Chapter 71 Chapter 71 Physical Therapy, Physical Modalities, and Exercise Regimens in the Management...

Chapter 71Chapter 71

Physical Therapy, Physical Modalities, and Exercise Regimens in

the Management of Osteoporosis

Copyright © 2013 Elsevier Inc. All rights reserved.


FIGURE 71.1 Kyphosis measurement using flexicurve ruler.

2


FIGURE 71.2 Measurements of posturea. a. Rib–pelvis distance test. b. Wall–occiput distance (WOD).

3


FIGURE 71.3 A, Normal posture with natural cervical lordosis, thoracic kyphosis, and lumbar lordosis. B, Hyperkyphosis and head-forward posture typical of individual with osteoporosis and vertebral fractures.

4


FIGURE 71.4 Examples of exercises to promote best posture. A, Cervical posture correction with cervical retraction and axial elongation; B, corner stretch for lengthening of the anterior shoulder girdle; C, Scapular retraction for upper back/shoulder girdle strengthening; D, mini-press up to decrease thoracic hyperkyphosis; E, prone spine extension strengthening; F, stair lunge for anterior hip stretch.

5


FIGURE 71.5 Unsafe movements and safe alternatives. A, unsafe toe touch for hamstring stretching with spine flexion; B, safe supine hamstring stretch with neutral spine maintained; C, unsafe abdominal curl up with spine flexion; D, safe abdominal isometric in supine; E, unsafe loaded trunk rotation with resistance in sitting; F, safe unloaded trunk rotation in supine.

6

Chapter 71 Chapter 71 Physical Therapy, Physical Modalities, and Exercise Regimens in the Management...

Documents

Transcript of Chapter 71 Chapter 71 Physical Therapy, Physical Modalities, and Exercise Regimens in the Management...