, 3, 5, 6. Hide authors affiliations Show authors affiliations: 6 affiliations. Publication type : Journal Article. Publication date : Journal : Bioengineering.

Quartile SCImago. Quartile WOS. Impact factor : 4. ISSN : DOI: Copy DOI. Spinal alignment intricately influences functional independence, particularly in older women with osteopenia experiencing mild neck and back pain. This study elucidates the interplay between spinal alignment, bone mineral density BMD , and muscle strength in elderly women presenting with mild neck and back pain. Focusing on a cohort of older women, we examined the associations among global tilt GT , coronal and sagittal alignment, BMD, grip strength, and functional independence as gauged by the Barthel index.

Our findings indicate significant associations between functional capacity and grip strength, bone density, GT, and pelvic tilt PT. Elderly women with a Barthel Index above 80 demonstrated higher grip strength and better bone quality, reflected by less negative average T scores.

These individuals also exhibited lower values of GT and PT, suggesting a better sagittal alignment compared to those with a Barthel index of 80 or below. The results highlight that deviations in GT and PT are significantly associated with decreased functional independence. These insights emphasize the importance of maintaining optimal spinal alignment and muscle strength to support functional independence in elderly women.