Lange U, Teichmann J, Strunk J, Mueller-Lander U, Uhlemann C
Kerckhoff Clinic, Department of Rheumatology, Clinical Immunology, Physical Medicine and Osteology, Bad Nauheim, Germany.
Eura Medicophys. 2005 Jun;41(2):173-81.
For the treatment of osteoporosis, appropiate physiotherapy needs to use the given or remaining abilities of a patient to modulate and optimize the biological functions and structures (bone, muscle) in an adaptive, stimulating and regenerating sense. In addition physiotherapy can set serial physical stimuli to minimize pain perception by bio-psychosocial effects. Physiotherapy for osteoporosis has to be seen equivalent to pharmacotherapy with respect to prevention, cure and rehabilitation. In general, 2 different aims for effective treatment can be defined: 1. Aims that can be achieved solely with physical therapy, such as structural improvement of the existing and pharmacologically increased bone mass, slowdown of round-back formation and fall prophylaxis. 2. Aims that can be mainly achieved with physiotherapy and pharmacotherapy, such as increase of bone density and differentiated amelioration of pain. This article summarises the current knowledge on exercise and physiotherapy in preventing and treating osteoporosis, and focuses specifically on the diagnostic-orientated stimulating preventative, curative and/or rehabilitative effects, in which the choice of the individual regimen and the dosage need to be optimized for every patient individually.
对于骨质疏松症的治疗，适当的物理治疗需要利用患者已有的或尚存的能力，以适应性、刺激性和再生性的方式调节并优化生物功能和结构（骨骼、肌肉）。此外，物理治疗可以通过生物心理社会效应设置一系列物理刺激，以尽量减轻疼痛感知。就预防、治疗和康复而言，骨质疏松症的物理治疗必须被视为等同于药物治疗。一般来说，可以确定两种不同的有效治疗目标：1. 仅通过物理治疗就能实现的目标，例如改善现有及药物增加后的骨量结构、减缓驼背形成以及预防跌倒。2. 主要通过物理治疗和药物治疗实现的目标，例如增加骨密度和有区别地缓解疼痛。本文总结了目前关于运动和物理治疗在预防和治疗骨质疏松症方面的知识，并特别关注以诊断为导向的刺激性预防、治疗和/或康复效果，其中个体治疗方案和剂量的选择需要针对每个患者进行优化。
