Osteoperosis Flashcards
mc clinical manifestations of osteoperosis
fx of hip, vert, wrist
with increasing incidence w age
LIFTMOR trial of women doing HiRIT or home based low intensity exercise results
improved bone strength + functional performance
massive benefits of resistance trying as we age
what exercise programs are prob the best for osteoperosis prevention
Higher dose, multiple exercises and resistance exercise
60+ minites, 2-3x/week for 7months at least
What constitutes thoracic hyperkyphosis
excessive anteroom-post curvature of thoracic spine of >40
-angle usually increases w age (9degrees per decade)
mc femles>males
What is sheurmans disease
jeuinile hyperhyphscs
-defect in vert body broth plate resulting in weakened vertebral body causing waging
What is postural kyphossis
most frequent form, no vertebra deformities visible
thoracic hyperkyphosis tx
low to mod evidence that structured exercise programs of 3m duration is effective in reducing thoracic hyperkyphosis in young and old
SHIEF study for improving cobb angle results
spine strengthening exercise or postural training was better than health education
What is the lifetime rate of chiro for older inv
20.3% lifetime utilization
what % of people over 65 does oa effect
80%
global prev of 12-21%
who do people with oa seek
67% GP
40% allied health
35% CAM
20% all 3
Effect of obesity on the jt
may be metabolically driven inflammation (produces inflammatory molecules like cytokines, adipokines etc)
core tx for OA (hip/knee)
Arthritis education
structured land based exercise programs with or without dietary weight management
Topical NSAIDs recomene
other pharma for oa
COX 2 inhibitors
NSAIDS w proton pump inhibitors
Paracetamol conditionally not recommended
what does the GLAD program consist of
2x education sessions an 12x group ex sessions delievered over 6 weeks
