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Physical Therapy Intervention For Individuals With Osteoporosis (W)

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Tahsinur Rahman

Physical therapy for individuals with osteoporosis or osteopenia should focus on weight-bearing, flexibility, strengthening, and postural exercises to maintain or improve bone density and physical function. Exercises should avoid flexion and twisting motions that increase risk of fractures while incorporating balance training and education on fall prevention. High-intensity weight-bearing and resistance training can also help prevent bone loss, especially for women during and after menopause, if carefully implemented based on the individual's bone mass.

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Physical Therapy Intervention For Individuals With Osteoporosis (W)

Uploaded by

Tahsinur Rahman
25 views2 pages
Physical therapy for individuals with osteoporosis or osteopenia should focus on weight-bearing, flexibility, strengthening, and postural exercises to maintain or improve bone density and physical function. Exercises should avoid flexion and twisting motions that increase risk of fractures while incorporating balance training and education on fall prevention. High-intensity weight-bearing and resistance training can also help prevent bone loss, especially for women during and after menopause, if carefully implemented based on the individual's bone mass.

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Physical Therapy Intervention for Individuals With Osteoporosis (W)

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Physical therapy for individuals with osteoporosis or osteopenia should focus on weight-bearing, flexibility, strengthening, and postural exercises to maintain or improve bone density and physical function. Exercises should avoid flexion and twisting motions that increase risk of fractures while incorporating balance training and education on fall prevention. High-intensity weight-bearing and resistance training can also help prevent bone loss, especially for women during and after menopause, if carefully implemented based on the individual's bone mass.

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25 views2 pages

Physical Therapy Intervention For Individuals With Osteoporosis (W)

Uploaded by

Tahsinur Rahman
Physical therapy for individuals with osteoporosis or osteopenia should focus on weight-bearing, flexibility, strengthening, and postural exercises to maintain or improve bone density and physical function. Exercises should avoid flexion and twisting motions that increase risk of fractures while incorporating balance training and education on fall prevention. High-intensity weight-bearing and resistance training can also help prevent bone loss, especially for women during and after menopause, if carefully implemented based on the individual's bone mass.

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Physical therapy intervention for individuals with osteoporosis, or even

osteopenia, should include:

1. Weight-bearing exercises
o Exercises such as walking or hopping, has been shown to
maintain or improve bone density in this population
o Strengthening exercises, using weights or resistance bands,
have also been shown to maintain or improve bone density at
the location of the targeted muscle attachments
o Maintaining bone health in this population is extremely
important, especially in the elderly as there is typically has a
decline in bone mass with age .

2. Flexibility and strengthening exercise
o These can help improve the individual's overall physical
function and postural control. eg Tai chi, Yoga
o Improving postural control is important to reduce the risk
of falls
o Falls often result in fractures in frail individuals
o Balance exercises are also important to incorporate to further
reduce the risk of falls. eg Otago Programme

3. Postural exercise
o These are crucial to prevent structural changes that often
accompany osteoporosis, such as thoracic kyphosis
o Every osteoporosis program should include extension
exercises; chin tucks, scapular retractions, thoracic extensions,
and hip extensions
o Strengthening the extensor muscles will promote improved
posture and improved balance
o Flexion exercises are CONTRAINDICATED especially in
patients with a risk of a spinal fracture. Anterior compressive
forces to the vertebra can contribute to compression fractures.
Flexion and twisting place a high compressive load on the
vertebral bodies, these high levels should be avoided .

4. Balance exercise
5. Education - top tips easily given to clients
o Follow a healthy diet that includes enough calcium and
Vitamin D
o Wear sensible, well-fitting shoes to avoid falls
o Avoid rugs and sloppy slippers – both can cause trips
o Have good lighting on stairs
o Get eyesight checked regularly
o Try to avoid heavy lifting – consider home delivery grocery
shopping

6. Back pain
o Physiotherapists may treat patients with osteoporosis for back
pain
o Agility training, resistance training, and stretching have all
been shown to decrease back pain and its related disabilities in
this population .

7. High-intensity training - Research highly supports high-intensity


training in the prevention of bone loss for women in menopausal
years and the early post-menopausal period
o High-intensity training would include body-weight and
resistive exercises at a high-intensity, similar to circuit
training.[24] This type of training is often contraindicated for
individuals with low bone mass
o Dynamic weight-bearing, high force exercise results with the
greatest improvements at the femoral neck and moderate
results at the femoral trochanter
o Dynamic weight-bearing, low force exercise had moderate
positive effects on the spine
o Non-weight-bearing, high force exercises were shown to have
moderate effects on the femoral neck [25]

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