Musculoskeletal Disorders in Elderly (Osteoporosis)

Osteoporosis

OSTEOPOROSIS

Osteoporosis is one of the most common disorders to be found in elderly populations. The literal meaning of osteoporosis is “porous bones”. This bone-weakening disorder has long been neglected in India. But now, with growing awareness, it is fast emerging as a public health problem of major concern among Indian populations.

Definition

  • Osteoporosis is a skeletal disorder characterized by compromised bone strength (bone density and bone quality) predisposing to an increased risk of fracture.1
  • Definition based on World Health Organization criteria (Table 7.1):

www.rhc.ac.ir_Files_Download_pdf_nursingbooks_Principles of Geriatric Physiotherapy-CD.pdf

Risk Factors

Genetic factors

  • White/Asian > blacks
  • Family history
  • BMI < 19

Lifestyle factors

  • Poor physical function
  • Low muscle strength
  • Alcohol abuse
  • Smoking
  • Highly trained athletes
  • Lack of exposure to sunlight

Drugs

  • Corticosteroids
  • Sedatives
  • Anticonvulsants
  • Heparin
  • Lithium

Nutritional factors

  • Low calcium intake
  • Poor nutrition

Endocrine disorders

  • Thyrotoxicosis
  • Hyperparathyroidism

Inflammatory disorders

  • Ankylosing Spondylitis
  • Rheumatoid Arthritis

GIT disorders

  • Malabsorption
  • Chronic liver disease

Women at risk

  • Early menopause
  • Amenorrhoea
  • Estrogen deficiency

Others

  • History of fracture
  • Recurrent falls
  • Frailty
  • Decreased cognition
  • High rates of dementia
  • Depression

Reference:

http://www.rhc.ac.ir/Files/Download/pdf/nursingbooks/Principles%20of%20Geriatric%20Physiotherapy-CD.pdf

 

2 thoughts on “Musculoskeletal Disorders in Elderly (Osteoporosis)

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