Neben den rasanten Fortschritten in der medikamentösen Therapie der Osteoporose erlebt
auch die physiotherapeutische Nachbehandlung einen Paradigmenwechsel. Der Schwerpunkt
liegt heute in der Frakturprävention. Diese wird über medizinische Trainings-Therapie
und gezielte sturzpräventive Maßnahmen erreicht. Einzelne Studien können den deutlichen
Zusammenhang zwischen Muskulatur zum einen und der Knochendichte und der Sturzwahrscheinlichkeit
zum anderen belegen. Das Sturzrisiko ist beim älteren Patienten für das Frakturrisiko
bedeutender als die Knochendichte. Deshalb sind die Ermittlung des individuellen Risikos
und die spezifischen Maßnahmen in der Frakturvermeidung wesentliche Therapiefaktoren.
Die Nahrungsergänzungen bei Osteoporose-Patienten sind nicht immer notwendig. Hier
ist eine individuelle Analyse und Beratung sinnvoller.
Beside the rapid progresses of the drug-therapy of osteoporosis there is also nearly
a change of the paradigm model in physicotherapy. Nowadays the main point is the prevention
of fracture. This is reachable because of the medical training-therapy and selective
measures to prevent downfalls. There are some studies being able to point out the
coherence between the muscles on the one hand and between the bone mineral density
and the risk of a downfall on the other hand. The risk of a downfall is of more importance
for the risk of a fracture by older patients than the bone mineral density. Because
of this the evaluation of the individual risk of a fracture and specific measures
to prevent a fracture are basic therapy factors.
Taking dietary supplements is not necessary all the time for osteoporosis patients.
In this case an individual analysis and consultation makes more sense.
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Anschrift des Verfassers
Dr. med. Hans A. Limbrock
Facharzt für Orthopädie Facharzt für physikalische und rehabilitative Medizin
Kollegienwall 3-4
49074 Osnabrück
Telefon: 0541/600-3636
Fax: 0541/600-3640
eMail: limbrock@web.de
