Multifaceted exercise program recommended for patients with osteoporosis, spine fractures

Giangregorio L. Osteoporos Int. 2014;doi: 10.1007/s00198-013-2523-2.

Patients with osteoporosis or spine fractures should engage in a multicomponent exercise program that includes resistance and balance training, according to data recently presented at the World Congress on Osteoporosis, Osteoarthritis and Musculoskeletal Diseases in Seville, Spain.

Researchers used the Grading of Recommendations Assessment, Development, and Evaluation method to analyze evidence and develop their recommendations. These recommendations were nominated by an expert panel as well as patient advocates and the guidelines included falls, fractures, bone mineral density (BMD), and adverse events for patients with osteoporosis/vertebral fractures. Pain, quality of life and function were included in the decision-making processes for patients with vertebral fracture. Meta-analyses assessing the effects of exercise on the outcomes, observational studies and clinical trials were analyzed.

Current national physical activity guidelines are appropriate for patients withosteoporosis without spine fracture, but not for osteoporotic patients with these fractures. Aerobic activity of moderate intensity, as described by a consulting physical therapist, is preferred to vigorous intensity following spine fracture. Daily balance and endurance training for spinal extensor muscles are recommended for patients with osteoporosis. Guidance on safe movement, rather than vague restrictions, should be given by the health care provider.

“We hope that the recommendations are helpful to health professionals worldwide as they guide their osteoporosis patients in safe, effective - and enjoyable - exercise regimens.” Lora Giangregorio, MD, University of Waterloo in Waterloo, Canada, stated in a press release.

Disclosure: Giangregorio has no relevant financial disclosures.

Ortopedia y Traumatología. Cirugía de Columna

Dr Damian Muñoz

lunes, 7 de abril de 2014