The low-frequency alternating magnetic field prevention of osteoporosis

Włodzisław Kuliński, Andrzej Misztela, Tomasz Rybak, Józef Mróz

Włodzisław Kuliński, Andrzej Misztela, Tomasz Rybak, Józef Mróz – The low-frequency alternating magnetic field prevention of osteoporosis. Fizjoterapia Polska 2001; 1(3); 268-270

Abstract

Background. Osteoporosis is one of the most importance diseases of contemporary civilization, diagnosed in over 25% of women and 10% of men over the age of 60. This article describes the negative impact of the growth of civilization on the development of osteoporosis. Recommendations are given for proper nutrition. The article also discusses the mechanisms governing the potential impact of physical exertion, one of the strongest stimuli of osteogenesis, on the prevention of osteoporosis. The authors suggest the possibility of preventing osteoporosis by daily exposure, 15-20 minutes long, ultraviolet light in patients with risk factors caused by the use of drugs (steroids). This article evaluates the therapeutic efficacy of a low-frequency alternating magnetic field (LFAMF) in the prevention of bone mass loss in patient’s long-term steroid treatment. Material and methods. Our research involved 25 men with chronic obturative pulmonary disease (COPD) receiving long-term steroid therapy. The patients were administered a program of LFAMF therapy, receiving 2-3 month-long treatment courses within a one-year period. Before and after LFAMF therapy the patients were evaluated for the degree of pain intensity and the number of COPD exacerbations, and their BMD and T-scores were compared densitometrically. Results. In all patients after two years of treatment we found less pain, a more than two-fold reduction number in the number COPD exacerbations, and increased bone mass.

Key words:
low-frequency alternating magnetic field, Osteoporosis, prophylaxis
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Prevention and rehabilitation in osteoporosis

Anna Mika, Piotr Mika

Anna Mika, Piotr Mika – Prevention and rehabilitation in osteoporosis. Fizjoterapia Polska 2004; 4(1); 79-85

Abstract

Osteoporosis is a systemic bone disorder, which primarily effects postmenopausal women. The prevention of osteoporosis involves two components: building up high peak bone mass and reducing the rate of bone loss during menopause and aging. Rehabilitation must include pain relief, maintenance of proper posture, rebuilding normal muscle force, and maintaining normal motion range, improvement in bone mineral density, and increasing activity in daily living, in order to stimulate the skeletal system. The aim of the present study is to present, on the basis of literature and our own experience, the importance of physiotherapy in osteoporosis prophylaxis and treatment.

Key words:

rehabilitation, spine, osteoporosis

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Osteoporosis risk factors vs. BMD in post-menopausal women

Bożena Jasiak-Tyrkalska, Jolanta Jaworek, Bogusław Frańczuk

Bożena Jasiak-Tyrkalska, Jolanta Jaworek, Bogusław Frańczuk – Osteoporosis risk factors vs. BMD in post-menopausal women. Fizjoterapia Polska 2006; 6(2); 126-132

Abstract

Background. It is commonly known that the main characteristic feature of osteoporosis is bone brittleness, whose complications include fractures. Consequently the most important treatment objective is to prevent fractures by maintaining or increasing bone mass, to prevent falls and injuries, to reduce acute and chronic conditions and to improve physical, and psychosocial functions. The significance of increased physical activity as one of the protective factors that prevent bone fractures in an elderly age needs to be underscored. Osteoporosis becomes a not only a medical challenge, but also a social and economic problem. Such a dynamically growing problem is the reason behind the present paper whose aim is to show if and to what extent selected factors, such as age, body mass and physical activity influence bone mineral density (BMD) in post-menopausal women. Material and methods. 54 women participated in the study, median age 66.8 years. Bone mineral density was determined on the basis of a densitometric test, which was then juxtaposed with osteoporosis risk factors and correlations were analysed. On the basis of body mass and height of study participants the body mass index was calculated (BMI). Data concerning physical activity over the last dozen years or so was obtained during an interview. The level of physical activity was assessed using a four-grade scale developed by the author. Results. A statistically significant negative correlation was shown between BMD and the age of women participating in the study (p<0,01). A similar correlation was observed (p<0,01) between (BMD) an the BMI. A very high correlation (p<0,001) was shown between BMD and physical activity of women participating in the study. Conclusions. An important factor in osteoporosis prevention is physical activity. Age is not necessarily a risk factor in osteoporosis. Moderate overweight has a positive impact on BMD level.

Key words:
osteoporosis, body mass index, physical activity
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Physical exercises to ameliorate the sequelae of osteoporosis

Agnieszka Nawrat, Ewa Zmudzka-Wilczek

Agnieszka Nawrat, Ewa Zmudzka-Wilczek – Physical exercises to ameliorate the sequelae of osteoporosis. Fizjoterapia Polska 2009; 9(1); 69-74

Abstract
Background. The manifestations of osteoporosis, such as fractures, pain, disorders of gastrointestinal and respiratory function, and postural deformities, become evident only after a number of years. Appropriate and regular physical activity makes it pos-sible to ameliorate these signs and symptoms.The goal of the present study was to determine whether a 3-month bone-strength-ening exercise programme can reduce the negative consequences of osteoporosis by increasing mobility in the joints of the pe/wc and shoulder girdles and the spine and improving rib cage mobility.Materiał and methods. The study was carried out at the St. Elizabeth Centrę in Ruda Śląska and involved 30 patients with osteoporosis confirmed by densitometry The patients were divided into a study group and a control group on the basis of their involvement in the bone-strengthening exercise programme. Both groups underwent physical examinations. The following param-eters were evaluated: raising the upper limb forwards through flexion and sideways through abduction, flexion and abduction of the lower limb, sagittal and forward bending of the trunk (finger-floor test) and mobility of the rib cage. Results. The programme of bone-strengthening exercise was shown not to make a significant difference in the parameters of the locomotor system evaluated. Nevertheless, positive changes had been maintained with a tendency towards improvement in the following parameters: raising the upper limb forwards through flexion (41% improvement), mobility of the rib cage (40% improve-ment), and raising the upper limb sideways through abduction (33% improvement). Conclusions. A programme of physical exercise designed to strengthen bones exerts a positive effect slowing down the pro-gression of osteoporosis and may even improve the patienfs overall musculoskeletal health.
Key words:
physical activity, exercise, osteoporosis
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全身振动能量对绝经后妇女的骨矿物质密度的影响:系统评价

Mohannad Hawamdeh, Zaid Modhi Mansour, Saad Al-Nassan, Ziad Hawamdeh, MohammadEtoom, FarisAlshammari, Abdul-Majeed R. Almalty, Shaden Albustanji

M. Hawamdeh, Z. Modhi Mansour, S. Al-Nassan, Z. Hawamdeh, M. Etoom, F. Alshammari, Abdul-Majeed R. Almalty, S. Albustanji – The effects of Whole body vibration energy on bone mineral density in post-menopausal women: A systematic Review. Fizjoterapia Polska 2019; 19(1); 46-50

摘要
老年人因骨质流失而使骨折的发生率增加,尤其是停经后的妇女。该系统评价的目的在重新评估以WBV治疗绝经后妇女骨质疏松症的临床试验疗效。
方法。数据搜索和研究选择:已搜索下列数据库:Pub-Med、Medline、Science Direct 和 Google Scholar,搜索时使用下列关键词:“全身振动(WBV)“、“骨质疏松症”、“绝经后妇女“、”骨矿物质密度(BMD)“等。数据提取:我们提取样本大小、年龄、研究设计、基线结果、全身振动细节和主要发现。
结果。部分研究显示WBV可增加骨矿物质密度,然而大部分研究均显示它并未使绝经后妇女的骨矿物质密度显著增加。
结论。我们得出结论是在WBV技术对骨矿物质密度的影响上尚未无共识。

关键词:
骨质疏松症、老化、骨折、骨质减少

 

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Assessment of potential risk factors for falls in osteoporotic elderly versus individual mobility considerations

Marek Żak, Szymon Krupnik, Wojciech Kiebzak, Agnieszka Stopa, Joanna Czesak

M. Żak, S. Krupnik, W. Kiebzak, A. Stopa, J. Czesak – Assessment of potential risk factors for falls in osteoporotic elderly versus individual mobility considerations. FP 2014; 14(1); 36-40

Abstract

Background. Incidental falls are anxiously perceived by an increasing number of elderly persons as a clear symptom of ageing, potentially leading to permanent care-dependency.
Methods. The study population comprised 72 patients recruited from respective university clinic geriatric wards (aged 81- 95). A Timed UP & GO test (TUG) was applied (in line with Tinetti POMA protocol), to assess an individual risk of fall. Group I comprised the patients (48 women; x=84 years) who scored 14 seconds or more; Group II – the patients who scored 13.5 seconds or less (24 women; x=82 years).
Results.  When completing Tinetti (POMA) test, Group I women (TUG test scores of 14 seconds and more) ultimately scored below 19 points, i.e. their risk of fall was assessed as 5-fold greater than in their Group II peers (TUG test scores of 13.5 seconds and less).
Consequently, statistical significance of the correlation coefficients between the TUG and Tinetti (POMA) test scores was established as p < 0.05. In Group I (TUG > 14 s) this correlation coefficient was negative and equaled r = -0.74, whereas in Group II (TUG < 13.5 s) it was (r = -0.62).
Conclusions. The TUG test makes up an effective diagnostic instrument for assessing a potential risk of fall (i.e. identify potential fallers) and may therefore be applied as an effective screening test for this group of patients. Community dwellers of higher functional capabilities, despite the risks related to osteoporosis, are far less likely to sustain an accidental fall.

Key words:
geriatrics, falls, osteoporosis, functional capabilities, Timed UP & GO test

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