[New strategies for exercise training in osteoporosis]
A Winkelmann1, S Schilling2, C Neuerburg2
1Klinik und Poliklinik für Orthopädie, Physikalische Medizin und Rehabilitation, Osteologisches Schwerpunktzentrum (DVO), Klinikum der LMU, München, Campus Innenstadt, München, Deutschland.
Der Unfallchirurg
|October 16, 2015
Summary
Movement and muscle strengthening are key for osteoporosis prevention and treatment. Exercise and whole-body vibration can increase bone density and reduce fracture risk, offering alternatives for various patient groups.
Area of Science:
- Osteoporosis research
- Exercise physiology
- Gerontology
Background:
- Movement, muscle strengthening, and proprioceptive training are crucial for osteoporosis prevention and treatment.
- Guidelines from the Dachverband Osteoporose (DVO) emphasize exercise therapy for osteoporosis.
Purpose of the Study:
- To review the role of exercise and vibration therapy in bone health and fracture risk reduction.
- To explore alternative exercise modalities for osteoporosis management.
Main Methods:
- Review of existing guidelines and studies on exercise therapy for osteoporosis.
- Analysis of findings on high-resistance training, walking, aquatraining, and whole-body vibration (WBV).
Main Results:
- High-resistance strengthening exercises can increase lumbar bone density by 0.5-2.5% in women.
- Walking and aquatraining offer significant bone mineral density increases.
- Whole-body vibration (WBV) training showed leg strength increases of 20-40% and bone density increases of 0.5-4% in 6 months.
Conclusions:
- Exercise and WBV are effective in improving bone density and reducing fracture risk.
- WBV presents a time-efficient option with significant benefits.
- Further research is needed to clarify WBV's role in fracture healing.
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