Department of Neurology/Rehabilitation, VA Central California Health Care System, 2615 E Clinton Ave, Fresno, CA 93703, USA.
PM R. 2011 Jun;3(6):562-72. doi: 10.1016/j.pmrj.2010.12.014. Epub 2011 Apr 7.
Osteoporosis is a chronic disorder of the skeleton causing increased bone fragility and fractures. In the second of our 3-part series, we discuss the beneficial effects of nonpharmacologic agents in the management of osteoporosis. We review the evidence supporting the use of exercise, whole-body vibration, hip protectors, low-intensity pulsed ultrasound, bracing, and vertebral augmentation procedures. The mechanism of action, precautions, and expected outcomes are discussed. Nonpharmacologic management of osteoporosis blends in very well with an overall exercise prescription. The nonpharmacologic interventions discussed are readily available and easy to implement. The use of such techniques demonstrates the important role of the physiatrist in the management of osteoporosis.
骨质疏松症是一种慢性骨骼疾病，会导致骨脆性增加和骨折。在我们的 3 部分系列中的第 2 部分中，我们讨论了非药物治疗在骨质疏松症管理中的有益作用。我们回顾了支持使用运动、全身振动、髋保护器、低强度脉冲超声、支具和椎体增强术的证据。讨论了作用机制、注意事项和预期结果。骨质疏松症的非药物治疗与整体运动处方非常吻合。讨论的非药物干预措施易于获得且易于实施。这些技术的使用展示了物理治疗师在骨质疏松症管理中的重要作用。
