Efficiency opportunities of complex rehabilitation of patients with osteoporotic fractures
Marchenkova L.A., Makarova E.V.

National Medical Research Center for Rehabilitation and Balneology, Moscow

Osteoporosis is a serious problem nowadays, which leads to severe fractures and disability. Rehabilitation of such patients requires the use of a whole set of drug and non-drug measures aimed at restoring physical functionality, relieving the pain syndrome and preventing subsequent fractures. A good analgesic effect is provided by the methods based on preformed physical factors, reflexotherapy, acupuncture.
In order to prevent fractures and strengthen the musculoskeletal system, the following methods can be used: physiotherapy exercises, exercises on simulators to improve coordination, training of spine deep stabilization system and posture awareness. 
The physical therapy complex used for managing the patients with osteoporosis may include exercises with body weight load, muscle-strengthening exercises, aerobics, coordination and postural training, hydrokinesitherapy for a minimum of 2–4 weeks. Long and regular exercises have the best effect on muscle strength, prevention of falls, fractures and provide a good quality of life.
The rehabilitation course of the patients with osteoporosis should be used together with the appointment of pathogenetic antiresorptive drugs and basic therapy with calcium and vitamin D.

Key words: osteoporosis, rehabilitation, physical therapy, physiotherapy exercises, osteoporotic vertebral fractures, ossein-hydroxyapatite compound.
For citation: Marchenkova L.A., Makarova E.V. Efficiency opportunities of complex rehabilitation of patients with osteoporotic fractures // RMJ. 2018. № 4(I). P. 10–14.