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Rehabilitative approach in patients with vertebral fragility fracture

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Abstract

Osteoporosis is a skeleton disease characterized by low bone mineral density and deterioration of bone tissue, resulting in an increased risk of fragility fracture. Osteoporotic vertebral fractures are recognized as a significant health problem particularly in older people with an impact on the quality of life, mobility and mortality. A well-timed diagnosis and treatment is necessary in preventing further vertebral fracture and their consequences. Exercise alone or as part of physical therapy management is often recommended as a non-pharmacological intervention. The exercise protocols, designed specifically for individuals with vertebral fracture, should include postural correction, trunk and lower extremity muscle strengthening, balance exercises and falls prevention program. The aim of this short communication is to examine the rationale of a rehabilitation protocol after a vertebral fracture.

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References

  1. Bennell KL, Matthews B, Greig A, Briggs A, Kelly A, Sherburn M et al (2010) Effects of an exercise and manual therapy program on physical impairments, function and quality-of-life in people with osteoporotic vertebral fracture: a randomised, single-blind controlled pilot trial. BMC Musculoskelet Disord 17(11):36

    Article  Google Scholar 

  2. World Health Organization. Who scientific group on the assessment of osteoporosis at primary health care level summary meeting report. Brussels, Belgium, May 2004

  3. Kanis JA, Johnell O, Oden A, Dawson A, De Laet C, Jonsson B (2001) Ten year probabilities of osteoporotic fractures according to BMD and diagnostic thresholds. Osteoporos Int 12(12):989–995

    Article  PubMed  CAS  Google Scholar 

  4. Bessette L, Ste-Marie LG, Jean S et al (2008) The care gap in diagnosis and treatment of women with a fragility fracture. Osteoporos Int 19(1):79–86

    Article  PubMed  CAS  Google Scholar 

  5. Johnell O, Kanis JA (2006) An estimate of the worldwide prevalence and disability associated with osteoporotic fractures. Osteoporosis Int 17(12):1726–1733

    Article  CAS  Google Scholar 

  6. European Prospective Osteoporosis Study (EPOS) Group (2002) Incidence of vertebral fracture in Europe: results from the European Prospective Osteoporosis Study (EPOS). J Bone Miner Res 17(4):716–724

    Article  Google Scholar 

  7. Papaioannou A, Kennedy CC, Ioannidis G et al (2009) The impact of incident fractures on health-related quality of life: 5 years of data from the Canadian Multicentre Osteoporosis Study. Osteoporos Int 20(5):703–714

    Article  PubMed  CAS  Google Scholar 

  8. Wiktorowicz ME, Goeree R, Papaioannou A et al (2001) Economic implications of hip fracture: health service use, institutional care and cost in Canada. Osteoporos Int 12(4):271–278

    Article  PubMed  CAS  Google Scholar 

  9. Lindsay R, Silverman SL, Cooper C et al (2001) Risk of new vertebral fracture in the year following a fracture. JAMA 285(3):320–323

    Article  PubMed  CAS  Google Scholar 

  10. Lunt M, O’Neill TW, Felsenberg D et al (2003) Characteristics of a prevalent vertebral deformity predict subsequent vertebral fracture: results from the European prospective osteoporosis study (EPOS). Bone 33(4):505–513

    Article  PubMed  Google Scholar 

  11. Huang MH, Barrett-Connor E, Greendale GA, Kado DM (2006) Hyperkyphotic posture and risk of future osteoporotic fractures: the Rancho Bernardo study. J Bone Miner Res 21(3):419–423

    Article  PubMed  Google Scholar 

  12. Mazess RB, Barden H, Mautalen C et al (1994) Normalization of spine densitometry. J Bone Miner Res 9:541–548

    Article  PubMed  CAS  Google Scholar 

  13. Vega E, Ghiringhelli G, Mautalen C et al (1998) Bone mineral density and bone size in men with primary osteoporosis and vertebral fractures. Calcif Tissue Int 62(5):465–469

    Article  PubMed  CAS  Google Scholar 

  14. Duan YB, Parfitt AM, Seeman E (1999) Vertebral bone mass, size, and volumetric density in women with spinal fractures. J Bone Miner Res 14(10):1796–1802

    Article  PubMed  CAS  Google Scholar 

  15. Briggs AM, Greig AM, Wark JD (2007) The vertebral fracture cascade in osteoporosis: a review of aetiopathogenesis. Osteoporos Int 18(5):575–584

    Article  PubMed  CAS  Google Scholar 

  16. Briggs AM, Greig AM, Bennell KM, Hodges PW (2007) Paraspinal muscle control in people with osteoporotic vertebral fracture. Eur Spine J 16(8):1137–1144

    Article  PubMed  Google Scholar 

  17. Dixon WG, Lunt M, Pye SR et al (2005) Low grip strength is associated with bone mineral density and vertebral fracture in women. Rheumatology 44(5):642–646

    Article  PubMed  CAS  Google Scholar 

  18. Graafmans WC, Ooms ME, Hofstee HMA, Bezemer PD, Bouter LM, Lips P (1996) Falls in the elderly: a prospective study of risk factors and risk profiles. Am J Epidemiol 143:1129–1136

    Article  PubMed  CAS  Google Scholar 

  19. Longo UG, Loppini M, Denaro L, Maffulli N, Denaro V (2012) Conservative management of patients with an osteoporotic vertebral fracture: a review of the literature. J Bone Joint Surg Br 94(2):152–157

    PubMed  CAS  Google Scholar 

  20. Bonner FJ Jr et al (2003) Health professional’s guide to rehabilitation of the patient with osteoporosis. Osteporos Int 14(Suppl 2):S1–S22

    Article  Google Scholar 

  21. Malmros B et al (1998) Positive effect of physiotherapy on chronic pain and performance in osteoporosis. Osteoporos Int 8:215–221

    Article  PubMed  CAS  Google Scholar 

  22. Sinaki M et al (2002) Stronger back muscles reduce the incidence of vertebral fractures: a prospective 10 year follow-up of postmenopausal women. Bone 30(6):836–841

    Article  PubMed  CAS  Google Scholar 

  23. Papaioannou A et al (2003) Efficacy of home-based exercise for improving quality of life among elderly women with symptomatic osteoporosis-related vertebral fractures. Osteoporosis Int 14(8):677–682

    Article  CAS  Google Scholar 

  24. Pratelli E et al (2010) Rehabilitation in osteoporotic vertebral fractures. Clin Cases Miner Bone Metab 7(1):45–47

    PubMed  Google Scholar 

  25. Dusdal K, Grundmanis J, Luttin K, Ritchie P, Rompre C, Sidhu R, Harris SR (2011) Effects of therapeutic exercise for persons with osteoporotic vertebral fractures: a systematic review. Osteoporos Int 22(3):755–769

    Article  PubMed  CAS  Google Scholar 

  26. Schlaich C, Minne HW, Bruckner T, Wagner G, Gebest HJ, Grunze M, Ziegler R, Leidig-Bruckner G (1998) Reduced pulmonary function in patients with spinal osteoporotic fractures. Osteoporos Int 8:261–267

    Article  PubMed  CAS  Google Scholar 

  27. Sinaki M, Mikkelsen BA (1984) Postmenopausal spinal osteoporosis: flexion versus extension exercises. Arch Phys Med Rehabil 65(10):593–596

    PubMed  CAS  Google Scholar 

  28. Giangregorio LM, Macintyre NJ, Thabane L, Skidmore CJ, Papaioannou A (2013) Exercise for improving outcomes after osteoporotic vertebral fracture. Cochrane Database Syst Rev 31:1

    Google Scholar 

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Conflict of interest

On behalf of all authors, the corresponding author states that there is no conflict of interest.

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Authors and Affiliations

  1. Department of Medical and Surgical Specialties and Dentistry, Second University of Naples, Naples, Italy

    I. Riccio, A. Tirelli, F. Gimigliano, G. Iolascon & R. Gimigliano

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  1. I. Riccio
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  2. A. Tirelli
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  3. F. Gimigliano
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  4. G. Iolascon
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  5. R. Gimigliano
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Corresponding author

Correspondence to I. Riccio.

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Riccio, I., Tirelli, A., Gimigliano, F. et al. Rehabilitative approach in patients with vertebral fragility fracture. Aging Clin Exp Res 25 (Suppl 1), 109–111 (2013). https://doi.org/10.1007/s40520-013-0113-y

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  • DOI: https://doi.org/10.1007/s40520-013-0113-y

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