Osteoporosis: prevention and personalized physiotherapy

  • Tiziana Bruna Nava | tiziananava.job@outlook.it Department of Translational Medicine and Surgery Program in Physical Therapy, University of Milano-Bicocca, Milano, Italy.


Osteoporosis is a systemic disease of the skeleton characterized by reduction and alteration of the qualitative bone mass, accompanied by an increased risk of fracture. Regardless of whether it is primitive regarding postmenopausal women and older people or secondary determined by many diseases and the assumption of some drugs, osteoporosis is a condition for which preventive measures are very important, as well as treatments according to a patient’s personal characteristics and age. Prevention must start early and be subsequently adapted to the various life cycles. The aim of this paper is to propose exercises with an evidence-based physiotherapy approach to the different age populations.



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Adami, S., Bertoldo, F., Brandi, M. L., Cepollaro, C., Filipponi, P., Fiore, E., Luisetto, G., Guidelines for the diagnosis, prevention and treatment of osteoporosis. Reumatismo 2009;260-284. https://doi.org/10.4081/reumatismo.2009.260 DOI: https://doi.org/10.4081/reumatismo.2009.260

NIH Consensus Development Panel on Osteoporosis Prevention, Diagnosis, and Therapy. Osteoporosis prevention, diagnosis, and therapy. JAMA 2001; 285(6):785-95. DOI: https://doi.org/10.1001/jama.285.6.785

Macdonald, H. M., Kontulainen, S. A., Khan, K. M., & McKay, H. A., Is a school‐based physical activity intervention effective for increasing tibial bone strength in boys and girls?. Journal of bone and mineral research, 2007, 22: 434-446. DOI: https://doi.org/10.1359/jbmr.061205

Jackowski, S. A., Kontulainen, S. A., Cooper, D. M., Lanovaz, J. L., Beck, T. J., & Baxter-Jones, A. D., Adolescent physical activity and bone strength at the proximal femur in adulthood. Medicine and science in sports and exercise, 2014, 46, 736-744. DOI: https://doi.org/10.1249/MSS.0000000000000154

Erlandson, M. C., Kontulainen, S. A., Chilibeck, P. D., Arnold, C. M., Faulkner, R. A., & Baxter‐Jones, A. D.. Higher premenarcheal bone mass in elite gymnasts is maintained into young adulthood after long‐term retirement from sport: a 14‐year follow‐up. Journal of bone and mineral research, 2012, 27(1), 104-110 DOI: https://doi.org/10.1002/jbmr.514

Janz, K. F., Burns, T. L., Levy, S. M., Torner, J. C., Willing, M. C., Beck, T. J., . & Marshall, T. A.. Everyday activity predicts bone geometry in children: the iowa bone development study. Medicine and science in sports and exercise 2004, 36(7), 1124-1131. DOI: https://doi.org/10.1249/01.MSS.0000132275.65378.9D

Maïmoun, L., Coste, O., Mariano-Goulart, D., Galtier, F., Mura, T., Philibert, P., & Sultan, C.. In peripubertal girls, artistic gymnastics improves areal bone mineral density and femoral bone geometry without affecting serum OPG/RANKL levels. Osteoporosis international 2011, 22(12), 3055-3066. DOI: https://doi.org/10.1007/s00198-011-1541-1

Farr, J. N., Blew, R. M., Lee, V. R., Lohman, T. G., & Going, S. B. (2011). Associations of physical activity duration, frequency, and load with volumetric BMD, geometry, and bone strength in young girls. Osteoporosis international, 22; 1419-1430. DOI: https://doi.org/10.1007/s00198-010-1361-8

Tan VP, Macdonald HM, Kim S, Nettlefold L, Gabel L, Ashe MC, McKay HA. Influence of physical activity on bone strength in children and adolescents: a systematic review and narrative synthesis. Journal of bone and mineral research. 2014;29(10):2161-81. DOI: https://doi.org/10.1002/jbmr.2254

Rossana C, Nogueira M, Benjamin K, et al. An in-school exercise intervention to enhance bone and reduce fat in girls: The CAPO Kids trial Bone. Elsevier Bone 2014; 92–99 DOI: https://doi.org/10.1016/j.bone.2014.08.006

Jensen, J., Lundin-Olsson, L., Nyberg, L., & Gustafson, Y., Fall and injury prevention in older people living in residential care facilities. Ann Intern Med, 2002 136(10), 733-741. DOI: https://doi.org/10.7326/0003-4819-136-10-200205210-00008

Shigematsu, R., Chang, M., Yabushita, N., Sakai, T., Nakagaichi, M., Nho, H., & Tanaka, K. Dance‐based aerobic exercise may improve indices of falling risk in older women. Age and ageing, 2002, 31, 261-266. DOI: https://doi.org/10.1093/ageing/31.4.261

Pekkarinen, T., Löyttyniemi, E., & Välimäki, M. Hip fracture prevention with a multifactorial educational program in elderly community-dwelling Finnish women. Osteoporosis International, 2013, 24, 2983-2992 DOI: https://doi.org/10.1007/s00198-013-2381-y

https://www.iofbonehealth.org/facts-statistics (14th June 2019).

Davis, J. C., Donaldson, M. G., Ashe, M. C., & Khan, K. M. The role of balance and agility training in fall reduction: a comprehensive review. European Journal of Physical and Rehabilitation Medicine, 2004, 40, 211.

Moreira LD, Oliveira ML, Lirani-Galvão AP, Marin-Mio RV, Santos RN, Lazaretti-Castro M. Physical exercise and osteoporosis: effects of different types of exercises on bone and physical function of postmenopausal women. Arq Bras Endocrinol Metabol. 2014; 58(5):514-22.

Pfeifer, M., Sinaki, M., Geusens, P., Boonen, S., Preisinger, E., Minne, H. W., & ASBMR Working Group on Musculoskeletal Rehabilitation. Musculoskeletal rehabilitation in osteoporosis: a review. Journal of bone and mineral research, 2004, 19:1208-1214. DOI: https://doi.org/10.1359/JBMR.040507

Gillespie, L. D., Gillespie, W. J., Robertson, M. C., Lamb, S. E., Cumming, R. G., & Rowe, B. H. Interventions for preventing falls in elderly people. Cochrane database of systematic reviews, 2003, (4). DOI: https://doi.org/10.1002/14651858.CD000340

Hita-Contreras, F., Martínez-Amat, A., Cruz-Díaz, D., & Pérez-López, F. R. Osteosarcopenic obesity and fall prevention strategies. Maturitas, 2015, 80(2), 126-132 DOI: https://doi.org/10.1016/j.maturitas.2014.11.009

MPQ MP, Questionnaire SF, Scale CP, Scale BP. Measures of adult pain. 2011; 63(S11):S240-52. DOI: https://doi.org/10.1002/acr.20543

Makras P, Vaiopoulos G, Lyritis GP. 2011 Guidelines for the Diagnosis and Treatment of Osteoporosis in Greece. J Musculoskelet Neuronal Interact 2012; 12(1):38-42.

Papaioannou A, Morin S, Cheung AM, Atkinson S, Brown JP, Feldman S, Hanley DA, Hodsman A, Jamal SA, Kaiser SM, Kvern B. 2010 clinical practice guidelines for the diagnosis and management of osteoporosis in Canada: summary. Cmaj 2010 ; 182(17):1864-73. DOI: https://doi.org/10.1503/cmaj.100771

http://jskm.ro/images/pdfs/31vol2/METHODOLOGY-OF-MEDICAL-RECOVERY-IN-OSTEOPOROSIS.pdf at 30/6/2019

Moreira LD, Oliveira ML, Lirani-Galvão AP, Marin-Mio RV, Santos RN, Lazaretti-Castro M. Physical exercise and osteoporosis: effects of different types of exercises on bone and physical function of postmenopausal women. Arquivos Brasileiros de Endocrinologia & Metabologia. 2014;58(5):514-22 DOI: https://doi.org/10.1590/0004-2730000003374

Short Communications
Osteoporosis, prevention, personalized physioterapy, group rehabilitation
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How to Cite
Nava, T. B. (2020). Osteoporosis: prevention and personalized physiotherapy. Beyond Rheumatology, 2(3), 83-88. https://doi.org/10.4081/br.2020.36