Efficacy of a specific rehabilitation protocol in postural control of a young woman with multiple fragility vertebral fractures: a case report

The fragility vertebral fractures have a considerable impact on an individual's health-related quality of life due to pain, limitations in activity, social participation, altered mood and balance impairment. Physiotherapy interventions may have an important role in improving quality of life, balance and reducing the fracture risk in people with osteoporotic vertebral fractures. In literature there are only a few studies that examine exercise interventions in osteoporotic populations with vertebral fracture and few studies that examine the effects on balance with instrumental measurements. In this paper we present a case of a woman with fragility vertebral fractures and a related balance impairment and the effects of a specific rehabilitation program using both clinical evaluations that instrumental measurement

Underdiagnosis of osteoporotic vertebral fractures in patients with fragility fractures: retrospective analysis of over 300 patients

Osteoporosis (OP) is a silent disease unless a fracture occurs; it is a major health problem, mainly due to fragility fractures, that occur at vertebral and peripheral sites. Vertebral fractures (VF) are probably the most common fragility fractures, but they go often unrecognized. The main clinical symptoms of VF are acute and chronic back pain, spinal deformity, reduced mobility and impaired quality of life. They are frequently associated with other fragility fractures. We examined 478 patients at our outpatient clinic, who were referred for fragility fracture occurrence. The most common fragility fractures was hip fractures. However, after execution of spine X-rays in patients who had sustained hip fracture, we found that a large proportion of them had VF, which had not been reported in their medical history

Gestione integrata del paziente con fratture vertebrali da fragilita.

Le fratture vertebrali da fragilità sono un'importante causa di disabilità e mortalità nella popolazione anziana. Un approccio multidisciplinare per una corretta diagnosi ed un corretto trattamento , non solo di tipo farmacologico ma anche di tipo riabilitativo, è indispensabile per migliorare l'outcome funzionale di questi pazienti

Adherence to a home physical exercise program in patients with osteoporotic vertebral fractures: A retrospective observational study

Background: Adherence to treatment is one of the most common problems in patients suffering from chronic disease such as osteoporosis, and special commitment is required to patients, especially regarding rehabilitation. There is increasing evidence that physical interventions aimed at relieving pain and reducing physical impairments could play a crucial role in improving the quality of life and reducing the risk of fractures in patients with severe osteoporosis. Objective: The aim of this study was to assess the compliance and determine the acceptability of a home-self-managed exercises program in patients with vertebral fractures, one of the most frequent and serious consequences of osteoporosis. Methods: We conducted a retrospective observational study of patients undergoing a home exercise program, monitoring them with clinical scales, questionnaires, and routine visits. Results: 62.86% of the patients were compliant with the treatment; the absence of supervision by health personnel was the primary cause of non-compliance, followed by the lack of time and the lack of motivation. Compliant patients showed a significant reduction in lumbar pain (p 0.011), an improvement in posture with a reduction of dorsal kyphosis (occipital-wall distance T0-T1, p-value = 0.02) and an improvement in QoL (p-value = 0.001) and physical performance at the 20 m walking test (p-value = 0.003). Conclusions: A home exercise program is feasible and could improve signs and symptoms in patients with vertebral fractures due to OP

Denosumab ed osteoporosi grave: studio osservazionale su efficacia, tollerabilità e compliance del paziente

Il Denosumab è un anticorpo monoclonale umano diretto contro il RANK ligando, il principale mediatore del riassorbimento osseo. Si tratta di uno studio osservazionale su 278 pazienti in trattamento con Denosumab. Al termine del periodo di osservazione sono stati valutati parametri inerenti l'efficacia, la compliance e la tollerabilità del trattamento

L'impatto a lungo termine di un programma riabilitativo sulla qualità di vita percepita nei pazienti con fratture vertebrali da fragilità

Scopo dello studio è stato quello di valutare l'impatto di un programma riabilitativo di 10 giorni sulla qualità di vita percepita nel lungo termine. E' stato condotto quindi uno studio prospettico su pazienti afferenti all'ambulatorio multidisciplinare per la diagnosi, cura e riabilitazione delle fratture vertebrali da fragilità della AOUP. I risultati ottenuti hanno mostrato che i pazienti sottoposti a un programma riabilitativo specifico per fratture vertebrali presentavano una migliore qualità di vita percepita a distanza di 6 mesi