Rehabilitation in Osteoporosis

Dionyssiotis, Yannis

doi:10.5772/29205

Cited by 5 publications

(20 citation statements)

References 82 publications

(73 reference statements)

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“…This questionnaire was developed by a European Union-funded expert network (Prevention of Falls Network Europe)34 to focus and coordinate ongoing European clinical, research, and technology developments related to prevention of falls amongst elderly people. Prevention of Falls Network Europe is a thematic network focusing on the issue of prevention of falls and improvement of postural stability amongst elderly people 20,35…”

Section: Assessment Of Risk Of Fallsmentioning

confidence: 99%

“…According to the Greek guidelines of the Hellenic Osteoporosis Foundation, although exercise has many proven benefits, the optimal type, duration, and intensity of exercise for falls prevention remains unclear. Older people who have had recurrent falls should be offered long-term exercise and balance training 20,35…”

Section: Interventions To Prevent Falling In Elderly Subjectsmentioning

confidence: 99%

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Analyzing the problem of falls among older people

Dionyssiotis¹

2012

IJGM

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213

144

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Falls are a serious problem facing the elderly. The prevention of falls that contribute to disability, mainly in elderly people, is an important issue. Ensuring the greatest possible functionality for elderly people is an important element in the prevention of disability. This paper analyzes the importance of falls, risk factors for falls, and interventions to prevent falls. Recent publications as well as research regarding the prevention and rehabilitation for falls are reviewed.

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Section: Assessment Of Risk Of Fallsmentioning

confidence: 99%

Section: Interventions To Prevent Falling In Elderly Subjectsmentioning

confidence: 99%

Analyzing the problem of falls among older people

Dionyssiotis¹

2012

IJGM

Self Cite

213

144

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“…The vibration is a mechanical stimulation of the whole body; the person is standing on the vibration platform trying to keep his head and body straight and upright. All the muscles that keep the body in this position are forced to react to the oscillating movements provided by the device 31. Mechanical loads are applied in a dynamic way with a high intensity defined by its frequency (Hz) and magnitude, where magnitude is expressed as vertical acceleration ( g ; 1 g = 9.8 m/s2 acceleration due to gravity) or vertical displacement (mm) 42…”

Section: Exercisementioning

confidence: 99%

“…However, there is no direct evidence that only the use of aiding devices or educational programs can help the prevention of falls. Therefore, although they may be effective elements of a multifactorial intervention program, their isolated use without attention to other risk factors cannot be established 31,81…”

Section: Exercise and Risk Of Fallsmentioning

confidence: 99%

Modern Rehabilitation in Osteoporosis, Falls, and Fractures

Dionyssiotis

Skarantavos

Papagelopoulos

2014

Clin Med�Insights�Arthritis�Musculoskelet Disord

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In prevention and management of osteoporosis, modern rehabilitation should focus on how to increase muscular and bone strength. Resistance exercises are beneficial for muscle and bone strength, and weight-bearing exercises help maintain fitness and bone mass. In subjects at higher risk for osteoporotic fractures, particular attention should be paid to improving balance – the most important element in falls prevention. Given the close interaction between osteoporosis and falls, prevention of fractures should be based on factors related to bone strength and risk factors for falls. Fractures are the most serious complication of osteoporosis and may be prevented. The use of modern spinal orthosis helps to reduce pain and improve posture. Vibration platforms are used in rehabilitation of osteoporosis, based on the concept that noninvasive, short-duration, mechanical stimulation could have an impact on osteoporosis risk. Pharmacologic therapy should be added for those at high risk of fracture, and vitamin D/calcium supplementation is essential in all prevention strategies. Success of rehabilitation in osteoporotic and fractured subjects through an individualized educational approach optimizes function to the highest level of independence while improving the overall quality of life.

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“…It is recognised globally by the World Health Organization (WHO) as one of the most important public health issues (Dionyssiotis, 2012).…”

Section: Osteoporosis Is Defined As ''A Skeleton Disease Where Bone Mmentioning

confidence: 99%

Ultrasound Transit Time Spectroscopy in Complex Media - Applications and Relationship with Phase Interference

Qahtani¹,

Mueed²

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Osteoporosis is a common disease affecting a large proportion of the human population worldwide. It is described as a bone density and structure deterioration leading to a bone fracture risk. The World Health Organisation (WHO) recognises osteoporosis as one of the most health issue since it is asymptomatic. Globally, two third of women and one third of men over 50 years is diagnosed with osteoporosis.One million in Australia alone have osteoporosis and over six million is considered with low bone mass which cost the budget healthcare sector about 2.75 $ billion dollars a year. The expectation rate of population affected by osteoporosis is assumed to significantly increase with continuous increase of aging population. Therefore, an urgent powerful and precise technique for early detection of bone loss is required.There are several techniques in the market available but the Dual Energy Absorptiometry (DXA) is the only one authorised for this regard by the WHO.However, the controversy is that DXA can only measure the bone density but not yet the bone microarchitecture which is an important factor for the assessment of bone.Quantitative ultrasound (QUS), in terms of broadband ultrasound attenuation (BUA) and speed of sound (SOS), is an alternative method that has been investigated by numerous studies confirming that it is a reliable technique for the assessment of bone and predicting fracture risk. Yet, sufficient knowledge about the propagation of ultrasound waves through complex structure such as cancellous bone is not attained which affects the ability of accurate determination of bone mass and structure.A new proposed hypothesis is that phase interference is the leading attenuation mechanism in complex composite such as cancellous bone due to inhomogeneity transit time of the sonic rays. It also proposed that the propagation of ultrasound wave can be approximated as parallel sonic rays; each has a transit time determined by the proportion of bone (solid) and marrow (liquid) it travels through. Thus, a transit time spectrum (TTS) can be defined describing the proportion of sonic rays of the same transit times. Therefore, this thesis will illustrate a development and validation of an ultrasound transit time model of complex structure such as cancellous bone and identify its relation with phase interference. This study will further explore possible ULTRASOUND TRANSIT TIME SPECTROSCOPY IN COMPLEX MEDIA -APPLICATIONS AND RELATIONSHIP WITH PHASE INTERFERENCE IV applications of the TTS to enhance the effectiveness of ultrasound as a reliable assessment tool for bone.In particular, an examination of the phase interference, created by the variation in transit time, being the main attenuation factor in complex structure among other factors for instance absorption and structure-scattering was performed. Amore fundamental concept of phase interference was investigated showing that it has both temporal and spatial phase interference. The temporal phase interference depends on the pulse length and the transit time di...

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Rehabilitation in Osteoporosis

Cited by 5 publications

References 82 publications

Analyzing the problem of falls among older people

Analyzing the problem of falls among older people

Modern Rehabilitation in Osteoporosis, Falls, and Fractures

Ultrasound Transit Time Spectroscopy in Complex Media - Applications and Relationship with Phase Interference

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