The Role of Physical Therapy in Slowing the Progression of Osteoporosis
Abstract:
Osteoporosis is a progressive skeletal disorder characterized by decreased bone mass and deterioration of bone tissue, leading to increased fracture risk. [1] [2] It often remains asymptomatic until a fracture occurs. [3] The treatment can be use of pharmacological agents depending upon the cause of osteoporosis. Physical therapy plays a crucial role in managing osteoporosis by enhancing bone strength, improving balance, and reducing fall risk. [4] Specific weight-bearing exercises, resistance training, and postural correction techniques help stimulate bone remodelling and slowing down bone loss. [5] Along with physical therapy interventions focus on improving functional mobility, flexibility, and proprioception is vital to enhancing overall quality of life. Additionally, patient education on body mechanics and lifestyle modifications further supports long-term bone health. This review highlights the importance of physical therapy in osteoporosis management and underscores the need for individualized therapeutic approaches to optimize bone health.
KeyWords:
osteoporosis, bone strength, fall prevention, fracture prevention
References:
- Marcus, R., Dempster, D. W., Cauley, J. A., & Feldman, D. (Eds.). (2013). Osteoporosis. Academic press.
- Rachner, T. D., Khosla, S., & Hofbauer, L. C. (2011). Osteoporosis: now and the future. The Lancet, 377(9773), 1276-1287.
- Lin, J. T., & Lane, J. M. (2004). Osteoporosis: a review. Clinical Orthopaedics and Related Research®, 425, 126-134.
- Schröder, G., Knauerhase, A., Kundt, G., & Schober, H. C. (2012). Effects of physical therapy on quality of life in osteoporosis patients-a randomized clinical trial. Health and quality of life outcomes, 10, 1-8.
- Palombaro, K. M., Black, J. D., Buchbinder, R., & Jette, D. U. (2013). Effectiveness of exercise for managing osteoporosis in women postmenopause. Physical therapy, 93(8), 1021-1025.
- Clynes, M. A., Harvey, N. C., Curtis, E. M., Fuggle, N. R., Dennison, E. M., & Cooper, C. (2020). The epidemiology of osteoporosis. British medical bulletin, 133(1), 105-117.
- Reginster, J. Y., & Burlet, N. (2006). Osteoporosis: a still increasing prevalence. Bone, 38(2), 4-9.
- Melton, L. J. (2001). The prevalence of osteoporosis: gender and racial comparison. Calcified tissue international, 69(4), 179.
- Sözen, T., Özışık, L., & Başaran, N. Ç. (2016). An overview and management of osteoporosis. European journal of rheumatology, 4(1), 46.
- Stein, E., & Shane, E. (2003). Secondary osteoporosis. Endocrinology and Metabolism Clinics, 32(1), 115-134.
- Blake, G. M., & Fogelman, I. (2007). The role of DXA bone density scans in the diagnosis and treatment of osteoporosis. Postgraduate medical journal, 83(982), 509-517.
- Watts, N. B. (2011). The fracture risk assessment tool (FRAX®): applications in clinical practice. Journal of Women's Health, 20(4), 525-531.
- Tu, K. N., Lie, J. D., Wan, C. K. V., Cameron, M., Austel, A. G., Nguyen, J. K., ... & Hyun, D. (2018). Osteoporosis: a review of treatment options. Pharmacy and Therapeutics, 43(2), 92.
- Beaudreuil, J. (2006, May). Nonpharmacological treatments for osteoporosis. In Annales de Readaptation et de Medecine Physique: Revue Scientifique de la Societe Francaise de Reeducation Fonctionnelle de Readaptation et de Medecine Physique (Vol. 49, No. 8, pp. 581-588).
- Sweet, M. G., Sweet, J. M., Jeremiah, M. P., & Galazka, S. S. (2009). Diagnosis and treatment of osteoporosis. American family physician, 79(3), 193-200.
- Sinaki, M., Pfeifer, M., Preisinger, E., Itoi, E., Rizzoli, R., Boonen, S., ... & Minne, H. W. (2010). The role of exercise in the treatment of osteoporosis. Current osteoporosis reports, 8, 138-144.
- Hertel, K. L., & Trahiotis, M. G. (2001). Exercise in the prevention and treatment of osteoporosis: the role of physical therapy and nursing. Nursing Clinics of North America, 36(3), 441-453.
- Arias Avila, M., Regina Mendes da Silva Serrão, P., Bernardi dos Santos, G., Garcia Godoy, A., dos Santos Sousa, A. J., & Driusso, P. (2022). Effects of aquatic therapy on people with osteopenia or osteoporosis: A systematic review. Musculoskeletal Care, 20(3), 454-470.
- Schapira, D. (1988). Physical exercise in the prevention and treatment of osteoporosis: a review. Journal of the Royal Society of Medicine, 81(8), 461-463.
- Madureira, M. M., Takayama, L., Gallinaro, A. L., Caparbo, V. F., Costa, R. A., & Pereira, R. M. (2007). 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. Osteoporosis international, 18, 419-425.