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Nonpharmacologic Therapy for Osteoporosis

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Osteoporosis

Part of the book series: Current Clinical Practice ((CCP))

Abstract

Osteoporosis is a disorder of skeletal fragility. Fractures are the complications of osteoporosis that result in the patient’s symptoms, and their physical, functional, and psychosocial problems. The primary objectives in the management of patients with established osteoporosis are the following:

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References

  1. Pirnay F, Bodeux M, Crielaard JM. Bone mineral content and physical activity. Int JSports Med 1987; 8: 331–335.

    Article  CAS  Google Scholar 

  2. Pocock NA, Eisman JA, Yeates MG, Sambrook PN, Eberl S. Physical fitness is a major determinant of femoral neck and lumbar spine bone mineral density. J Clin Invest 1986; 78: 618–621.

    Article  PubMed  CAS  Google Scholar 

  3. Dalsky G, Stocke KS, Ehsani AA. Weight-bearing exercise training and lumbar bone mineral content in postmenopausal women. Ann Int Med 1988; 108: 824–828.

    PubMed  CAS  Google Scholar 

  4. Nelson ME, Fisher EC, Dilmanian FA, Dallai GE, Evans WJ. A 1-year walking program and increased calcium in postmenopausal women: effects on bone. J Bone Miner Res 1991; 53: 1304–1311.

    CAS  Google Scholar 

  5. Prince RL, Smith M, Dick IM, Price RI, Webb PG, Henderson NK, Harris MM. Prevention ofpostmeno­pausal osteoporosis: a comparative study of exercise, calcium supplementation, and hormone-replace­ment therapy. NEJM 1991; 325: 1189–1195.

    Article  PubMed  CAS  Google Scholar 

  6. Sinaki M, Wahner HW, Offord KP, Hodgson SF. Efficacy of nonloading exercises in prevention of vertebral bone loss in postmenopausal women: a controlled trial. Mayo Clin Proc 1989; 6: 762–769.

    Article  Google Scholar 

  7. Dalsky GP, Stocke KS, Ersani AA, et al. Weight bearing exercise training and lumbar bone mineral content in postmenopausal women. Ann Intern Med 1988; 108: 824–828.

    PubMed  CAS  Google Scholar 

  8. Edward K, Larson EB. Benefits of exercise in older adults. Clin Geriat Med 1992; 8: 35–113.

    Google Scholar 

  9. Cummings SR, Nevitt MC, Browner WS, Stone K, Fox KM, Ensrud KE, Cauley J, Black D, Vogt TM. Risk factors for hip fracture in white women. NEJM 1995; 332: 767–773.

    Article  PubMed  CAS  Google Scholar 

  10. Cooper C, Atkinson EJ, O’Fallon WM, Melton LJ. Incidence of clinically significant vertebral fractures: a population-based study in Rochester, Minnesota, 1885–1989. J Bone Miner Res 1992; 7: 221–227.

    Article  PubMed  CAS  Google Scholar 

  11. Tinetti ME, Speechley M, Ginter F. Risk factors for falls among elderly persons living in the community. NEngl JMed 1988; 319: 1701–1707.

    Article  CAS  Google Scholar 

  12. Campbell AJ, Borrie MG, Spears GF. Risk factors for falls in a community-based prospective study of people 70 years old and older. J Gerontol 1989; 44: 112–117.

    Google Scholar 

  13. Speechley M, Tinetti M. Falls and injuries in frail and vigorous community elderly persons. JAm Geriat Soc 1991; 39: 46–52.

    CAS  Google Scholar 

  14. Grisso JA, Kelsey JL, Strom BL, Chiu GY, Maislin G, O’Brien LA, Hoffman S, Kaplan F. Risk factors for falls as a cause of hip fractures in women. N Engl JMed 1991; 324: 1326–1331.

    Article  CAS  Google Scholar 

  15. Lipsitz LA, Jonsson PV, Kelly MM, Koestner JS. Causes and correlates of recurrent falls in ambulatory frail elderly.JGerontol 1991; 46: M114–M122.

    Article  CAS  Google Scholar 

  16. Hornbrook MC, Stevens VJ, Wingfield DJ, Hollis JF, Greenlick MR, Ory MG. Preventing falls among community-dwelling older persons: results of a randomized trial. Gerontologist 1994; 34: 16–23.

    Article  PubMed  CAS  Google Scholar 

  17. Cummings SR, Nevitt MC. A hypothesis: the cause of hip fractures. J Gerontol 1989; 44: M107–M111.

    PubMed  CAS  Google Scholar 

  18. Hayes WC, Myers ER, Morris JN, Gerhart TN, Yett HS, Lipsitz LA. Impact near the hip dominates fracture risk in elderly nursing home residents who fall. Calcif Tissue Int 1993; 52: 192–198.

    Article  PubMed  Google Scholar 

  19. Lauritzen JB, Petersen MM, Lund B. Effect of external hip protectors on hip fractures. Lancet 1993; 341: 11–13.

    Article  PubMed  CAS  Google Scholar 

  20. Cooper C, Atkinson EJ, Jacobsen SJ, O’Fallon M, Melon L. Population-based study of survival after osteoporotic fractures. Am JEpidemiol 1993; 137: 1001–1005.

    CAS  Google Scholar 

  21. Patel U, Skingle S, Campbell GA, Crisp AJ, Boyle IT. Clinical profile of acute vertebral compression fractures in osteoporosis. Br J Rheum 1991; 30: 418–421.

    Article  CAS  Google Scholar 

  22. Paul KK, Chan LWL. Analgesic effect of intranasal salmon calcitonin in the treatment of osteoporotic vertebral fractures. Clin Ther 1989; 11: 205–209.

    Google Scholar 

  23. Lyritis GP, Tsakalakos N, Magiasis B, Karachalio T, Viazides A, Tsekoara M. Analgesic effect of salmon calcitonin in osteoporotic vertebral fractures: a double-blind placebo-controlled clinical study. Calcif Tissue Int 1991; 49: 369–372.

    Article  PubMed  CAS  Google Scholar 

  24. White BL, Fisher WD, Laurin CA. Rate of mortality for elderly patients after fracture of the hip in the 1980. JBone Joint Surg 1987; 69A: 1335–1339.

    Google Scholar 

  25. Mehta AJ, Nastasi AE. Rehabilitation of fractures in the elderly. Clin Geriat Med 1993; 9: 717–730.

    CAS  Google Scholar 

  26. Ross PD, Ettinger B, Davis JW, Melon L, Wasnich RD. Evaluation of adverse health outcomes asso­ciated with vertebral fractures. Osteopor Int 1991; 1: 134–140.

    Article  CAS  Google Scholar 

  27. Silverman SL. The clinical consequences of vertebral compression fracture. Bone 1992; 13: S27–S31.

    Article  Google Scholar 

  28. Lyles KW, Gold DT, Shipp KM, Pieper CF, Martinez S, Mulhausen PL. Association of osteoporotic vertebral compression fractures with impaired functional status. Am J Med 1993; 94: 595–601.

    Article  PubMed  CAS  Google Scholar 

  29. Sinaki M, Khosla S, Limbur P.J, Rogers JW, Murtaugh PA. Muscle strength in osteoporotic versus normal women. Osteoporosis Int 1993; 3: 8–12.

    Article  CAS  Google Scholar 

  30. Sinaki M. Postmenopausal spinal osteoporosis; physical therapy and rehabilitation principles. Mayo Clin Proc 1982; 57: 699–703.

    PubMed  CAS  Google Scholar 

  31. Sinaki M, Mikkelsen BA. Postmenopausal spinal osteoporosis: flexion versus extension exercises. Arch Phys Med Rehabil 1984; 65: 593–596.

    PubMed  CAS  Google Scholar 

  32. Gold DT, Stegmaier BS, Bales CW, Lyles KW, Westlund RE, Drezner MK. Psychosocial functioning and osteoporosis in late life: results of a multidisciplinary intervention. J Women ‘s Health 1993; 2: 149–155.

    Article  Google Scholar 

  33. Harrison JE, Chow R, Doman J, Goodwin S, Strauss A, the Bone and Mineral Group of the University of Toronto. Evaluation of a program for rehabilitation of osteoporotic patients (PRO): 4-year follow-up. Osteoporosis Int 1993; 3: 13–17.

    Article  CAS  Google Scholar 

  34. Fiaterone M, Marks E, Ryan, ND, High-intensity strength training in nonagenarians: effects on skeletal muscle. JAMA 1990; 263: 3029–3034.

    Article  Google Scholar 

  35. Tucci JT, Carpenter DM, Pollock ML, Graves JE, Leggett SH. Effect of reduced frequency of training and detraining on lumbar extension strength. Spine 1992; 17: 1497–1501.

    Article  PubMed  CAS  Google Scholar 

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Authors
  1. Michael R. McClung MD, FACE
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  2. Kristi Spencer PT
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Editor information

Editors and Affiliations

  1. Maine Center for Osteoporosis Research and Education, St. Joseph Hospital, Bangor, Maine, USA

    Clifford J. Rosen MD

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© 1996 Springer Science+Business Media New York

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McClung, M.R., Spencer, K. (1996). Nonpharmacologic Therapy for Osteoporosis. In: Rosen, C.J. (eds) Osteoporosis. Current Clinical Practice. Humana Press, Totowa, NJ. https://doi.org/10.1007/978-1-4612-0221-9_16

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  • DOI: https://doi.org/10.1007/978-1-4612-0221-9_16

  • Publisher Name: Humana Press, Totowa, NJ

  • Print ISBN: 978-1-4612-6668-6

  • Online ISBN: 978-1-4612-0221-9

  • eBook Packages: Springer Book Archive

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