Osteoporosis: Nonpharmacologic Management

被引：25

作者：

Kasturi, Gopi C. ^{[1
]}

Adler, Robert A. ^{[2
]}

机构：

[1] VA Cent Calif Hlth Care Syst, Dept Neurol Rehabil, Fresno, CA 93703 USA

[2] McGuire Vet Affairs Med Ctr, Richmond, VA USA

来源：

PM&R | 2011年 / 3卷 / 06期

关键词：

BONE-MINERAL DENSITY; WHOLE-BODY VIBRATION; QUALITY-OF-LIFE; EXTERNAL HIP PROTECTORS; NURSING-HOME RESIDENTS; POSTMENOPAUSAL WOMEN; ULTRASOUND THERAPY; RANDOMIZED-TRIAL; LOW-MAGNITUDE; MECHANICAL SIGNALS;

D O I：

10.1016/j.pmrj.2010.12.014

中图分类号：

R49 [康复医学];

学科分类号：

100232 [康复医学];

摘要：

Osteoporosis is a chronic disorder of the skeleton causing increased bone fragility and fractures. In the second of our 3-part series, we discuss the beneficial effects of nonpharmacologic agents in the management of osteoporosis. We review the evidence supporting the use of exercise, whole-body vibration, hip protectors, low-intensity pulsed ultrasound, bracing, and vertebral augmentation procedures. The mechanism of action, precautions, and expected outcomes are discussed. Nonpharmacologic management of osteoporosis blends in very well with an overall exercise prescription. The nonpharmacologic interventions discussed are readily available and easy to implement. The use of such techniques demonstrates the important role of the physiatrist in the management of osteoporosis. PM R 2011;3:562-572

引用

页码：562 / 572

页数：11

共 119 条

[91]

The anabolic activity of bone tissue, suppressed by disuse, is normalized by brief exposure to extremely low-magnitude mechanical stimuli [J].

Rubin, C ;

Xu, G ;

Judex, S .

FASEB JOURNAL, 2001, 15 (12) :2225-2229

[92]

Anabolism - Low mechanical signals strengthen long bones [J].

Rubin, C ;

Turner, AS ;

Bain, S ;

Mallinckrodt, C ;

McLeod, K .

NATURE, 2001, 412 (6847) :603-604

[93]

Mechanical strain, induced noninvasively in the high-frequency domain, is anabolic to cancellous bone, but not cortical bone [J].

Rubin, C ;

Turner, AS ;

Mallinckrodt, C ;

Jerome, C ;

McLeod, K ;

Bain, S .

BONE, 2002, 30 (03) :445-452

[94]

Prevention of postmenopausal bone loss by a low-magnitude, high-frequency mechanical stimuli: A clinical trial assessing compliance, efficacy, and safety [J].

Rubin, C ;

Recker, R ;

Cullen, D ;

Ryaby, J ;

McCabe, J ;

McLeod, K .

JOURNAL OF BONE AND MINERAL RESEARCH, 2004, 19 (03) :343-351

[95]

Could a policy of provision of hip protectors to elderly nursing home residents result in cost savings in acute hip fracture care? The case of Ontario, Canada [J].

Sawka, A. M. ;

Gafni, A. ;

Boulos, P. ;

Beattie, K. ;

Papaioannou, A. ;

Cranney, A. ;

Hanley, D. A. ;

Adachi, J. D. ;

Cheung, A. ;

Papadimitropoulos, E. A. ;

Thabane, L. .

OSTEOPOROSIS INTERNATIONAL, 2007, 18 (06) :819-827

[96]

The use of hip protectors in long-term care facilities: A survey of nursing home staff [J].

Sawka, Anna M. ;

Nixon, Madeline ;

Giangregorio, Lora ;

Thabane, Lehana ;

Adachi, Jonathan D. ;

Gafni, Arniram ;

Goeree, Ron ;

Raina, Parninder ;

Ranford, Jennifer ;

Papaioannou, Alexandra .

JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION, 2007, 8 (04) :229-232

[97]

THE CLINICAL CONSEQUENCES OF VERTEBRAL COMPRESSION FRACTURE [J].

SILVERMAN, SL .

BONE, 1992, 13 :S27-S31

[98]

Three-year controlled, randomized trial of the effect of dose-specified loading and strengthening exercises on bone mineral density of spine and femur in nonathletic, physically active women [J].

Sinaki, M ;

Wahner, HW ;

Bergstralh, EJ ;

Hodgson, SF ;

Offord, KP ;

Squires, RW ;

Swee, RG ;

Kao, PC .

BONE, 1996, 19 (03) :233-244

[99]

Stronger back muscles reduce the incidence of vertebral fractures: A prospective 10 year follow-up of postmenopausal women [J].

Sinaki, M ;

Itoi, E ;

Wahner, HW ;

Wollan, P ;

Gelzcer, R ;

Mullan, BP ;

Collins, DA ;

Hodgson, SF .

BONE, 2002, 30 (06) :836-841

[100]

SINAKI M, 1984, ARCH PHYS MED REHAB, V65, P593

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