Physical approach for prevention and treatment of osteoporosis

Abstract

Osteoporosis and its consequent fractures are a major problem in public health. To complement the conventional pharmacological treatment for this metabolic disease, non-pharmacological treatment options have been developed in the last decades. Several studies demonstrate that physical exercise programs including impact exercises, specific strength training, balance and coordination training may maintain or increase spine and hip bone mineral density as well as decrease the frequency of falls among osteoporotic and osteopenic patients. Furthermore, some physical agents such as vibratory platforms, low intensity electrical stimulation, laser therapy and ultrasound show positive effects on osteoporotic tissue as well. Consequently, while planning treatment for an osteoporotic patient, non-pharmacological management options should be considered and integrated to the conventional treatment in order to maximize its effects and improve the quality of life of these patients.

The relation between bone demineralization, physical activity and anthropometric standards

“…As mulheres pós menopausadas precisam obter quantidade suficiente de cálcio para manter a saúde óssea do PTH, que aumenta no final da vida na maioria dos indivíduos, talvez com resultado inadequado do cálcio da dieta (Carvalho, Kulak, & Borba, 2012). No grupo avaliado, foi observado uma inadequação na ingestão alimentar do cálcio (494.6 ml/g dia), tendo em vista que o a ingestão recomendada para mulheres a partir de 51 anos é 1200 ml/g dia (Lirani-Galvão & Lazaretti-Castro, 2010), onde esse déficit de ingestão vai influência negativamente, na manutenção da saúde óssea no grupo avaliado.…”

Bone ultrasound velocity in pediatric intensive care unit: a pilot study

“…We speculate that more prolonged immobilization, such as that occurring in ventilated patients may have even more prominent effects on bone metabolism. The mechanisms of the decrease in SOS, and the way by which it can be prevented, for instance by physical therapy [23] or by other physical approaches for prevention of bone loss [24] can only be explored in larger prospective trials.…”

Complex approaches to rehabilitation of patients with osteoporosis

“…По всей видимости, данный процесс опо-средуется механо-чувствительными сигнальными система-ми и вторичными мессенджерами, такими как оксид азота, Wnt/β-катенин, простагландин и др. [5].…”

“…По всей видимости, данный процесс опо-средуется механо-чувствительными сигнальными система-ми и вторичными мессенджерами, такими как оксид азота, Wnt/β-катенин, простагландин и др. [5].Специфические физические упражнения способ-ствуют сохранению и росту костной массы у женщин со сниженной МПК в периоде постменопаузы. При этом сочетанное применение физических нагрузок и медика-ментозной терапии позволяет добиться взаимоусиления обоих терапевтических подходов.…”