Modern Rehabilitation in Osteoporosis, Falls, and Fractures

Clinical Medicine Insights: Arthritis and Musculoskeletal Disorders

Opinion

Yannis Dionyssiotis¹  Grigorios Skarantavos¹  Panayiotis Papagelopoulos¹ 

[1] 1st Department of Orthopaedics, General University Hospital Attikon, Chaidari, Greece.;

关键词: osteoporosis;    rehabilitation;    exercise;    orthosis;    falls;    calcium;    vitamin D;    vibration platforms;   

DOI  :  10.4137/CMAMD.S14077

 received in 2014-01-02, accepted in 2014-04-09,  发布年份 2014

来源: Sage Journals

【 摘 要 】

In prevention and management of osteoporosis, modern rehabilitation should focus on how to increase muscular and bone strength. Resistance exercises are beneficial for muscle and bone strength, and weight-bearing exercises help maintain fitness and bone mass. In subjects at higher risk for osteoporotic fractures, particular attention should be paid to improving balance – the most important element in falls prevention. Given the close interaction between osteoporosis and falls, prevention of fractures should be based on factors related to bone strength and risk factors for falls. Fractures are the most serious complication of osteoporosis and may be prevented. The use of modern spinal orthosis helps to reduce pain and improve posture. Vibration platforms are used in rehabilitation of osteoporosis, based on the concept that noninvasive, short-duration, mechanical stimulation could have an impact on osteoporosis risk. Pharmacologic therapy should be added for those at high risk of fracture, and vitamin D/calcium supplementation is essential in all prevention strategies. Success of rehabilitation in osteoporotic and fractured subjects through an individualized educational approach optimizes function to the highest level of independence while improving the overall quality of life.

【 授权许可】

CC BY-NC   
© 2014 SAGE Publications.

【 图 表 】

Figure 1