1. The global approach to rehabilitation following an osteoporotic fragility fracture: A review of the rehabilitation working group of the International Osteoporosis Foundation (IOF) committee of scientific advisors
- Author
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Pinto, D, Alshahrani, M, Chapurlat, R, Chevalley, T, Dennison, E, Camargos, BM, Papaioannou, A, Silverman, S, Kaux, J-F, Lane, NE, Morales Torres, J, Paccou, J, Rizzoli, R, and Bruyere, O
- Subjects
Biomedical and Clinical Sciences ,Allied Health and Rehabilitation Science ,Health Services and Systems ,Clinical Sciences ,Health Sciences ,Chronic Pain ,Rehabilitation ,Pain Research ,Osteoporosis ,Physical Injury - Accidents and Adverse Effects ,Behavioral and Social Science ,Aging ,Mind and Body ,6.7 Physical ,8.1 Organisation and delivery of services ,Health and social care services research ,Evaluation of treatments and therapeutic interventions ,Musculoskeletal ,Injuries and accidents ,Hip Fractures ,Humans ,Osteoporotic Fractures ,Quality of Life ,Spinal Fractures ,Education ,Exercise ,Fracture ,Nutrition ,Rehabilitation Working Group of IOF Committee of Scientific Advisors ,Biomedical Engineering ,Public Health and Health Services ,Endocrinology & Metabolism ,Clinical sciences ,Epidemiology - Abstract
PurposeTo conduct a review of the current state of the evidence for rehabilitation strategies post-fragility fracture.MethodsNarrative review conducted by the Rehabilitation Working Group of the International Osteoporosis Foundation Committee of Scientific Advisors characterizing the range of rehabilitation modalities instrumental for the management of fragility fractures.ResultsMulti-modal exercise post-fragility fracture to the spine and hip is strongly recommended to reduce pain, improve physical function, and improve quality of life. Outpatient physiotherapy post-hip fracture has a stronger evidence base than outpatient physiotherapy post-vertebral fracture. Appropriate nutritional care after fragility fracture provides a large range of improvement in morbidity and mortality. Education increases understanding of osteoporosis which in turn increases utilization of other rehabilitation services. Education may improve other health outcomes such as pain and increase a patient's ability for self-advocacy.ConclusionRehabilitation interventions are inter-reliant, and research investigating the interaction of exercise, nutrition, and other multi-modal therapies may increase the relevance of rehabilitation research to clinical care.
- Published
- 2022