Physical Therapy Program, Chatham University, Woodland Road, Pittsburgh, PA 15232, USA.
Phys Ther. 2012 Jan;92(1):164-78. doi: 10.2522/ptj.20100383. Epub 2011 Sep 15.
Although physical therapists commonly manage neuromusculoskeletal disorders and injuries, their scope of practice also includes prevention and wellness. In particular, this perspective article proposes that physical therapists are well positioned to address the client's skeletal health by incorporating fracture prevention into clinical practice with all adults. Fracture prevention consists primarily of maximizing bone strength and preventing falls. Both of these initiatives require an evidence-based, multidimensional approach that customizes interventions based on an individual's medical history, risk factors, and personal goals. The purposes of this perspective article are: (1) to review the role of exercise and nutrition in bone health and disease; (2) to introduce the use of the Fracture Risk Assessment Tool (FRAX®) into physical therapist practice; (3) to review the causes and prevention of falls; and (4) to propose a role for the physical therapist in promotion of bone health for all adult clients, ideally to help prevent fractures and their potentially devastating sequelae.
虽然物理治疗师通常负责管理神经肌肉骨骼疾病和损伤，但他们的实践范围还包括预防和健康促进。特别是，本文从这一视角出发，提出物理治疗师可以通过将骨折预防纳入所有成年人的临床实践，从而很好地解决患者的骨骼健康问题。骨折预防主要包括最大限度地提高骨强度和预防跌倒。这两项措施都需要采取基于证据的多维方法，根据个人的病史、风险因素和个人目标来定制干预措施。本文的目的是：（1）回顾运动和营养在骨骼健康和疾病中的作用；（2）介绍将骨折风险评估工具（FRAX®）用于物理治疗师的实践；（3）回顾跌倒的原因和预防；（4）提出物理治疗师在促进所有成年患者骨骼健康方面的作用，理想情况下是帮助预防骨折及其潜在的破坏性后果。
