MODERN APPROACHES TO OSTEOPOROSIS REHABILITATION: ANALYSIS OF CONSERVATIVE TREATMENT EFFECTIVENESS
DOI:
https://doi.org/10.52340/jecm.2025.06.33Keywords:
osteoporosis, rehabilitation, physiotherapy, exercise, fracture, preventionAbstract
Osteoporosis is a major public health concern characterized by reduced bone mineral density, increased bone fragility, and a heightened risk of fractures. The condition is particularly prevalent among postmenopausal women and commonly presents with fractures of the femoral neck, spine, and shoulder. The underlying mechanism involves the loss of bone mass and disturbances in mineral homeostasis, leading to decreased mechanical strength of the skeleton. Management and rehabilitation remain significant challenges from both medical and socio-economic perspectives. Modern therapeutic approaches emphasize the integration of pharmacological treatment and rehabilitation strategies aimed at strengthening bone tissue, restoring functional capacity, and preventing complications. Physiotherapy, therapeutic exercises, balance training, and balneological interventions play a central role in improving mobility and overall quality of life.
According to contemporary research, integrated rehabilitation programs — including ROPE-type resistance-reactive exercises, sensorimotor and balance training, physiotherapeutic modalities (such as magnetotherapy and electrotherapy), and balneotherapy — result in an average increase in bone mineral density, up to a 40% reduction in pain intensity, and a 23–30% decrease in fall risk. Studies also demonstrate that comprehensive rehabilitation significantly improves muscular strength, proprioception, and functional performance, thereby reducing the likelihood of fractures in high-risk populations.
This article reviews modern rehabilitation approaches for osteoporosis, presents clinical examples, and highlights the crucial role of physiotherapy in disease management and prevention.
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