Leitlinie Bewegungstherapie und Physiotherapie bei Osteoporose – Methoden und Ergebnisdarstellung

Abstract

BACKGROUND: To achieve the best possible effect in preventing osteoporosis associated impairments and fractures, specially tailored exercise regimes need to be integrated. Evident programmes with the potential to preserve bone mass, reduce incidence of falls, and decrease fear of falling are therefore important. OBJECTIVE: This guideline aims to provide evidence-based recommendations on exercise regimes in primary, secondary and tertiary prevention of osteoporotic fractures. METHOD: A systematic literature search for randomised controlled trials was conducted using the databases Medline, Cinahl und Embase. Evidence-based recommendations were made in accordance with the PEDro scale quality assessment, clinical relevance evaluation and expert panel judgement. RESULTS: Evidence for the efficacy of exercise programmes for the prevention of osteoporotic fractures is insufficient. There is medium to high evidence that physical exercise regimes are effective in preventing loss of bone mass, reducing incidence of falling and minimizing fear of falling. CONCLUSION: The efficacy of exercise regime on major risk factors for osteoporotic fractures is proven. Following these principles, community-based exercise programmes should be implemented.