Abstract
Falls and fractures are multifactorial; therefore, multifaceted approaches are required to prevent and manage them. Reducing sedative pharmacotherapy decreases iatrogenically affected alertness and falls in the geriatric population. Axial strength and stability are of primary importance. Muscle and bone loss, along with age-related disequilibrium, falls, and fractures, require innovative approaches for management. Imbalance and postural sway are two important risk factors for falls. Strengthening lower extremity muscles can decrease the risk of falls. Prevention of falls is the primary objective of a rehabilitation course. Factors contributing to the risk of falls could be intrinsic or extrinsic to the body.
A spinal extensor strengthening program can be performed with progressively resistive exercises, as tolerated. The combination of reducing kyphosis, increasing back strength, and reorienting the facet joints for proper upright posture would be of help. Rib fractures are not uncommon in older adults with osteoporosis and are very painful, and some options for management are discussed. Emergency care is indicated if there is shortness of breath, especially if it is worsening. The most life-threatening fracture in osteoporosis, the hip fracture, is covered in detail here. In this chapter, other fractures such as the forearm, tibial shaft, ankle and sacral insufficiency fractures, or stress fracture and soft tissue injuries will be mentioned as well. Prevention of vertebral wedging and compression fracture requires special rehabilitative measures as reflected throughout the book.
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Sinaki, M. (2017). Management of Fractures in Osteoporosis: Role of Rehabilitative Measures. In: Sinaki, M., Pfeifer, M. (eds) Non-Pharmacological Management of Osteoporosis. Springer, Cham. https://doi.org/10.1007/978-3-319-54016-0_8
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DOI: https://doi.org/10.1007/978-3-319-54016-0_8
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