Alternative Special Topics: Innovations · 21. Watts NB, Camacho PM, Harris ST, et al. Ameri-can...

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Independent Study Course 25.3.4 Alternative Special Topics: Evaluation and Treatment of the Patient with Low Bone Mass and Osteoporosis Cynthia Watson, PT, DPT, OCS Owner, Bonebuilders Greer, South Carolina Orthopaedic Section, APTA, Inc. Downloaded from www.orthoptlearn.org at the Orthopaedic Section on September 26, 2018. For personal use only. No other uses without permission. Copyright © 2015 Orthopaedic Section, APTA, Inc. All rights reserved.

Transcript of Alternative Special Topics: Innovations · 21. Watts NB, Camacho PM, Harris ST, et al. Ameri-can...

Page 1: Alternative Special Topics: Innovations · 21. Watts NB, Camacho PM, Harris ST, et al. Ameri-can Association of Clinical Endocrinologists Medi-cal Guidelines for Clinical Practice

Independent Study Course 25.3.4

InnovationsInnovationsInnovationsInnovationsInnovationsInnovationsInnovationsInnovationsInnovationsInnovationsin Practicein Practicein Practicein Practicein Practice

Alternative Special Topics:

Evaluation and Treatment of the Patient with Low Bone Mass and Osteoporosis

Cynthia Watson, PT, DPT, OCSOwner, BonebuildersGreer, South Carolina

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Page 2: Alternative Special Topics: Innovations · 21. Watts NB, Camacho PM, Harris ST, et al. Ameri-can Association of Clinical Endocrinologists Medi-cal Guidelines for Clinical Practice

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1. Riggs BL, Melton LJ 3rd. The worldwide problemof osteoporosis: insights afforded by epidemiology.Bone. 1995;17(5 Suppl):505S-511S.

2. Kannus P. Preventing osteoporosis, falls, and frac-tures among elderly people. BMJ. 1999;318:205-206.

3. National Osteoporosis Foundation. http://nof.org/articles/4. Accessed June 25, 2014.

4. NIH consensus development panel on osteopo-rosis prevention, diagnosis, and therapy. JAMA.2001;285(6):785-795.

5. Nelson ME, Fiatarone MA, Morganti CM, Trice I,Greenberg RA, Evans WJ. Effects of high-intensitystrength training on multiple risk factors for oste-oporotic fractures. A randomized controlled trial.JAMA. 1994;272(24):1909-1914.

6. Heinonen A, Kannus P, Sievanen H, et al. Ran-domised controlled trial of effect of high-impactexercise on selected risk factors for osteoporoticfractures. Lancet. 1996;348(9038):1343-1347.

7. Singer AJ, Boonen S. Osteoporosis management:translating research into optimal fracture protec-tion II. Curr Med Res and Opin. 2008;24(6):1789-1796. doi: 10.1185/03007990802115887.

8. Lim SS, Hoeksema LJ, Sherin K. ACPM PreventionPractice Committee. Screening for osteoporo-sis in the adult U.S. population: ACPM positionstatement on preventive practice. Am J PrevMed. 2009;36(4):366-375. doi: 10.1016/j.ame-pre.2009.01.013.

9. Raisz LG. Physiology and pathophysiology of boneremodeling. Clin Chem. 1999;45(8B):1353-1358.

10. Kanis JA, Melton LJ, Christiansen C, Johnston CC,Khaltaev N. The diagnosis of osteoporosis. J BoneMiner Res. 1994;9(8):1137-1141.

11. Dawson-Hughes B, Tosteson AN, Melton LJ, etal. Implications of absolute fracture risk assess-ment for osteoporosis practice guidelines in theUSA. Osteoporos Int. 2008;19(4):449-458. doi:10.1007/s00198-008-0559-5.

12. Pasco JA, Seeman E, Henry MJ, Merriman EN,Nicholson GC, Kotowicz MA. The populationburden of fractures originates in women withosteopenia, not osteoporosis. Osteoporos Int.2006;17:1404-1409.

13. Sanders KM, Nicholson GC, Watts JJ, et al. Halfthe burden of fragility fractures in the communi-ty occur in women without osteoporosis. Bone.2006;38:694-700.

14. Hui SL, Slemenda CW, Johnston CC. Age andbone mass as predictors of fracture in a prospec-tive study. J Clin Invest. 1988;81:1804-1809.

15. Bonjour P, Clark P, Cooper C, et al. Assessmentof osteoporosis at the primary care level. WHOtechnical report series. Geneva: World HealthOrganization; 2007.

16. Kanis JA. Diagnosis of osteoporosis and assessmentof fracture risk. Lancet. 2002;359:1929-1936.

17. National Osteoporosis Foundation. Clinician’sGuide to Prevention and Treatment of Osteopo-

REFERENCES

Ort

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Sec

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APT

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org

at th

e O

rtho

paed

ic S

ectio

n on

Sep

tem

ber

26, 2

018.

For

per

sona

l use

onl

y. N

o ot

her

uses

with

out p

erm

issi

on.

Cop

yrig

ht ©

201

5 O

rtho

paed

ic S

ectio

n, A

PTA

, Inc

. All

righ

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eser

ved.

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29

rosis. Washington, DC: National Osteoporosis Foundation; 2014.

18. Raisz LG. Osteoporosis: Current approaches and future prospects in diagnosis, pathogenesis and management. J Bone Miner Metab. 1999;17:79-89.

19. Rizzoli R, Bonjour J-P, Ferrari SL. Review: osteo-porosis genetics and hormones. J Mol Endocrinol. 2001;26:79-84.

20. Parsons JT, Prentice A, Smith EA, Cole TJ, Comp-ston JE. Bone mineral mass consolidation in young British adults. J Bone Miner Res. 1996;11:264-274.

21. Watts NB, Camacho PM, Harris ST, et al. Ameri-can Association of Clinical Endocrinologists Medi-cal Guidelines for Clinical Practice for the diagno-sis and treatment of postmenopausal osteoporosis. Endocr Pract. 2010;16(Suppl 3):1-37.

22. Lin JT, Lane JM. Osteoporosis: A review. Clin Orthop Relat Res. 2004;425:126-134.

23. U.S. Department of Health and Human Services. Bone Health and Osteoporosis: A Report of the Surgeon General. Rockville, MD: U.S. Department of Health and Human Services, Office of the Sur-geon General; 2004.

24. Kaplan RJ, Vo AN, Stitik TP, et al. Rehabilitation of orthopedic and rheumatologic disorders: osteo-porosis assessment, treatment and rehabilitation. Arch Phys Med Rehabil. 2005;86(3 Suppl 1):S40-47.

25. Lindsay R, Silverman SL, Cooper C, et al. Risk of new vertebral fracture in the year following a fracture. JAMA. 2001;285:320-323.

26. Burge R, Dawson-Hughes B, Solomon DH, et al. Incidence and economic burden of osteoporo-sis-related fractures in the United States, 2005-2025. Bone Miner Res. 2007;22:465-475.

27. Kanis JA, McClosky EV, Johansson H, et al. Devel-opment and use of FRAX in osteoporosis. Osteo-porosis Int. 2010;(21Suppl)2:S407-413.

28. Lewiecki EM. Managing osteoporosis challenges and strategies. Cleve Clin J Med. 2009;76(8):457-456. doi: 10.3949/ccjm.76a.09019.

29. Parkkari J, Kannus P, Palvanen M, Natri A, et al. Majority of hip fractures occur as a result of a fall and impact on the greater trochanter of the femur: a prospective controlled hip fracture study with 206 consecutive patients. Calcif Tissue Int. 1999;65:183–187.

30. Downey PA, Perry SB, Anderson JM. Screening postmenopausal women for fall and fracture prevention. J Geriatr Phys Ther. 2013;36:138-145. doi:10.1519/JPT.0b013e31827bc497.

31. Rodan GA, Martin TJ. Therapeutic approaches to bone diseases. Science. 2000;289:1508-1514.

32. Khosla S, Riggs B. Pathophysiology of age-related

bone loss and osteoporosis. Endocrinol Metab Clin N Am. 2005;34:1015-1030.

33. Daniels CE. Estrogen therapy for osteoporosis prevention in postmenopausal women. Pharmacy Update-NIH. 2001;March/April.

34. Barak MM, Lieberman DE, Hublin JJ. A Wolff in sheep’s clothing: trabecular bone adaptation in response to changes in joint loading orienta-tion. Bone. 2011;49:1141-1151. doi: 10.1016/j.bone.2011.08.020.

35. Wolff J. The Law of Transformation of Bones. Ber-lin: Hirshwald; 1892.

36. Lanyon LE. Using functional loading to influence bone mass and architecture: objectives, mech-anisms, and relationship with estrogen of the mechanically adaptive process in bone. Bone. 1996;18(1 Suppl):37S-43S.

37. Borer KT, Fogelman K, Gross M, La New JM, Dengel D. Walking intensity for postmenopausal bone mineral preservation and accrual. Bone. 2007;41:713-721.

38. Simkin A, Ayalon J, Leichter I. Increased trabec-ular bone density due to bone-loading exercises in postmenopausal osteoporotic women. Calcif Tissue Int. 1987;40:59-63.

39. Kerr D, Morton A, Dick I, Prince R. Exercise effects on bone mass in postmenopausal women are site-specific and load dependent. J Bone Miner Res. 1996;11(2):218-225.

40. Todd JA, Robinson RJ. Osteoporosis and exercise. Postgrad Med J. 2003;79:320-323.

41. Kelley GA, Kelley KS, Tran ZV. Resistance training and bone mineral density in women: a meta-anal-ysis of controlled trials. Am J Phys Med Rehabil. 2001;80:65-77.

42. NIH Consens Dev Conf Consens Statement Osteo-porosis. 1984 Apr 2-4;5(3):1-6.

43. Committee to Review Dietary Reference Intakes for Vitamin D and Calcium, Food and Nutrition Board, Institute of Medicine. Dietary Reference Intakes for Calcium and Vitamin D. Washington, DC: National Academy Press; 2010.

44. Bonner FJ Jr., Sinaki M, Grabois M, et al. Health professional’s guide to rehabilitation of the patient with osteoporosis. Osteoporos Int. 2003;14(Suppl 2):S1-22.

45. Nelson ME, Fisher EC, Dilmanian FA, Dallal GE, Evans WJ. A 1-y walking program and increased dietary calcium in postmenopausal women: effects on bone. Am J Clin Nutr. 1991;53:1304-1311.

46. National Institutes of Health: Office of Dietary Supplements. http://ods.od.nih.gov/factsheets/Calcium-HealthProfessional/. Accessed April 24, 2014.

47. Heller H J, Greer LG, Haynes SD, Poindexter JR,

Ort

hopa

edic

Sec

tion,

APT

A, I

nc.

Dow

nloa

ded

from

ww

w.o

rtho

ptle

arn.

org

at th

e O

rtho

paed

ic S

ectio

n on

Sep

tem

ber

26, 2

018.

For

per

sona

l use

onl

y. N

o ot

her

uses

with

out p

erm

issi

on.

Cop

yrig

ht ©

201

5 O

rtho

paed

ic S

ectio

n, A

PTA

, Inc

. All

righ

ts r

eser

ved.

Page 4: Alternative Special Topics: Innovations · 21. Watts NB, Camacho PM, Harris ST, et al. Ameri-can Association of Clinical Endocrinologists Medi-cal Guidelines for Clinical Practice

30

Pak CY. Pharmacokinetic and pharmacodynam-ic comparison of two calcium supplements in postmenopausal women. J Clin Pharmacol. 2000; 40(11):1237-1244.

48. Heaney RP, Dowell MS, Bierman, JB, Hale CA, Bendich A. Absorbability and cost effectiveness in calcium supplementation. J Am College Nutrition. 2001;20(3):239-246.

49. National Osteoporosis Foundation. http://nof.org/articles/10#CALCIUM. Accessed April 29, 2014.

50. Prentice RL, Pettinger MB, Jackson RD, et al. Health risks and benefits from calcium and vitamin D supplementation: Women’s Health Initiative clinical trial and cohort study. Osteoporos Int. 2013;24:567-580. doi: 10.1007/s00198-012-2224-2.

51. National Institutes of Health: Office of Dietary Supplements http://ods.od.nih.gov/factsheets/Vi-taminD-HealthProfessional/. Accessed April 24, 2014.

52. Sunyecz JA. The use of calcium and vitamin D in the management of osteoporosis. Ther Clin Risk Manag. 2008;4(4):827-836.

53. Avenell A, Mak JCS, O’Connell D. Vitamin D and related vitamin D compounds for preventing fractures resulting from osteoporosis in older people. Cochrane Database Syst Rev. 2014;4:CD000227. doi: 10.1002/14651858.CD000227.pub4.

54. Jackson RD, LaCroiz AZ, Gass M, et al. Calcium plus vitamin D supplementation and the risk of fractures. N Engl J Med. 2006;354:669-683.

55. Lamb SE, Jorstad-Stein EC, Hauer K, et al. Devel-opment of a common outcome data set for fall injury prevention trials: the Prevention of Falls Network Europe concensus. J Am Geriatric Soc. 2005;53(9):1618-1622.

56. American Geriatric Society Panel of Falls Preven-tion. Guideline for the prevention of falls in older persons. JAGS. 2001;49:664-672.

57. Shumway-Cook A, Brauer S, Woollacott M. Predicting the probability for falls in communi-ty-dwelling older adults using the timed up & go test. Phys Ther. 2000;80(9):896-903.

58. Tinetti ME, Speechley M, Ginter SF. Risk factors for falls among elderly persons living in the communi-ty. N Engl J Med. 1988;319:1701-1707.

59. Handy RC, Baim S, Broy SB, et al. Algorithm for the management of osteoporosis. South Med J. 2010;103(10):1009-1015. doi: 10.1097/SMJ.0b013e3181f0e8d6.

60. Lundon KM, Li AM, Bibershtein S. Interrater and intrarater reliability in the measurement of kypho-sis in postmenopausal women with osteoporosis. Spine. 1988;23(18):1878-1985.

61. Chow RK, Harrison JE. Relationship of kyphosis to physical fitness and bone mass in postmenopausal

women. Am J Phys Med. 1987;66:219-227.62. Milne JS, Lauder IJ. Age effects in kyphosis and

lordosis. Ann Human Biol. 1974;1:327-337. 63. Duncan P, Wiener D, Chandler J, Studenski S.

Functional reach: a new clinical measure of balance. J Gerontol. 1990;45:M192-197.

64. Bohannon RW. Single limb stance times: a de-scriptive meta-analysis of date from individuals at least 60 years of age. Top in Geriatr Rehabil. 2006;22(1):70-77.

65. Briggs RC, Gossman MR, Birch R, Drews JE, Shaddeau SA. Balance performance among noninstitutionalized elderly women. Phys Ther. 1989;69(9):748-756.

66. Berg K, Wood-Dauphinee S, Williams JI, Maki B. Measuring balance in the elderly: validation of an instrument. Can J Pub Health. 1992;July/Aug 2:S7-11.

67. Wrisley DM, Marchetti GF, Kuharsky DK, Whitney SL. Reliability, internal consistency, and validity of data obtained with the functional gait assessment. Phys Ther. 2004;84(10):906-918.

68. Horak FB, Wrisley DM, Frank J. The balance evaluation systems test (BESTest) to differentiate balance deficits. Phys Ther. 2009;89(5):484-498. doi: 10.2522/ptj.20080071.

69. Padgett PK, Jacobs JV, Kasser SL. Is the BESTest at its best? A suggested brief version based on interrater reliability, validity, internal consistency and theoretical construct. Phys Ther. 2012;92(9):1197-1207. doi: 10.2522/ptj.20120056.

70. Franchignoni FB, Horak FB, Godi M, Nardone A, Giordano A. Using psychometric techniques to improve the balance evaluations systems test: the mini-BESTest. J Rehabil Med. 2010;42:323-331.

71. Whitney SL, Wrisley DM, Marchetti GF, et al. Clinical measurement of sit-to-stand performance in people with balance disorders: validity of data for the five-time sit-to-stand test. Phys Ther. 2005;85(10):1034-1045.

72. Rikli RE, Jones CJ. Functional fitness normative scores for community residing older adults ages 60-94. J Aging Phys Act. 1999;7:160-179.

73. Shipp KM, Purser JL, Gold DT, et al. Timed loaded standing: a measure of combined trunk and arm endurance suitable for people with vertebral oste-oporosis. Osteoporos Int. 2000;11:914-922.

74. Bohannon RW, Andrews AW, Thomas MW. Walking speed: reference values and correlates for older adults. J Orthop Sports Phys Ther. 1996;24(2):86-90.

75. Powell LE, Myers AM. The Activities-Specific Bal-ance Confidence (ABC) scale. J Gerontol Med Sci. 1995;50(1):M28-34.

76. Talley K, Wyman J, Gross C. Psychometric proper-ties of the activities-specific balance

Ort

hopa

edic

Sec

tion,

APT

A, I

nc.

Dow

nloa

ded

from

ww

w.o

rtho

ptle

arn.

org

at th

e O

rtho

paed

ic S

ectio

n on

Sep

tem

ber

26, 2

018.

For

per

sona

l use

onl

y. N

o ot

her

uses

with

out p

erm

issi

on.

Cop

yrig

ht ©

201

5 O

rtho

paed

ic S

ectio

n, A

PTA

, Inc

. All

righ

ts r

eser

ved.

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31

confidence scale and the survey of activities and fear of falling in older women. J Am Geriatr Soc. 2008;56(2):328-333. doi: 10.1111/j.1532-5415.2007.01550.

77. LajoieY, Gallagher SP. Predicting falls within the elderly community: comparison of postural sway, reaction time, the Berg balance scale and ABC for comparing falls and non-fallers. Arch Gerontol Geriatr. 2004;38:11-26.

78. Lips P, Leplege A. Development and validation of quality of life questionnaire for patients with vertebral fractures: Qualeffo-41. Quality of Life Research. 2000;9(6a):763-766.

79. Madureira M, Ciconelli R, Pereira R. Quality of life measures in patients with osteoporosis and fractures. Clinics. 2012;67:1315-1320.

80. Kado DM. Narrative review: hyperkypho-sis in older persons. Ann Intern Med. 2007;147:330-338.

81. Chesbro SB, Davis LA. Applying Knowles’ model of andragogy to individualized osteoporosis edu-cation. J Geriatr Phys Ther. 2002;25:8-11.

82. Walsh MC, Hunter GR, Livingstone MB. Sarcope-nia in premenopausal and postmenopausal wom-en with osteopenia, osteoporosis and normal bone mineral density. Osteoporos Int. 2006;17:61-67.

83. Fiatarone MA, O’Neill E, Ryan N, et al. A random-ized controlled trial of exercise and nutrition for physical frailty in the oldest old. N Engl J Med. 1994;330:1769-1775.

84. Kelley GA, Kelley KS, Kohrt WM. Effects of ground and joint reaction force exercise on lumbar spine and femoral neck bone mineral density in post-menopausal women: a meta-analysis of random-ized controlled trials. BMC Musculoskelet Disord. 2012;13:177. doi: 10.1186/1471-2474-13-177.

85. Howe TE, Shea B, Dawson LJ, et al. Exercise for preventing and treating osteoporosis in postmenopausal women (review). Cochrane Database Syst Rev. 2011;7:CD000333. doi: 10.1002/14651858.CD000333.pub2

86. Borg G, Linderholm H. Exercise performance and perceived exertion in patients with coronary insufficiency, arterial hypertension and vaso-regu-latory asthenia. Acta Med Scand. 1970;187:17-26.

87. Krall EA, Dawson-Hughes B. Walking is related to bone density and rates of bone loss. Am J Med. 1994;96(1):20-26.

88. National Osteoporosis Foundation. http://nof.org/articles/238. Accessed April 29, 2014.

89. Myers ER, Wilson SE. Biomechanics of osteopo-rosis and vertebral fracture. Spine. 1997;22(24 Suppl):25S-31S.

90. Sinaki M, Mikkelsen B A. Postmenopausal spinal osteoporosis: Flexion versus extension exercises. Arch Phys Med Rehabil. 1984;65(10):593-596.

91. Itoi E, Sinaki M. Effect of back-strengthening

exercise on posture in healthy postmenopaus-al women 49-65 years of age. Mayo Clin Proc. 1994;69:1054-1059.

92. Sinaki M, Itoi E, Wahner HW, et al. Stronger back muscles reduce the incidence of vertebral frac-tures: a prospective 10 year follow-up of post-menopausal women. Bone. 2002;30:836-841.

93. Hongo M, Itoi E, Sinaki M, et al. Effect of low-in-tensity back exercise on quality of life and back extensor strength in patients with osteoporosis: a randomized controlled trial. Osteoporos Int. 2007;18(10):1389-1395.

94. Beverly MC, Rider TA, Evans MJ, Smith R. Local bone mineral response to brief exercise that stress-es the skeleton. BMJ. 1989;299:233-235.

95. von Stengel S, Kemmler W, Kalender WA, Engelke K, Lauber D. Differential effects of strength versus power training on bone mineral density in post-menopausal women: a 2-year longitudinal study. Br J Sports Med. 2007;41:649-655.

96. Turner CH. Three rules for bone adaptation to mechanical stimuli. Bone. 1998:23:339- 409.

97. Madureira MM, Takayama L, Gallinaro AL, et al. Balance training program is highly effective in improving functional status and reducing the risk of falls in elderly women with osteoporosis: a randomized controlled trial. Osteoporos Int. 2007;18(4):419-425.

98. Howe TE, Rochester L, Neil F, Skelton DA, Ball-inger C. Exercise for improving balance in older people. Cochrane Database Syst Rev. 2011;9(11):CD004963. doi: 10.1002/14651858.CD004963.pub3.

99. Wrisley DM, Kumar NA. Functional gait assess-ment: concurrent, discriminative, and predictive validity in community-dwelling older adults. Phys Ther. 2010;90(5):761-773. doi: 10.2522/ptj.20090069.

100. Middleton A, Fritz SL, Lusardi M. Walking speed: the functional vital sign. J Aging Phys Act. 2015;23(2):314-322. doi: 10.1123/japa.2013-0236.

FOR FURTHER INFORMATION

National Osteoporosis Foundation: www.nof.org

International Osteoporosis Foundation: www.iofbonehealth.org

National Institute on Aging: www.nia.nih.gov

National Institutes of Health, Office of Dietary Supplements: www.ods.od.nih.gov

National Bone Health Alliance: www.nbha.org

Building Better Bone: www.buildingbetterbones.com

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