12: Osteoporosis

Question 1

What is osteoporosis?

Answer 1

Metabolic disorder where rate of absorption exceeds the rate of deposition

Question 2

What age range experiences postmenopausal osteoporosis?

Answer 2

50-60

Question 3

What age range experiences involutional osteoporosis?

Answer 3

> 70

Question 4

What are risk factors for primary osteoporosis?

Answer 4

Smoking, inadequate calcium intake, excessive alcohol or salt, small stature, caucasian, inactive, family history

Question 5

What is secondary osteoporosis?

Answer 5

Caused by prolonged drug therapy of heparin or corticosteroids, endocrine disorders, or malnutrition

Question 6

What are three ways osteoporosis is diagnosed?

Answer 6

1. X-ray
2. DXA scan
3. FRAX

Question 7

What is a T-Score with a DXA scan?

Answer 7

Compares results to a healthy young adunt

Question 8

What is a Z-Score with a DXA scan?

Answer 8

Compares results to a person of same age and gender

Question 9

What T-Scores can indicate osteopenia?

Answer 9

-1.5 - -2.4

Question 10

What Z-Score can indicate osteoporosis?

Answer 10

< -2.5

Question 11

What are the two medical management techniques for osteoporosis?

Answer 11

1. Supplements (calcium and vit D)
2. Biphosphinate treatment

Question 12

What are the side effects of biphosphinate treatment?

Answer 12

• Osteonecrosis of the jaw
• A-fib
• Atypical femur fracture

Question 13

What are four PT management strategies for osteoporosis?

Answer 13

1. Weight bearing exercise
2. Strength training
3. Balance training
4. Nutritional education