Osteoporosis is a disease of the skeletal system. It is triggered by insufficient bone mass and a disruption of the microarchitecture of the bone, which can lead to increased bone fragility and an increased risk of fracture. The further the osteoporosis progresses, the higher the risk of a sudden fracture. Osteoporosis is one of the most common diseases of old age. Women are 4-5 times more likely to develop osteoporosis than men.
Exercises physiotherapy
It is important in physiotherapy to respond to certain changes in the osteoporosis patient. The deformation of the vertebrae leads to an increased kyphosis of the BWS. This causes the ribs to press forward and down into the soft tissues, which may cause pain in the organs.
The overload in the cervical and lumbar spine can trigger spinal canal stenosis, which is accompanied by the corresponding symptoms. The shortening of the trunk leads to an active insufficiency of the trunk muscles, which tire even faster as a result. The hips and knees are also subject to increased strain, which is an attempt to prevent falls when the torso axis is tilted far forward.
The most important thing to do in osteoporosis is therefore exercises to straighten up. However, care should be taken that the patient does not work with excessive loads/weights to avoid overloading and possible fractures. Upright seat: – Lift the bar up in front of the body and down again – pull the bar up and down behind the head – hold the bar in front of the body at chest level and pull the elbows backwards at the sides – hold the bar vertically in front of the body and turn it carefully to the right and left – pass the bar from one hand to the other hand in front of the body – pass the bar from one hand to the other hand above the head – hold the bar in front of the body at chest level and pull the bar apart and compress it (muscle tension) – fix the bar between the feet, Put your hands on it and walk with your upper body forward All exercises can also be done with other aids such as a ball, dumbbells, cloths, etc.
etc. Depending on the fitness level of the patient, the above mentioned exercises can be performed while standing. Exercises for improved trunk musculature should be performed according to the patient’s general condition.
Exercises can be performed on the mat, where basic tension and bridging exercises can be worked out. In addition to the general exercises for straightening up, it is generally important for patients to have a contact person or like-minded people. They can thus talk about their complaints and still feel integrated in life if they follow their regular therapy.
In addition, group therapy can be recommended, where osteoporosis patients are treated individually and many affected people come together. It is also advisable to take fall prophylaxis, as patients tend to fall due to dwindling confidence in their own bodies and growing insecurity. This happens because they overlook steps, take edges on carpets or do not react quickly enough when something gets in their way.
In addition, a course can be used in therapy to work on gait safety. Quick changes in direction and altered step patterns ensure that the reaction speed is maintained. Exercises on an uneven surface and changing surfaces also improve the ability to react but also balance and coordination.
If you combine several easy exercises with each other, you can improve coordination as well as concentration and brain performance in general. Falling exercises on soft mats in the exercise pool are particularly suitable. The fall prophylaxis is also suitable in a group therapy.
A general careful strength training, especially for the legs, ensures that the strength endurance and power output is maintained so that the daily stress can be completed easily. Equally important is the education of the osteoporosis patient. The information is already given by the doctor but should also be intensified by the physiotherapist.
It should be mentioned in particular that a certain amount of caution should be exercised in everyday life, but that “over-caution” restricts the quality of life. Exercises in group therapy or individual therapy improve the general condition and can also be practiced at home to some extent. It is also important to inform the patient about aids.
He should pay attention to non-slip shoes, avoid tripping hazards in the home, wear hip protectors, use walking aids, always make sure that there is sufficient light and glasses.In addition, fixtures can be installed in the bathroom to allow you to get in and out of the shower or toilet without an accident. In group therapy, visual, tactile and auditory stimuli can also be incorporated, which is important for better body perception. Partner exercises can be performed, whereby one participant closes his eyes and is guided.
The sense of touch can be stimulated with cloths, balls or clubs. In addition to the general exercises for straightening up, it is generally important for patients to have a contact person or like-minded people. They can thus talk about their complaints and still feel integrated in life if they follow their regular therapy.
In addition, group therapy can be recommended, where osteoporosis patients are treated individually and many affected people come together. It is also advisable to take fall prophylaxis, as patients tend to fall due to dwindling confidence in their own bodies and growing insecurity. This happens because they overlook steps, take edges on carpets or do not react quickly enough when something gets in their way.
In addition, a course can be used in therapy to work on gait safety. Quick changes in direction and altered step patterns ensure that the reaction speed is maintained. Exercises on an uneven surface and changing surfaces also improve the ability to react but also balance and coordination.
If you combine several easy exercises with each other, you can improve coordination as well as concentration and brain performance in general. Falling exercises on soft mats in the exercise pool are particularly suitable. The fall prophylaxis is also suitable in a group therapy.
A general careful strength training, especially for the legs, ensures that the strength endurance and power output is maintained so that the daily stress can be completed easily. Equally important is the education of the osteoporosis patient. The information is already given by the doctor but should also be intensified by the physiotherapist.
It should be mentioned in particular that a certain amount of caution should be exercised in everyday life, but that “over-caution” restricts the quality of life. Exercises in group therapy or individual therapy improve the general condition and can also be practiced at home to some extent. It is also important to inform the patient about aids.
He should pay attention to non-slip shoes, avoid tripping hazards in the home, wear hip protectors, use walking aids, always make sure that there is sufficient light and glasses. In addition, holding devices can be installed in the bathroom so that getting in and out of the shower or toilet is possible without an accident. In group therapy, visual, tactile and auditory stimuli can also be used, which is important for better body perception. Partner exercises can be performed, whereby one participant closes his eyes and is guided. The sense of touch can be stimulated with cloths, balls or clubs.