Principles of comprehensive rehabilitation of patients with fractures during osteoporosis

L.A. Marchenkova, E.V. Makarova

National Medical Research Center of Rehabilitation and Balneology, Moscow

Rehabilitation of patients with fractures during osteoporosis is based on the following principles: early onset upon achieving an adequate level of analgesia, continuity, consistency, complexity, validity, as well as individual approach and duration until positive dynamics are maintained. Upon rehabilitation of patients with fractures during osteoporosis, various means of physical therapy are used, the effectiveness and safety of which are discussed by the authors. Given the risks of physical activity, any rehabilitation protocols should be conducted for patients with osteoporosis receiving individually selected therapy. The main method to reduce the risk of fractures in patients with osteoporosis is antiresorptive therapy, for which bisphosphonates are widely used. Drugs of this group can accumulate in the bone tissue (especially in the areas of resorption), remain in it for a long time and for m strong chelate complexes with calcium ions in the hydroxyapatite crystals, which contributes to the long-term preservation of the therapy clinical effect. Bisphosphonates efficacy for fracture prevention in patients with osteoporosis has been confirmed in several clinical studies reviewed in this article.

Keywords: osteoporosis, rehabilitation, antiresorptive therapy, prevention, zoledronic acid, ibandronate.

For citation: Marchenkova L.A., Makarova E.V. Principles of comprehensive rehabilitation of patients with fractures during osteoporosis. RMJ. 2020;1:43–48.