8.17 OP Flashcards
typical location for vertebral wedge fx
lumbar
Why does one wedge fx predispose someone to additional ones?
- poor weight distribution
- anterior wedging
bed mobility for a pt with fx
log roll when in doubt
Why is it important to use log rolling for pts with a fx when donning a brace?
- don’t want them to twist
- getting out of bed normally increases flexion and rotation
- teach them to continue using log roll independently in the long term
foot positioning for working sit to stand: feet underneath body
need sufficient DF and knee flexion
What is important to work on with sit to stand?
- ECCENTRICS
- increasing difficulty by changing hand positions
single best exercise to prevent another vertebral fx
mini-squats
- touch and go
- alter height of surface
In addition to physically doing sit to stand, what should these patients also be performing?
guided practice - do reps in their head
abdominal strengthening exercises for the OP pt with a vertebral wedge fx
anything in a NEUTRAL spine
- bird dogs
- dead bugs
What types of exercises increase bone density?
- WB
- resisted
Any LE WB increases bone density here
LE and spine
Why is it problematic for someone’s COM to be far in front of them?
likely to have a foward fall FOOSH or TBI
What hormone keeps osteoblasts and osteoclasts in balance?
estrogen
Why does menopause increase risk of OP?
There is a decrease in estrogen
3 common sites of osteoporotic fx
- spine
- hip
- wrist
