OsteoporosisCameron Dressen, Ryan Sanft, and Tyler Kohmetscher
Background Skeletal disease that is characterized
by low mineral density Occurs when the formation of new
bone doesn’t keep up with the removal of old bone
>10 million Americans older than 50 have this disease and another 34 million are at risk
Normal -1 to 1 standard deviations of a normal
BMD Osteoporosis
-2.5 to 2.5 standard deviations off of normal BMD
Types Primary Osteoporosis
Most common type More common in women than men▪ Women have lower BMD than men
Postmenopausal women-estrogen decreases
Testosterone decreases in men Secondary Osteoporosis
Caused by other medical conditions
Types (cont)
Osteogenesis Imperfecta Rare form present at birth Bones break for no reason
Idiopathic Juvenile Osteoporosis Ages 8-14 or during growth periods No known cause
Exercise Testing
Considerations Use bike as alternative to treadmill Avoid tests that would load the spinal
column Don’t do max tests with patients with
severe osteoporosis
Exercise Prescription
Individuals at risk have 1 or more risk factors Current low bone mass Age Female
If at risk use FITT principle to help maintain bone health
Exercise Prescription Frequency
Weight-bearing 3-5 days/wk Resistance 2-3 days/wk
Intensity Moderate intensity (60-80% 1RM) 8-12 reps High (80-90% 1 RM) 5-6 reps
Time 30-60 min/day
Type Weight-bearing- stair climbing, walking, etc Resistance Exercises
Special Considerations
Generally recommended Moderate exercise that doesn’t cause
pain Those with osteoporosis AVOID….
Explosive movement and high-impact loading
Twisting, bending or compression of spine
For elderly prescribe Stretching Balance exercises
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