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Fracture risk and prevention: a multidimensional approach.
Susan B Perry1, Patricia A Downey
1Physical Therapy Program, Chatham University, Woodland Road, Pittsburgh, PA 15232, USA. perry@chatham.edu
Physical Therapy
|September 17, 2011
Summary
Physical therapists can enhance patient skeletal health and prevent fractures by focusing on bone strength and fall prevention. Integrating fracture risk assessment tools into practice is key for personalized care in adults.
Area of Science:
- Orthopedics
- Preventive Medicine
- Physical Therapy
Background:
- Physical therapists traditionally manage neuromusculoskeletal issues but also focus on prevention and wellness.
- Skeletal health and fracture prevention are crucial components of adult healthcare.
- Falls and reduced bone strength are primary contributors to fractures.
Purpose of the Study:
- To review the role of exercise and nutrition in bone health and disease.
- To introduce the Fracture Risk Assessment Tool (FRAX®) for physical therapist practice.
- To review fall prevention strategies and propose a role for physical therapists in promoting bone health and preventing fractures in all adult clients.
Main Methods:
- This perspective article reviews existing literature on bone health, nutrition, exercise, and fall prevention.
- It proposes the integration of the Fracture Risk Assessment Tool (FRAX®) into physical therapy clinical practice.
- It outlines a multidimensional, evidence-based approach to fracture prevention tailored to individual patient needs.
Main Results:
- Physical therapists are well-positioned to address skeletal health and fracture prevention.
- Maximizing bone strength and preventing falls are key components of fracture prevention.
- A customized, multidimensional approach is necessary, considering individual medical history, risk factors, and goals.
Conclusions:
- Physical therapists can play a vital role in promoting bone health and preventing fractures across the adult lifespan.
- Integrating fracture risk assessment and tailored interventions can significantly reduce fracture incidence and impact.
- Proactive management of skeletal health by physical therapists contributes to overall wellness and reduces healthcare burdens.
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