骨质疏松性骨折及其药物治疗.pptVIP

* * The general guidelines to avoid additional injury in patients diagnosed with osteoporosis and for those who are elderly or who have limited movement capabilities are to: Avoid exercises involving forward flexion of the spine or bending forward from the waist Avoid exercises that twist or jerk the spine Participate in exercise programs that allow one foot to remain on the floor at all times * * Simple Balance Training can be taught in the office. Stand facing a counter or table top Hold on with both hands, bend one knee bringing foot behind you. Hold for a count of 5 Repeat with the other foot Repeat sequence holding on with one hand Repeat sequence holding on with a fingertip Repeat sequence without holding on. Repeat from beginning but close eyes when balancing on the one leg * * Maintaining a home environment that reduces the risk of falling is important. The next two slides list helpful considerations that patients should be made aware of. Use handrails on stairs, in bathroom Keep rooms free of clutter Keep floor surfaces clean but not slippery Wear supportive, low-heeled shoes. Do not walk in socks or floppy slippers Use 100 watt bulbs in all rooms Install ceiling lighting in bedrooms Use rubber matt in shower/tub Keep a flashlight at bedside Check posture in mirror often * * Keep floors free from clutter Use a portable phone and keep phone and electrical wires out of walkways Place skid-proof backing on carpets and scatter rugs Keep a week’s supply of prescription medications on hand Arrange for daily contact with a family member or neighbor Contract with a monitoring company for 24 hour response time in case of an emergency * * Vitamin D deficiency is an epidemic in the United States. Vitamin D deficiency not only causes rickets in children but also causes osteoporosis and osteomalacia in adults. Vitamin D deficiency has been associated with increased risks of deadly cancers, cardiovascular disease, multiple sclerosis, rheumatoid arthritis, and type