NONPHARMACOLOGICAL TREATMENT OF OSTEOPOROSIS

Authors:

Đurđica Babić-Naglić

Summary

Exercise and prevention of falls are the cornerstone of nonpharmacological treatment of osteoporosis (OP). Mechanical stress has osteogenic properties. Proprioceptive training can improve balance. Intermittent mechanical stimuli are most appropriate type of functional bone adaptation. Recommendations for exercises include type (aerobic, weight-bearing, resistance), frequency (minimum 3x weekly), duration (minimum 20-30 minutes) and intensity of 50-80% of repetitive maximum (RM). Target muscle groups for intervention are spine extensors and hip muscles. Eliminaton of risk of falls and proprioceptive exercises can reduce incidency of falls and related fractures.

Sažetak
Vježbe i prevencija padova temelj su nefarmakološke terapije osteoporoze (OP). Mehanički podražaj ima osteogeno djelovanje, a treningom proporiocepcije poboljšava se ravnoteža. Intermitentni snažniji mehanički stimulus najbolje potiče adaptaciju kosti. Preporuka za vježbe je da, prema vrsti, budu aktivne dinamičke antigravitacijske i s otporom, prema frekvenciji valja ih provoditi najmanje 3x tjedno trajanja minimalno 20-60 minuta s 50-80% intenzitetom maksimalnih ponavljanja (RM)  Ciljne skupine mišića za intervenciju su ekstenzori kralježnice i mišići kuka. Uklanjanjem rizika za pad i vježbama ravnoteže smanjuje se incidencija padova i prijeloma.

Vol.: 53

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