The Program | Goals | Locations
Hartford HealthCare Rehabilitation Network has developed a comprehensive osteoporosis program to address osteoporosis prevention, treatment and rehabilitation.
The National Osteoporosis Foundation estimates that osteoporosis is a major health risk for 55% of the over 50 population (44 million people); more than 10 million Americans have osteoporosis (8 million women, 2 million men) and 34 million have osteopenia. In 2005, osteoporotic fractures cost $19 billion, and it is estimated that by 2025 costs will be $25.3 billion.
The Osteoporosis Program
Any patient exhibiting low bone mass/loss of bone tissue leading to an increased susceptibility to fracture is a candidate for Hartford HealthCare Rehabilitation Network's osteoporosis program.
Physical Assessment includes:
- History, including functional limitations, history of falls and fractures.
- Pain – Intensity and Source
- Multi-system involvement as it relates to rehabilitation potential.
Evaluation of:
- Fracture Risk
- Abdominal and Core Strength
- Balance, as measured by functional reach test and timed get up and go (TUG).
- Feet and Footwear
- Posture
- Sit-to-stand
- Mobility Limitations
Treatment Approach:
- Protect from fracture.
- Explain bone mineral density studies.
- Teach neutral spine – up and down from floor to and from quadraped.
- Teach hip hinge - disassociation of hip from spine.
- Avoid flexion, side bending and rotation.
- Bone building exercises.
- Weight bearing exercises.
- Walking, hiking, weights, resistance bands, modified Pilates.
- Teaching techniques for pain relief.
- Encourage home safety and good health habits (nutrition, etc.).
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Goals
Exercise promotes bone health. Your physical therapist will evaluate you and design an individualized exercise program with these goals:
- Decrease risk of fracture.
- Avoidance of twisting, bending and rotation motions that can stress the spine and hip.
- Teach bone building exercises.
- Use weight bearing exercises such as walking, weights, resistance bands and modified Pilates.
- Utilize techniques for pain relief.
- Learn proper body mechanics.
- Encourage home safety and good health habits.
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