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KMID : 1024720160060010027
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Geriatric Rehabilitation
2016 Volume.6 No. 1 p.27 ~ p.34
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Exercise in Osteoporosis
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Lee Ho-Jun
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Abstract
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Osteoporosis is a prevalent health concern among older adults and is associated with an increased risk of falls. The prevention of fall and fracture is the essential of management of the osteoporosis. Combining pharmacotherapy with non-pharmacologic therapy is fundamental to the successful treatment of osteopenia and osteoporosis. Exercise is a part of the comprehensive management of patients with osteoporosis and has been associated with improvement of quality of life and lowered risk of future fracture. Various types of exercises should be considered and prescription of exercise according to individual situations. Aerobic exercise with impact activity is usually considered to improve bone density. For osteoporotic subjects combined exercise with aerobic exercise of low or mid intensity impact and resistance exercise is suggest to be most effective exercise type for improvement of bone density. If old patient can’t perform impact exercise aquatic exercise including high intensity resistance exercise should be considered. The strengthening of spinal extensor muscle, control of spinal mal-alignment including posture re-education and balance exercise are helpful to improve balance and reduce the risk of fall. Multicomponent exercise program including resistance and balance training can be recommended for individuals with osteoporosis or osteoporotic vertebral fracture. Osteogenic exercises and rehabilitation interventions need to be individualized.
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KEYWORD
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Bone density, Exercise, Extensor, Fall, Osteoporosis
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FullTexts / Linksout information
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