Treatment of vertebral fractures due to osteoporosis

2015 ◽  
Vol 24 (01) ◽  
pp. 7-10 ◽  
Author(s):  
M. Pfeifer ◽  
M. Sinaki
Keyword(s):  
Exercise Program ◽  
Therapeutic Exercise ◽  
Training Support ◽  
Axial Stability ◽  
Extensor Muscles ◽  
Therapeutic Exercises ◽  
Increase Risk ◽  
Risk Of Falls ◽  
Risk Of Fall

SummaryThe objective of exercise in the treatment of osteoporosis is to improve axial stability through strengthening of back extensor muscles. Therefore, a back extension exercise program specific to one’s musculoskeletal competence and pain can be performed in a sitting position and later advanced to the prone position. When fragility is resolved, back extension is performed against resistance applied to the upper back. A significant reduction in back pain, kyphosis, and risk of falls and an improvement in the level of physical activity have been achieved through the SPEED (Spinal Proprioceptive Extension Exercise Dynamic) program. In addition, the application of a “Posture Training Support” (PTS) using a backpack may decrease kyphosis and pain related not only to compression fractures but also reduce iliocostal friction. Therapeutic exercise should address osteo - porosis-related deformities of axial posture, which can increase risk of fall and fracture. Thus, the role of a therapeutic exercise program is to increase muscle strength safely, decrease immobility-related complications, and prevent fall and fracture. As with pharmacotherapy, therapeutic exercises are individualized.

scholarly journals Postural stability, risk of falls and fear of falling in elderly with diabetic neuropathy who do therapeutic exercises

2014 ◽  
Vol 21 (2) ◽  
pp. 127-132
Author(s):  
Hudson Azevedo Pinheiro ◽  
Karla Helena Coelho Vilaça ◽  
Gustavo de Azevedo Carvalho
Keyword(s):  
Diabetic Neuropathy ◽  
Postural Stability ◽  
Fear Of Falling ◽  
Control Group ◽  
Therapeutic Exercise ◽  
Disability Score ◽  
Eyes Closed ◽  
Therapeutic Exercises ◽  
Significant Difference ◽  
Risk Of Falls

This study aimed to analyze postural stability, the risk of falls and fear of falling in elderly with diabetic neuropathy (DNP) that perform therapeutic exercises. The authors conducted the screening of elderly patients with DNP using the instruments Neuropathy Symptom Score (NSS) and the Neuropathy Disability Score (NDS). The 50 selected patients were divided into two groups: 24 of G1 (who were performing therapeutic exercises) and 26 of G2 (the control group). To assess postural stability, risk of falls and fear of falling among groups used the pressure platform, the Berg Balance Scale (BBS) and the Falls Efficacy Scale (FES-I). There was no significant difference in the outcome of BBS scales (p=0.16) and FES-I (p=0.15) between the G1 and G2; by the pressure platform, we found differences between G1 and G2 in parameters path length (PL) and stability medio-lateral (ML), with both eyes closed (EC). Elderly people with DNP who perform therapeutic exercise have better stability and ML and PL with EC that sedentary elderly; however, there was no association with therapeutic exercise, risk of falls and fear of falling.

scholarly journals Therapeutic Exercise Training to Reduce Chronic Headache in Working Women: Design of a Randomized Controlled Trial

2016 ◽  
Vol 96 (5) ◽  
pp. 631-640 ◽  
Author(s):  
Marjo Rinne ◽  
Sanna Garam ◽  
Arja Häkkinen ◽  
Jari Ylinen ◽  
Katriina Kukkonen-Harjula ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Chronic Headache ◽  
Controlled Trial ◽  
Exercise Program ◽  
Cervicogenic Headache ◽  
Control Group ◽  
Neck Muscle ◽  
Therapeutic Exercise ◽  
Randomized Controlled ◽  
Therapeutic Exercises

Background Cervicogenic headache and migraine are common causes of visits to physicians and physical therapists. Few randomized trials utilizing active physical therapy and progressive therapeutic exercise have been previously published. The existing evidence on active treatment methods supports a moderate effect on cervicogenic headache. Objective The aim of this study is to investigate whether a progressive, group-based therapeutic exercise program decreases the intensity and frequency of chronic headache among women compared with a control group receiving a sham dose of transcutaneous electrical nerve stimulation (TENS) and stretching exercises. Design A randomized controlled trial with 6-month intervention and follow-up was developed. The participants were randomly assigned to either a treatment group or a control group. Setting The study is being conducted at 2 study centers. Patients The participants are women aged 18 to 60 years with chronic cervicogenic headache or migraine. Intervention The treatment group's exercise program consisted of 6 progressive therapeutic exercise modules, including proprioceptive low-load progressive craniocervical and cervical exercises and high-load exercises for the neck muscles. The participants in the control group received 6 individually performed sham TENS treatment sessions. Measurements The primary outcome is the intensity of headache. The secondary outcomes are changes in frequency and duration of headache, neck muscle strength, neck and shoulder flexibility, impact of headache on daily life, neck disability, fear-avoidance beliefs, work ability, and quality of life. Between-group differences will be analyzed separately at 6, 12, and 24 months with generalized linear mixed models. In the case of count data (eg, frequency of headache), Poisson or negative binomial regression will be used. Limitations The therapists are not blinded. Conclusions The effects of specific therapeutic exercises on frequency, intensity, and duration of chronic headache and migraine will be reported.

Prognostic role of myocardial work in patients with heart failure and reduced ejection fraction treated by sacubitril/valsartan

2020 ◽  
Vol 41 (Supplement_2) ◽  
Author(s):  
E Galli ◽  
Y Bouali ◽  
C Laurin ◽  
A Gallard ◽  
A Hubert ◽  
...  
Keyword(s):  
Heart Failure ◽  
Ejection Fraction ◽  
Rank Test ◽  
Reduced Ejection Fraction ◽  
Non Invasive ◽  
Patients With Heart Failure ◽  
Increase Risk ◽  
Echocardiographic Examination ◽  
Constructive Work

Abstract Background The non-invasive assessment of myocardial work (MW) by pressure-strain loops analysis (PSL) is a relative new tool for the evaluation of myocardial performance. Sacubitril/Valsartan is a treatment for heart failure with reduced ejection fraction (HFrEF) which has a spectacular effect on the reduction of cardiovascular events (MACEs). Purposes of this study were to evaluate 1) the short and medium term effect of Sacubitril/Valsartan treatment on MW parameters; 2) the prognostic value of MW in this specific group of patients. Methods 79 patients with HFrEF (mean age: 66±12 years; LV ejection fraction: 28±9%) were prospectively included in the study and treated with Sacubitril/Valsartan. Echocardiographic examination was performed at baseline, and after 6- and 12-month of therapy with Sacubitril/Valsartan. Results Sacubitril/Valsartan significantly increased global myocardial constructive work (CW) (1023±449 vs 1424±484 mmHg%, p<0.0001) and myocardial work efficiency (WE) [87 (78–90) vs 90 (86–95), p<0.0001]. During FU (2.6±0.9 years), MACEs occurred in 13 (16%) patients. After correction for LV size, LVEF and WE, CW was the only predictor of MACEs (Table 1). A CW<910 mmHg (AUC=0.81, p<0.0001, Figure 1A) identified patients at particularly increase risk of MACEs [HR 11.09 (1.45–98.94), p=0.002, log-rank test p<0.0001] (Figure 1 B). Conclusions In patients with HFrEF who receive a comprehensive background beta-blocker and mineral-corticoid receptor antagonist therapy, Sacubitril/Valsartan induces a significant improvement of myocardial CW and WE. In this population, the estimation of CW before the initiation of Sacubitril/Valsartan therapy allows the prediction of MACEs. Funding Acknowledgement Type of funding source: None

scholarly journals The Role of Hip Abductor Strength in Identifying Older Persons at Risk of Falls: A Diagnostic Accuracy Study

2020 ◽  
Vol Volume 15 ◽  
pp. 645-654 ◽  
Author(s):  
Simone Chantal Gafner ◽  
Caroline Henrice Germaine Bastiaenen ◽  
Serge Ferrari ◽  
Gabriel Gold ◽  
Andrea Trombetti ◽  
...  
Keyword(s):  
At Risk ◽  
Diagnostic Accuracy ◽  
Older Persons ◽  
Diagnostic Accuracy Study ◽  
Risk Of Falls ◽  
Hip Abductor ◽  
Accuracy Study ◽  
Abductor Strength

scholarly journals Change in Knee Cartilage Volume in Individuals Completing a Therapeutic Exercise Program for Knee Osteoarthritis

2011 ◽  
Vol 41 (10) ◽  
pp. 708-722 ◽  
Author(s):  
Jason D. Woollard ◽  
Alexandra B. Gil ◽  
Patrick Sparto ◽  
C. Kent Kwoh ◽  
Sara R. Piva ◽  
...  
Keyword(s):  
Knee Osteoarthritis ◽  
Exercise Program ◽  
Cartilage Volume ◽  
Therapeutic Exercise ◽  
Knee Cartilage

The approach to patients with cognitive impairment and hip fracture: the role of orthogeriatric care

2014 ◽  
Vol 24 (3) ◽  
pp. 219-227 ◽  
Author(s):  
Francisco J Tarazona-Santabalbina ◽  
Juan R Doménech-Pascual ◽  
Ángel Belenguer-Varea A ◽  
Eduardo Rovira Daudi
Keyword(s):  
Cognitive Impairment ◽  
Hip Fracture ◽  
Functional Recovery ◽  
Functional Outcomes ◽  
Older Patients ◽  
Future Research ◽  
Research Perspectives ◽  
Increased Risk ◽  
Risk Of Falls

SummaryHip fracture is very common among older patients, who are characterized by increased co-morbidities, including cognitive impairment. These patients have an increased risk of falls and fractures, poorer functional recovery and lower survival both in hospital and 12 months after discharge. We review the survival and functional outcomes of older patients with cognitive impairment and hip fracture managed in orthogeriatric units, and highlight the gaps in our knowledge of the efficacy and efficiency of specific orthogeriatric programmes for such patients and the future research perspectives in this field.

Principles and Practices of Therapeutic Exercises

PEDIATRICS ◽  
1950 ◽  
Vol 6 (5) ◽  
pp. 825-825
Keyword(s):  
Clinical Application ◽  
Clinical Applications ◽  
Therapeutic Exercise ◽  
Physical Medicine ◽  
Therapeutic Exercises

In the field of physical medicine there is need for a book which will outline the principles underlying therapeutic exercise, and which will give definite examples of their clinical application. The physiologic foundation for many of the clinical applications of exercises is not too firm, so that a book which would be able to relate the principles of exercise to the fundamental underlying physiologic principles would be a most valuable one. The author attempts to do this in the first part of this book, which is called "Fundamental Working Principles."

Abstract P344: Statin Therapy Does not Increase the Risk for a Medically-Treated Fall

Circulation ◽  
2013 ◽  
Vol 127 (suppl_12) ◽  
Author(s):  
Stacey Knight ◽  
Heidi T May ◽  
Benjamin D Horne ◽  
Jeffrey L Anderson ◽  
Joseph B Muhlestein
Keyword(s):  
Fall Risk ◽  
Cox Regression ◽  
Collaborative Study ◽  
Cox Regression Analysis ◽  
Association Testing ◽  
Increase Risk ◽  
Statin Prescription ◽  
Risk Of Falls ◽  
Univariate Analyses ◽  
Statin Use

Background: It has been suggested that taking statins may increase the risk of a fall due to myopathy. However, studies have reported contradictory evidence regarding the association between statin use and fall risk. The purpose of this study was to determine whether taking statins increases the risk of falls in patients undergoing a coronary angiography. Methods: The study population was a subset subjects from the Intermountain Heart Collaborative Study (n=1011). A subject was considered as taking statins if they were discharged with statins and had record of a filled statin prescription (n=810); they were considered as not taking statins if they had no prior statin use, were not discharged with statins, and had no record of a filled statin prescription (n=203). Electronic medical records were queried to determined medically treated falls (ICD-9: E8850-E8869; E888x) within 5 years of their angiography. Univariate association testing between falls and cardiovascular medications, co-morbidities, and demographic factors were done. Multivariate Cox regression analysis was used to test the association between statin use and fall risk while adjusting for the other factors found to be associated with fall risk in the univariate analyses. Results: Of the 1011 subjects, 112 (11%) had at least one medically-treated fall within 5 years. In the univariate analyses, statin use (p=0.024), age (p<0.001), sex (p=0.001), hypertension (p=0.040), diabetes (p<0.001), history of atrial fibrillation (AF) (p<0.001), and coumadin use (p=0.009) were associated with falls. Even after adjustment by other risk factors, statin use was associated with a decrease risk of a fall (HR=0.62; 0.40, 0.94). The factors conferring the most risk of a fall were diabetes, AF, and age (Table 1). Conclusions: Statin use was associated with a 1.6-fold decreased risk for a medically-treated fall. This suggests that clinicians may not need to caution patients taking statins regarding an increase risk of falls.

Role of oxygen in the production of human decompression sickness

1987 ◽  
Vol 63 (6) ◽  
pp. 2380-2387 ◽  
Author(s):  
P. K. Weathersby ◽  
B. L. Hart ◽  
E. T. Flynn ◽  
W. F. Walker
Keyword(s):  
Dose Response ◽  
Response Curve ◽  
Decompression Sickness ◽  
Animal Experiments ◽  
Inert Gases ◽  
Relative Risks ◽  
Data Variability ◽  
Increase Risk ◽  
High O2

In the calculation of decompression schedules, it is commonly assumed that only the inert gas needs to be considered; all inspired O2 is ignored. Animal experiments have shown that high O2 can increase risk of serious decompression sickness (DCS). A trial was performed to assess the relative risks of O2 and N2 in human no-decompression dives. Controlled dives (477) of 30- to 240-min duration were performed with subjects breathing mixtures with low (0.21–0.38 ATA) or high (1.0–1.5 ATA) Po2. Depths were chosen by a sequential dose-response format. Only 11 cases of DCS and 18 cases of marginal symptoms were recorded despite exceeding the presently accepted no-decompression limits by greater than 20%. Analysis by maximum likelihood showed a shallow dose-response curve for increasing depth. O2 was estimated to have zero influence on DCS risk, although data variability still allows a slight chance that O2 could be 40% as effective as N2 in producing a risk of DCS. Consideration of only inert gases is thus justified in calculating human decompression tables.

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