The importance of physical exercise-bone mass density correlation in reducing the risk of vertebral and non-vertebral fracture in patients with osteoporosis

Abstract

Introduction. Osteoporosis is a systemic health condition, predominantly in the skeleton, characterized by the decreasing bone strength and bone density as well as by the modification of this structure, being prone to an increased fracture risk. The bone strength of the bone depends on the density and quality of the bone. The bone density was measured by DEXA imagery investigation which uses the dual absorptiometry by X-rays.Material and method. The study was conducted over a period of one year on a total of 30 patients diagnosed with osteoporosis, age 50-70 years. For the assessment of the pain, the visual analogue-VAS scale was used to assess the quality of life-the Qualeffo-41 questionnaire and for assessing fracture risk-the FRAX scorer. The bone mineral density was assessed by the DEXA assay in the lumbar spine and femur using the T score. The patients received pharmacological treatment with bisphosphonates and performed a kinetotherapy program 2 times a week.Results. Patients participating in the study were 60 years old. The repartition depending on the life environment has revealed a greater frequency of the disorder in rural areas than the urban area. The values of the T-student test were statistically significant for the spine (p=0.0006) and for the hip (p=0.03)Conclusions. Research was based on the use of diagnostic utility indices such as bone mineral density, data that correlate with DEXA investigation and fracture risk. Determination of fracture risk with the FRAX score is important in order to identify those patients who need therapy and at the same time to assess the efficiency/cost ratio for the applied therapy. Osteoporosis is a public health problem requiring early diagnosis to optimize therapeutic strategies

The quality of life - an indicator for assessing the recovery program in patients diagnosed with degenerative disorders

“…A review of 62 studies from 4 databases has evaluated the quality of life through several questionnaires. Thus, it was found that obesity, the decrease of the physical activity (7) and the female sex were the factors that decreased the quality of life. Additionally, the patients' educational level, the psychological stress, the depression, the social and inter-family relations (8,9).…”

Trial on the efficiency of the recovery treatment for patients with distal radius fractures

“…Osteoporosis is one reason why the distal radius fractures occur, that is why the early diagnosis of this health condition enables the prevention of the fracture by evaluating the fracture risk and it also enables to establish the appropriate therapeutic strategy (19). It is very important the calcium intake from food and medication (20,21) but also the D vitamin that has its role in the bone metabolism, which reduces the risk to have a fracture (22) . As for the fractures of the children, it is important to mention the role of calcium, of magnesium and of D vitamin in the recovery after the fracture and in the presence of the vasomotor tonus.…”

“…The treatment of the sequelae after the fracture is complex and involves: [1] the antalgic and antiinflammatory medication to reduce the algic /inflammatory symptomatology, [2] the electric therapy (29) has different roles: antialgic/ antiinflammatory, vasodilating, myorelaxing/ relaxing • the currents of low frequence: TENS, with electrodes applied on the painful spot, the frequence 50-100 Hz, the intensity 10-40mA, the duration of 10 minutes • The ultrasounds in pulsatile application, with a frequence of 1 MHz, the intensity of 0.4-0.6W/cm² by using the antiinflammatory gel (30,31). The application of ultrasound is useful in the pathology of the soft tissues but also in the joint one whereas the mechanical and thermal effects are deeply felt and provide with the blood flow necessary to the recovery process (21,32). The ultrasound have their role in reducing the pain, the joint stiffness and the muscular contraction.…”