Osteoporose und Fraktur – evidenzbasierte Empfehlungen für die Trainingstherapie – Repetitorium und Update

Zusammenfassung

Ein Training zur Frakturprophylaxe kann die Sturzreduktion und/oder die Knochenfestigkeit als Kernziele ansteuern. Vor allem, wenn man die ossäre Determinante der Fraktur fokussiert, gestaltet sich die Konzeption eines wirksamen Trainings aus trainingswissenschaftlicher Sicht äußerst komplex und verlangt eine auf die avisierte Zielsetzung und Personengruppe abgestimmte Komposition von Trainingsinhalten und Belastungsnormativen. Dies erfordert neben sportwissenschaftlichem Fachwissen eine intensive Beschäftigung mit humanen und tierexperimentellen Studienergebnissen des Fachbereichs. Ziel dieser Übersicht ist es, dem Trainingspraktiker aus der Fülle der vorliegenden aktuellen Literatur wichtige Grundlagen und Strategien zur effektiven Frakturprophylaxe durch körperliches Training zu exzerpieren und ihre Relevanz für unterschiedliche Zielgruppen zu verdeutlichen.

Summary

Osteoporosis and fracture: Evidence based recommendations for training therapy repetitorium and update

The planning of an optimum exercise program focusing on fractures in the elderly is rather complex. With respect to the osseous aspect of fracture prevention, the design and development of successful exercise programs highly correlates with the ability of the exercise practitioner to manipulate exercise -type, -parameters and -principles with regard to the needs and limitations of the cohort addressed. Beside a profound knowledge of sport and exercise science, however, the (time) consuming lecture of exercise studies is essential to develop such a dedicated program. Since this may conflict with the limited time of most practitioners, the main aim of this review is to extract and discuss relevant information that may allow the reader a deeper insight in mechanisms closely related with bone strengthening by exercise.

Stichworte:

Osteoporose - Fraktur - körperliches Training - Übersicht

Key words:

osteoporosis - fracture - exercise - review

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