Exercise Considerations For Osteoporosis & Arthritis

Question 1

What is osteoporosis?

Answer 1

Decreased mineral content and weakening of bone

Question 2

What may osteoporosis weakening lead to?

Answer 2

Fx, esp spine hip wrist

Question 3

Higher incidence in men or women?

Answer 3

2x more in women

Question 4

What does the FRAX assess?

Answer 4

Calculate the probability of a fx- assures people with highest fx risk gets tx.

Many people have low bone density (osteopenia)

Question 5

What are secondary causes of osteoporosis?

Answer 5

Insulin dependency
Hyperthyroidism
Malnutrition
Liver disease

Question 6

What does NOF recommend to reduce risk of fx and osteoporosis?

Answer 6

Ca & vit D
Regular WB & muscle strengthening
Fall prevention
Cessation of tobacco and alcohol

Question 7

Pt with osteoporosis, what should they avoid?

Answer 7

Activity with twisting/ flexion of spine- produces high vertebral loads and high compression loads

Question 8

What should a pt with osteoporosis strengthen?

Answer 8

Core, trunk extensors, scap stabilizers, hip extensors and abductors

Question 9

What should they stretch?

Answer 9

Pec, abs, hip flexors

Question 10

What are some recommendations for bone health?

Answer 10

WB endurance 3-5x/wk, resistance training 2-3x/wk

Mod-high intensity
75-80% of RM

150 min/wk mod intensity