Osteoporosis CAT Flashcards
1
Q
What is osteoporosis?
A
- A metabolic bone disorder
- Rate of bone resorption accelerates while rate of bone formation slows
- Leads to reduction in bone density
2
Q
Classification of primary osteoporosis
A
- Idiopathic osteoporosis
- Involutional (senile) osteoporosis
- Postmenopausal osteoporosis
3
Q
Classification of secondary osteoporosis
A
Occurs due to a primary disease process or as a result of taking certain meds
4
Q
Which kind of bone is usually affected by osteoporosis?
A
Trabecular bone, but can be seen in cortical bone as well in geriatric populations
5
Q
Which bones are most susceptible to fracture?
A
- Vertebrae
- Distal radius/ulna
- Femoral neck
6
Q
Contributing factors for primary osteoporosis
A
- Inadequate dietary calcium
- Smoking
- Excessive caffeine
- High intake of alcohol or salt
- Small stature
- Caucasian
- Inactive lifestyle
- Family history
7
Q
Contributing factors for secondary osteoporosis
A
- Prolonged drug therapies w/ heparin or corticosteroids
- Endocrine disorders
- Malnutrition
- Other disease processes
8
Q
Demographics for osteoprosis
A
Postmenopausal
- Women 50-60 y/o
Senile
- 70+
9
Q
Clinical presentation of osteoporosis
A
- Low thoracic or lumbar pain
- Hx of compression fx in spine
- Back pain
- Fx w/ little to no pressure
- Kyphosis, Dowager’s hump
- Decrease in height
10
Q
Labs/imaging for osteoporosis
A
- X-ray
- Photon absorptiometry
11
Q
Management of osteoporosis
A
- Vitamin and pharm supplements
- Proper nutrition
- Education
- PT
- Hormone replacement
12
Q
What supplements may be used for osteoporosis?
A
- Calcium
- Vitamin D
- Raloxifene
- Fosamax
13
Q
PT intervention for osteoporosis
A
- Exercise
- Position
- Pain management
- Nutrition
- Fall prevention
- Education
- Corset/lumbar support
- Aquatic therapy (for conditioning, should NOT replace WB activities)
