The role of exercise in the treatment of osteoporosis

被引：68
作者：
Sinaki M. [1 ]
Pfeifer M. [2 ]
Preisinger E. [3 ]
Itoi E. [4 ]
Rizzoli R. [5 ]
Boonen S. [6 ]
Geusens P. [7 ]
Minne H.W. [2 ]
机构：
[1] Department of Physical Medicine and Rehabilitation, Mayo Clinic, Rochester, MN 55905
[2] Institute of Clinical Osteology, Bad Pyrmont
[3] Department of Physical Medicine and Rehabilitation, Krankenhaus Hietzing Mit Neurologischem Zentrum Rosenhuegel, Vienna
[4] Department of Orthopaedic Surgery, Tohoku University, School of Medicine, Sendai
[5] Division of Bone Diseases, University Hospital, Geneva
[6] Division of Geriatric Medicine, Center for Metabolic Bone Diseases, Leuven University Hospital, Leuven
[7] Department of Medicine and Rheumatology, University Hospital Maastricht, Maastricht
来源：
Current Osteoporosis Reports | 2010年 / 8卷 / 3期
关键词：
Back extension exercise; Bone mineral density; Kyphosis; Muscle strengthening; Osteogenic exercise; Osteoporosis; Rehabilitation; Spinal orthotics; Spinal Proprioceptive Extension Exercise Dynamic (SPEED); Vertebral fracture;
D O I：
10.1007/s11914-010-0019-y
中图分类号：
学科分类号：
摘要：
The objective of exercise in the treatment of osteoporosis is to improve axial stability through improvement of muscle strength. Therefore, a back extension exercise program specific to one's musculoskeletal competence and pain can be performed in a sitting position and later advanced to the prone position. When fragility is resolved, back extension is performed against resistance applied to the upper back. To decrease pain and immobility in acute vertebral fracture, use of spinal orthoses become inevitable. Therapeutic exercise should address osteoporosis-related deformities of axial posture, which can increase risk of fall and fracture. Strengthening of the major appendicular muscles decreases fragility. The effect of strengthening exercise is augmented by proper intake of cholecalciferol and calcium. Thus, the role of a therapeutic exercise program is to increase muscle strength safely, decrease immobility-related complications, and prevent fall and fracture. As with pharmacotherapy, therapeutic exercises are individualized. © 2010 US Government.
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页码：138 / 144
页数：6
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