Downloaded 72 times
More Related Content
Osteoporosis slides
- 1. OSTEOPOROSIS -What it isand what you can do about it-
- 5. A musculoskeletal disorderwith compromised bone strength that predisposes an individual to increased fracture risk NIH Consensus Development Panel on Osteoporosis Prevention, Diagnosis, and Therapy. JAMA 2001: 285:785-795
- 6. In other words…. Reductionof bone mass, both quantity AND quality so that bones become fragile and easily fracture PEAK BONE MASS The amount of bone we accumulate as a young adult (generally age 30-35) About 90-98% is accumulated by age 18-20 www.niams.nih.gov/Health_Info/Bone/Osteoporosis/bone-mass.asp
- 7.
- 9. Also inchildhood—babies are being born with it Affects all populations—women, men, young adults, the elderly, patients in the clinic, and anyone here in this room today Knows no boundaries regarding age, gender, lifestyle or ethnicity or any other factor Affects over 55% of persons aged 50+ men & women (Reference National Osteoporosis Foundation 2002) Total # of people estimated to have the condition in the US—44 million Is more prevalent than coronary heart disease (12.5 million,) heart attack (1.1 million,) or diabetes (17 million.) (Ref: Surgeon General’s Report 2004 Is more common than breast, uterine and ovarian cancer, combined
- 10. Patterns Of PosturalChange
- 11. DETERMINANTS OF PEAK BONEMASS Heredity – up to 75% * Physical Activity Nutrition Hormonal Status Ethnicity Lifestyle Factors http://www.niams.nih.gov/Health_Info/Bone/Osteoporosis/bone_mass.asp#a Accessed October 21, 2011
- 12.
- 13. The Only CurrentNon-Invasive Diagnostic Test Available for Clinical Use BONE DENSITY SCAN Bone Mineral Density (BMD) Now Considered a Risk Factor For Fracture and Not the Primary Diagnostic Tool it has Been
- 14.
- 15. T Score Oto -1………………Normal Bone -1 to -2.4…………….Osteopenia -2.5 & Below………..Osteoporosis Below -2.5 in presence of fracture… ……Severe Osteoporosis
- 16. MOST COMMON FRACTURES WRISTHIP VERTEBRAL BODY OTHER COMMON FRACTURE SITES RIBS PELVIS ANY BONE IN THE BODY
- 17. HIP •Most disabling/life threatening •Olderwoman who falls backward most likely to fracture her hip •1/2 women with hip fracture die within one year of fracture •At 6 months following a hip fracture, only 15% can walk across a room unaided.
- 18. CLINICAL CONSEQUENCES OFSPINE FRACTURES SYMPTOMS SIGNS FUNCTION FUTURE RISKS Back Pain (acute/chronic) Sleep Disturbance Anxiety Depression Decreased Self Esteem Fear of future: Falls and Fractures Reduced Quality of Life Early Satiety Height Loss Kyphosis Decreased Lumbar Lordosis Protuberant Abdomen Reduced Lung Function Weight Loss Impaired ADL’s Difficulty Fitting Clothes Difficulty Bending, Lifting, Descending Stairs, Cooking Increased Risk of Fracture Increased Risk of Death Source: Papaioannou et al. 2002. Reprinted from The American Journal of Medicine, Diagnosis and management of vertebral fractures in elderly adults. 113(3):220-228 (2002) Bone Health and Osteoporosis A Report of the Surgeon General October 2004
- 19. However more fractures occurin women with normal bone or osteopenia than in those with osteoporosis Pasco JA, Seeman E, Henry MJ, et al. The population burden of fractures originates in women with osteopenia, not osteoporosis. Osteoporos Int (2006)17:1404 Sornay-Rendu E, Munoz F, Garnero P, Duboeuf F, Delmas PD.. Identification of osteopenic women at high risk of fracture: the OFELY study. J Bone Miner Res. 2005 Oct;20(10):1813-9. Epub 2005 Jun 20. E. Siris & P. D. Delmas. Assessment of 10-year absolute fracture risk: a new paradigm with worldwide application. Osteoporosis International (2008);19:383-384
- 20. WHO Fracture RiskAssessment Tool 10 factors identified to increase fracture risk independent of bone mineral density Age, sex, weight (under 125 lbs) & height, previous fractures, parental hip fracture history, smoking status, glucocorticoid use, rheumatoid arthritis, secondary disorders linked to osteoporosis such as diabetes, 3 or more alcoholic beverages per day http://www.shef.ac.uk/FRAX http://www.betterbones.com/bonefracture/whowillfract ure.pdf
- 21.
- 22.
- 23. Next up…a storyabout something that’s guaranteed to burn fat…tone muscles... beautify skin… improve memory…reduce stress… boost earning potential...enhance your love life… reduce the risk of almost every disease… (including osteoporosis) and make you look and feel years younger…..
- 25.
- 26. Principles of TheMeeks Method Site-Specific Exercise UN-LOAD the Vertebral Bodies DECOMPRESSION FRONT of the Backbone Single Best Exercise for Most Back Pain
- 27.
- 29. JAMES Habitual Posture BestPosture Best Posture - 1 Hour Later
- 30.
- 31.
- 32. “SURPRISE” THE BONES Walkbackward, sideward, on uneven surfaces The Single Best Exercise for Most People at almost Anytime Promotes Weightbearing through the Hip Joints and the Bones W A L K I N G R u n n i n g J u m p i n g
- 33. REMEMBER PRINCIPLES OF MOVEMENT and AVOID OR USE CAUTIONWITH THE FOLLOWING EXERCISES/ACTIVITIES
- 34. YOGA QI GONGT’AI CHI AEROBICSBODY PUMP KICK BOXING PILATES GYROTONIC GOLF TENNIS BOWLING TAE BOSTOMP POOL CLASSES and SWIMMING Page 216 Page 216 Page 219 Page 218 CARDIO
- 35. The World’s Osteoporosis is Ticking Chan etal. Bulletin of the World Health Organization 2003, 81 (11) Reference #15—Appendix Reference List
- 36. !!TAKE ACTION NOW!! Bestway to diffuse the world’s OSTEOPOROSIS TIME BOMB is to
- 37. THERAPEUTIC EXERCISE Emphasis on: Unloading/Decompression Strengthening** (BackExtensor, Lower Abdominal, Hip Support Musculature) Weightbearing through the hip joint and the entire skeleton ALIGNMENT MOST IMPORTANT (Alignment is EVERYTHING) **Huntoon EA, Schmidt CK, Sinaki M – Significantly fewer refractures after vertebroplasty in patients who engage in back-extensor-sternghening exercises. **Sinaki M, Itoi E, Wahner HW, Wollan P,Gelzcer R. Mullan BP, Collins DA, Hodgson SF – Stronger back muscles reduce the incidence of vertebral fractures: a prospective 10 year follow-up of post-menopausal women
- 38. PURPOSES OF BRACING Supportand protection Control of motion Prevent fracture Allow weight-bearing activities Bracing usually associated with weakening of body part it is designed to protect
- 39.
- 40. “The Spinomed orthosisis the single, most significant advancement in the conservative management of osteoporosis and compression fracture EVER.” Sara M. Meeks, PT, MS, GCS Backed up by a peer-reviewed research study - Michael Pfeifer, Bettina Begerow, Helmut Minne 2004 Ordered by Physician and fitted by Orthotist Strengthens rather than weakens – even with more wear time; begin slowly and increase as patients can experience muscle discomfort from muscle activation Can fit to very severe thoracic hyperkyphosis Can be worn under clothing – inconspicuous Combine with Meeks Method of exercises for optimum results Orthosis should be worn when up and active, can be worn when sitting but patient will not get the benefit of it Goal is to Prevent the Next Fracture
- 41.
- 42. Prone is OKToo!
- 43. Be Careful withStraight leg raises
- 44. Don’t Forget TheHip Hinge
- 45. THANK YOU!!!! Questions? Interested in a class? Need more information? If you feel you may benefit from physical therapy for osteoporosis and would like to schedule an appointment, please call the number below [email protected] (540) 316-2680 FH Physical Medicine and Rehabilitation at the MOB (Medical Office Building) www.Therapy2bYourself.blogspot.com