Development in rehabilitation of senile osteoporotic fracture

doi:10.3877/cma.j.issn.2096-0263.2018.01.011

Abstract

Abstract:

With the acceleration of population aging, the incidence of senile osteoporotic fracture is rising, which attract more and more attention in the worldwide. In this paper, the osteoporotic fracture data including epidemiology, etiology, and pathogenesis were reviewed. The key section is rehabilitation exercise, and the related progress of drug therapy, exercise therapy, physical therapy and use of orthotics were also summarized.

Key words: Aged, Osteoporotic fractures, Rehabilitation, Therapy

Xianxuan Feng, Huipeng Shi, Yuehong Bai. Development in rehabilitation of senile osteoporotic fracture[J]. Chinese Journal of Geriatric Orthopaedics and Rehabilitation(Electronic Edition), 2018, 04(01): 48-51.

/ / Recommend

Add to citation manager EndNote|Ris|BibTeX

URL: https://zhlngkykfdzzz.cma-cmc.com.cn/EN/10.3877/cma.j.issn.2096-0263.2018.01.011

https://zhlngkykfdzzz.cma-cmc.com.cn/EN/Y2018/V04/I01/48

References 41

1	于长隆. 骨科康复学[M]. 北京: 人民卫生出版社, 2010: 878-884.
2	杨涛涛, 吕晓红, 任凤华, 等. 老年骨质疏松性骨折患者的危险因素与干预措施[J]. 现代预防医学, 2012, 39(11): 2756-2757, 2760.
3	张智海, 刘忠厚, 石少辉, 等. 中国大陆地区以-2.5 SD为诊断的骨质疏松症发病率文献回顾性研究[J]. 中国骨质疏松杂志, 2015, 21(1): 1-7, 24.
4	何渝煦, 魏庆中, 熊启良, 等. 骨质疏松性骨折与骨密度关系的研究进展[J]. 中国骨质疏松杂志, 2014, 20(2): 219-224.
5	张智海, 张智若, 刘忠厚, 等. 中国大陆地区以-2.0SD为诊断标准的骨质疏松症发病率回顾性研究[J]. 中国骨质疏松杂志, 2016, 22(1): 1-8.
6	洪磊, 樊华俊, 李文锋, 等. 老年性骨质疏松患者骨折的临床特点及治疗措施研究[J]. 实用临床医药杂志, 2015, 19(23): 197-198, 201.
7	印平, 马远征, 马迅, 等. 骨质疏松性椎体压缩性骨折的治疗指南[J]. 中国骨质疏松杂志, 2015, 21(6): 643-648.
8	Chen LX, Li YL, Ning GZ, et al. Comparative efficacy and tolerability of three treatments in old People with osteoporotic vertebral compression fracture: a network meta-analysis and systematic review [J]. PLoS One, 2015, 10(4): 0123153.
9	Gimigliano F, Iolascon G, Riccio I, et al. Post-surgical rehabilitative approach to fragility fractures [J]. Aging Clin Exp Res, 2013, 25(Suppl 1): S23-S25.
10	Jang EJ, Lee YK, Choi HJ, et al. Osteoporotic fracture risk assessment using bone mineral density in korean: a community-based cohort study [J]. J Bone Metab, 2016, 23(1): 34-39.
11	陈阳, 马剑雄. 老年性骨质疏松骨折研究进展[J]. 中国骨质疏松杂志, 2011, 17(9): 835-839.
12	叶超群, 陈佑学, 纪树荣. 骨质疏松性骨折的危险因素及预测[J]. 中国康复医学杂志, 2007, 22(7): 660-664.
13	Esenyel M, Ozen A, Esenyel CZ, et al. Hip structural changes and fracture risk in osteopenia and osteoporosis [J]. Eurasian J Med, 2011, 43(2): 73-78.
14	安秀娜, 王瑞波, 孙玉华. 骨质疏松性骨折的康复治疗[C]//中华医学会第八次全国物理医学与康复学学术会议论文汇编, 新疆克拉玛依：中华医学会物理医学与康复学分会, 2006: 185-186.
15	Chen CM, Lin PY, Chen YC, et al. Effects of teriparatide on lung function and pain relief in women with multiple osteoporotic vertebral compression fractures [J]. Surg Neurol Int, 2014, 5(Suppl 7): S339-S342.
16	李炜虹, 吴斌, 李煜明. 骨质疏松症药物治疗的进展[J]. 中华关节外科杂志(电子版), 2013, 7(3): 416-419.
17	王峰. 关于降钙素降低骨质疏松性骨折发病率的临床分析[J]. 中国实用医药, 2015, 10(2): 163-164.
18	Manson JE, Hsia J, Johnson KC, et al; Women's Healthy Initiative Investigators. Estrogen plus progestin and the risk of coronary heart disease [J]. N Engl J Med, 2003, 349(6): 523-534.
19	闫景刚, 段卫华. 骨质疏松症治疗药物的研究进展[J]. 中国医药导报, 2015, 12(9): 34-37.
20	林婕, 沈芸. 482例骨质疏松性骨折住院患者再次骨折分析[J]. 中国老年保健医学, 2015, 13(4): 47-49.
21	Watson SL, Weeks BK, Weis LJ, et al. Heavy resistance training is safe and improves bone, function, and stature in postmenopausal women with low to very low bone mass: novel early findings from the LIFTMOR trial [J]. Osteoporos Int, 2015, 26(12): 2889-2894.
22	Kelley GA, Kelley KS, Kohrt WM. Effects of ground and joint reaction force exercise on lumbar spine and femoral neck bone mineral density in postmenopausal women: a meta-analysis of randomized controlled trials [J]. BMC Musculoskelet Disord, 2012, 13: 177.
23	Kemmler W, Von Stengel S, Bebenek M, et al. Exercise and fractures in postmenopausal women: 12-year results of the Erlangen Fitness and Osteoporosis Prevention Study (EFOPS) [J]. Osteoporos Int, 2012, 23(4): 1267-1276.
24	Giangregorio LM, Macintyre NJ, Thabane L, et al. Exercise for improving outcomes after osteoporotic vertebral fracture [J]. Cochrane Database Syst Rev, 2013, 1: CD008618.
25	Kemmler W, Von Stengel S. Exercise and osteoporosis-related fractures: perspectives and recommendations of the sports and exercise scientist [J]. Phys Sportsmed, 2011, 39(1): 142-157.
26	Feehan LM, Beck CA, Harris SR, et al. Exercise prescription after fragility fracture in older adults: a scoping review [J]. Osteoporos Int, 2011, 22(5): 1289-1322.
27	陆廷仁. 骨质疏松性骨折的康复治疗(第2节) [J]. 现代康复, 2000,4(2): 320.
28	Shi GH, Li PC, Wei XC. Progress on treatment of osteoporotic vertebral compression fracture [J]. Zhongguo Gu Shang, 2013, 26(10): 878-882.
29	王崇伟, 叶超群, 刘秀梅, 等. 桥式运动对腰椎融合手术术后椎间隙高度影响的影像学观察[J]. 中国康复医学杂志, 2014, 29(7): 671-672.
30	Macías-Hernández SI, Chávez-Arias DD, Miranda-Duarte A, et al. Percutaneous vertebroplasty versus conservative treatment and rehabilitation in women with vertebral fractures due to osteoporosis: a prospective comparative study [J]. Rev Invest Clin, 2015, 67(2): 98-103.
31	Chen BL, Zhong Y, Huang YL, et al. Systematic back muscle exercise after percutaneous vertebroplasty for spinal osteoporotic compression fracture patients: a randomized controlled trial [J]. Clin Rehabil, 2012, 26(6): 483-492.
32	Wang LY, Liaw MY, Huang YC, et al. Static and dynamic balance performance in patients with osteoporotic vertebral compression fracture [J]. J Back Musculoskelet Rehabil, 2013, 26(2): 199-205.
33	Rickman M, Young J, Trompeter A, et al. Managing acetabular fractures in the elderly with fixation and primary arthroplasty: aiming for early weightbearing [J]. Clin Orthop Relat Res, 2014, 472(11): 3375-3382.
34	JeMeCioppa-Mosca, Janet B.Cahill, John T.Cavanaugh. 骨科术后康复指南[M]. 陆芸, 周谋望, 李世民, 译. 天津: 天津科技翻译出版公司, 2009: 59-73.
35	刘焕发, 邱淑琼, 刘培秀, 等. 中频电疗预防下肢骨折深静脉血栓形成的临床应用研究[J]. 中国矫形外科杂志, 2013, 21(18): 1882-1884.
36	Liaw MY, Chen CL, Chen JF, et al. Effects of Knight-Taylor brace on balance performance in osteoporotic patients with vertebral compression fracture [J]. J Back Musculoskelet Rehabil, 2009, 22(2): 75-81.
37	Ratajczak K, Płomiński J. The effect of isometric massage on global grip strength after conservative treatment of distal radial fractures. pilot study [J]. Ortop Traumatol Rehabil, 2015, 17(4): 359-370.
38	刘毓, 蓝国建, 袁智辉. 五仁散热熨药枕配合后伸复位治疗老年性单纯胸腰椎骨折的临床疗效观察[J]. 中国医学创新, 2015, 12(24): 83-85.
39	于沛林, 吉爱萍, 王元善. 中医综合疗法治疗胸腰椎压缩性骨折疗效分析[J]. 中医临床研究, 2015, 7(24): 132-133.
40	Ruan WD, Wang P, Ma XL, et al. Analysis on the risk factors of second fracture in osteoporosis-related fractures [J]. Chin J Traumatol, 2011, 14(2): 74-78.
41	Drăgoi D, Popescu R, Trăistaru R, et al. A multidisciplinary approach in patients with femoral neck fracture on an osteoporotic basis [J]. Rom J Morphol Embryol, 2010, 51(4): 707-711.

[1]	Xuebing Shi, Yingdong Xie, Ni Xie, Chaoli Xu, Bin Yang, Guo Sun. Acoustic radiation force imaging for evaluating efficacy of radiotherapy in unresectable hepatocellular carcinoma patients with portal vein tumor thrombus [J]. Chinese Journal of Medical Ultrasound (Electronic Edition), 2024, 21(08): 778-784.
[2]	Wei Hong, Xirong Ye, Zhihong Liu, Yinfeng Yang, Zhihong Lyu. Value of ultrasound radiomics combined with clinicopathological features in predicting complete pathological response to neoadjuvant chemotherapy for breast cancer [J]. Chinese Journal of Medical Ultrasound (Electronic Edition), 2024, 21(06): 571-579.
[3]	Ting Lu, Qingmin Fan, Jie Wang, Xiaojing Wan, Chunfang Xu, Fenglin Dong. Ultrasound-guided percutaneous catheter drainage for severe acute pancreatitis: efficacy and application timing [J]. Chinese Journal of Medical Ultrasound (Electronic Edition), 2024, 21(05): 511-516.
[4]	Mengjie Liang, Huanhuan Zhu, Xingzhou Wang, Hang Jiang, Shichao Ai, Feng Sun, Peng Song, Meng Wang, Song Liu, Xuefeng Xia, Junfeng Du, Shuang Fu, Xiaofeng Lu, Xiaofei Shen, Wenxian Guan. Analysis of prognosis and postoperative complications of gastric cancer patients undergoing conversion therapy with combined immunotherapy [J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2024, 18(06): 619-623.
[5]	Jie Xu, Yajun Li, Yiwen Feng. Comparison of recent follow-up between laparoscopic D2 radical surgery and conventional radical surgery for advanced gastric cancer after SOX neoadjuvant chemotherapy [J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2024, 18(06): 647-650.
[6]	Jianxin Gao, Xiaofei Wang, Miao Yu, Yiping Lu. A clinical study of ISR after neoadjuvant therapy for locally advanced rectal cancer [J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2024, 18(05): 539-543.
[7]	Yang Li, Feng Dong, Lipeng Zeng. A comparative study of laparoscopic TaTME and TME after neoadjuvant therapy for locally advanced rectal cancer [J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2024, 18(05): 547-550.
[8]	Yueping Li, Ke Li, Yuming Qiao, Meinong Zhong. Analysis of integrated medical-nursing-rehabilitation rapid recovery model in prostate thermal steam ablation surgery [J]. Chinese Journal of Endourology(Electronic Edition), 2024, 18(05): 464-472.
[9]	Xiaofei Song, Jiawen Wu, Yang Sun. Preliminary study on the application of pre dissection of bladder mucosa around ureteral opening combined with early bladder infusion chemotherapy during radical nephroureterectomy for upper urinary tract urothelial carcinoma [J]. Chinese Journal of Endourology(Electronic Edition), 2024, 18(05): 479-484.
[10]	Weizhou Wu, Qiongren Wang, Xiongyu Zhan, Mingxing Zheng, Yaxian Li. Multidisciplinary consultation on difficult cases in Guangdong Urological Association (Phase 16): sarcomatoid renal cell carcinoma of the left kidney [J]. Chinese Journal of Endourology(Electronic Edition), 2024, 18(05): 525-529.
[11]	Jian Cui, Qing Xia, Yun Lin, Guangling Li, Xinna Li, Wei Wang. Effects of platelet to lymphocyte ratio, immunoglobulin, myocardial enzyme spectrum and electrocardiogram parameters on the condition and prognosis of middle-aged and elderly patients with cirrhosis [J]. Chinese Journal of Digestion and Medical Imageology(Electronic Edition), 2024, 14(05): 400-406.
[12]	Yanping Liang, Yanrou Chen, Yunxiao Liang, Feihu Bai, Bin Wu, Xing Wang. Investigation report on endoscopic management of esophagogastric variceal bleeding in portal hypertension in Southern China [J]. Chinese Journal of Digestion and Medical Imageology(Electronic Edition), 2024, 14(05): 390-395.
[13]	Changqian Wang, Tingting Lin, Yulu Ning, Yingjie Wang, Wenyong Tan. Recent advances in application of near-infrared photoimmunotherapy in cancer [J]. Chinese Journal of Clinicians(Electronic Edition), 2024, 18(06): 575-583.
[14]	Shaomin Wen, Yaxi Wang, Yilu Shi, Shasha Duan, Shurong Yun, Xiaoshan Zhang. Application of targeted contrast-enhanced ultrasound in treatment of atherosclerosis [J]. Chinese Journal of Clinicians(Electronic Edition), 2024, 18(05): 496-499.
[15]	Mengting Zhang, Lamu Qiong, Zhen Se, Yiqun Li, Wangmu DeQing. Neoadjuvant chemotherapy for breast cancer patients in Tibet: a real-world study [J]. Chinese Journal of Clinicians(Electronic Edition), 2024, 18(05): 441-446.

Please choose a citation manager

Content to export