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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
    9 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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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    9 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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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
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    of 2

    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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