Preview

Osteoporosis and Bone Diseases

Advanced search

Complex approaches to rehabilitation of patients with osteoporosis

https://doi.org/10.14341/osteo2017134-38

Abstract

Prophylaxis of bone fractures in patients with osteoporosis should not only consist of pharmaco-therapeutical intervention targeting to increase the bones strength, because improving bone tissue quantity does not affect the risk of falls. Additionally, physical factors could have an impact on bone mineral density (BMD). A complex of approache directed to modification of structure and strength of bone tissue together with decrease of falls risk in elderly patients with osteoporosis should become optimal. It’s very important that physical exercise programs developed for osteoporosis patients should include strength and power load exercises as well as flexibility an coordination and balance trainings. Special attention should be paid to the fact that a number of physical exercises are contraindicated as an excessive load can cause inadequate impact on the on the bones with compromised density.

About the Authors

Natalia S. Lukyanchikova

Clinic N3 of the President managment department of Russia


Russian Federation

MD, PhD



Elena I. Sharapova

Clinic N3 of the President managment department of Russia


Russian Federation

MD, PhD, professor



References

1. Мельниченко Г.А., Белая Ж.Е., Рожинская Л.Я., и др. Краткое изложение клинических рекомендаций по диагностике и лечению остеопороза российской ассоциации эндокринологов // Остеопороз и остеопатии. - 2016. - Т. 19. - №3. - C. 28-36. [Melnichenko GA, Belaya ZE, Rozhinskaya LY, et al. Summary of Clinical Guidelines for the Diagnosis and Treatment of Osteoporosis of the Russian Association of Endocrinologists. Osteoporosis and osteopathy. 2016;19(3):28-36. (In Russ.)] doi: 10.14341/osteo2016328-36.

2. Скрипникова И.А. Падения – важный фактор риска переломов: причины и способы профилактики. // Consilium Medicum. – 2014. – Т. 16. - №6. – С. 28-33 [Skripnikova IA. Padeniya – vazhnyy faktor riska perelomov: prichiny i sposoby profilaktiki. Consilium medicum. 2014;16(6):28-33 (In Russ.)]

3. Robinovitch SN, Inkster L, Maurer J, Warnick B. Strategies for Avoiding Hip Impact During Sideways Falls. J Bone Miner Res. 2003;18(7):1267-1273. doi: 10.1359/jbmr.2003.18.7.1267.

4. Castronuovo E, Pezzotti P, Franzo A, et al. Early and late mortality in elderly patients after hip fracture: a cohort study using administrative health databases in the Lazio region, Italy. BMC Geriatr. 2011;11(1). doi: 10.1186/1471-2318-11-37.

5. Lirani-Galvão APR, Lazaretti-Castro M. Physical approach for prevention and treatment of osteoporosis. Arquivos Brasileiros de Endocrinologia & Metabologia. 2010;54(2):171-178. doi: 10.1590/s0004-27302010000200013.

6. Gunendi Z, Ozyemisci-Taskiran O, Demirsoy N. The effect of 4-week aerobic exercise program on postural balance in postmenopausal women with osteoporosis. Rheumatol Int. 2008;28(12):1217-1222. doi: 10.1007/s00296-008-0651-3.

7. Going S, Lohman T, Houtkooper L, et al. Effects of exercise on bone mineral density in calcium-replete postmenopausal women with and without hormone replacement therapy. Osteoporos Int. 2003;14(8):637-643. doi: 10.1007/s00198-003-1436-x.

8. Nikander R, Kannus P, Dastidar P, et al. Targeted exercises against hip fragility. Osteoporos Int. 2008;20(8):1321-1328. doi: 10.1007/s00198-008-0785-x.

9. Zehnacker CH, Bemis-Dougherty A. Effect of Weighted Exercises on Bone Mineral Density in Post Menopausal Women A Systematic Review. J Geriatr Phys Ther. 2007;30(2):79-88.

10. Madureira MM, Takayama L, Gallinaro AL, et al. Balance training program is highly effective in improving functional status and reducing the risk of falls in elderly women with osteoporosis: a randomized controlled trial. Osteoporos Int. 2007;18(4):419-425. doi: 10.1007/s00198-006-0252-5.

11. von Stengel S, Bebenek M, Engelke K, Kemmler W. Whole-Body Electromyostimulation to Fight Osteopenia in Elderly Females: The Randomized Controlled Training and Electrostimulation Trial (TEST-III). Journal of Osteoporosis. 2015;2015:1-7. doi: 10.1155/2015/643520.


Review

For citations:


Lukyanchikova N.S., Sharapova E.I. Complex approaches to rehabilitation of patients with osteoporosis. Osteoporosis and Bone Diseases. 2017;20(1):39-43. (In Russ.) https://doi.org/10.14341/osteo2017134-38

Views: 3317


ISSN 2072-2680 (Print)
ISSN 2311-0716 (Online)