The primary purpose of the Bone Health SIG is to:
BHSIG Welcome Letter – August 2021
Welcome back to the BHSIG site! Here's some news you need to know.
Keep track of current events and recent literature on the Bone Health Flash – Lisa Hamilton has taken on this monthly news in the Bone Health world. If you have contributions please send to Lisa!
We are already planning for the annual SIG Journal Club in January 2022. The current issue of AGPT 2021;44(3) has lead content on osteoporosis. We will need a clinician to step up and present clinical applications. Your case will be published in GeriNotes. Contact Kathlene Camp if you have interest in contributing.
CSM 2022 – Plan now! San Antonio Feb 2-5. We will post specific day/time once scheduled
APTA Geriatrics & SIG elections coming fall 2021 – watch for emails from AGPT and please VOTE!
Volunteers needed: Contact Kathy Brewer ptkkb55@gmail.com
Please visit the website often. This is a member resource!
If you have questions, ideas or other contributions – please do not hesitate to contact me.
Thank you for all you do for your patients, your students and our profession!
Kathy Brewer PT, DPT, MEd, GCS, CEEAA
Chair, APTA Geriatrics Bone Health Special Interest Group
Ptkkb55@gmail.com
February 2-5, 2022
The American Society for Bone and Mineral Research (ASBMR) assembled a multi-stakeholder coalition including representation from the American Physical Therapy Association to develop clinical recommendations for the optimal prevention of secondary fracture among people aged 65 years and older with a hip or vertebral fracture. Review of this document describes essential strategies requiring collaboration within care management teams addressing education, communication and interventions. "Emphasizing the connection between fracture and osteoporosis elevates the fracture from an unfortunate accident to a sentinel event indicative of an important underlying chronic disorder." There is frequent failure to investigate the diagnosis of osteoporosis and provide the long-term integrated care that this chronic condition requires. Following the first fracture it is imperative to initiate immediate interventions to increase the number of patients receiving appropriate osteoporosis treatment. Physical therapists have a long history of successful intervention for acute osteoporotic fractures, but often do not continue care for lifelong management of these patients. Additionally, the medical management across specialties is frequently inconsistent. Given the treatment gap for comprehensive management of this condition, there are predictable complications which will have lifelong impact on function and quality of life. Therefore, physical therapists must actively embrace this call to action. We are vital members of the multidisciplinary team, and with aggressive evidence based approach to encompass the full scope of therapy interventions throughout the lives of these patients, we can fully support the overall strategies presented by the coalition.
Review the full article: Conley RB, Adib G, et al. (2020). "Secondary Fracture Prevention: Consensus Clinical Recommendations from a Multistakeholder Coalition." J Bone Miner Res 35(1): 36-52. PMID: 31538675 DOI: 10.1002/jbmr.3877
Please watch Sherri Betz, PT DPT, former chair of the BGSIG in this featured podcast.
A new Stand TallTM DVD by Wendy Katzman, DSc, PT, OCS has been produced the UCSF Department of Physical Therapy and Rehabilitation Center. To order the video, contact Anthony.Casino@ucsf.edu
What Are Evidence-Based Exercise Programs and Why Are They Important?
Do It RIGHT! and Prevent Fractures!
The Bone-Healthy Way of Life and Exercise
American Bone Health would like to acknowledge the hard work and determination of the author Sherri Betz, PT, GCS, in bringing this important information to the public. We thank the models Jan and Lee Prawitz, Sue Walters and Joan White, who donated their time to show others how to keep their bones fracture free. We recognize and thank Nancy Abodeely, PT, OCS, for reviewing the final content to ensure we communicated safe and effective activities and exercises. American Bone Health is proud to have the endorsement of the Bone Health Special Interest Group of the APTA Geriatrics, American Physical Therapy Association, for this work.
Sherri Betz presentation of the National Osteoporosis Foundation Webinar: Safe Pilates and Yoga for Bone Health now available.
Contact us with contributions to this site as we build resource material and references on Bone Health and Osteoporosis. References will become part of a Resource Guide on Osteoporosis
Bone Health and Fracture Prevention for Older Adults
Adults who are physically active and do regular exercise have less likelihood of experiencing a fracture. The right exercises and good habits can maximize peak bone mass achieved in youth, maintain bone in adult hood, and reduce bone loss related to aging. Both muscle strengthening and weight-bearing exercise can build and maintain a healthy skeleton. Exercise can also preserve strength and stability to reduce falls and spinal stress that result in fractures. Exercise with hand or cuff weights, gym equipment, or elastic tubing stimulates bone and improves muscle strength. The effect on bone is local or specific to the site of the muscles doing the work. Weight bearing exercise is another way to improve bone density and stay fit. Brisk walking, step aerobics, stair climbing, and jumping are examples. Resistance exercise and weight bearing should be done regularly to provide lasting benefits. Exercises that improve muscle strength, core stability, balance and coordination will help prevent falls. Exercises to improve posture or strengthen the "core" protect against spine fractures resulting from stress on weakened bone. Proper posture and safe body mechanics during all activites will protect the spine against the compressive effects of bending and kyphosis, a rounded spine. Kyphosis is associated with a stooped appearance and loss of height. Fractures of the spine are greater in those with kyphosis regardless of whether there is a history of osteoporosis or fracture. The kyphosis can be reduced with exercises that strengthen and lengthen the spine. Postural supports and bracing are helpful for some individuals. If you have osteoporosis, are at high risk for a fall or fracture, or have a medical condition affecting your ability to exercise, do not start an exercise program without first consulting your physician and a physical therapist.
This resource was created by APTA Geriatrics (www.geriatricspt.org) for public education purposes. We encourage distribution and no permissions are necessary.
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