Abstract

AbstractExercise can have both a positive and negative effect on bone mineral content (BMC). This paper reviews current literature on the effects of exercise on bone mass and discusses the implications for manipulative therapy. The impact of reduced bone density, or osteoporosis, on society is increasing not only because of demographic trends toward an older population, but also because of the increasing participation of women in sport and the prevalence of eating disorders among young women. In the presence of hypoestrogenaemia, weight-bearing exercise will have a negative effect on BMC and premature osteoporosis will result. Manual and manipulative therapists must, therefore, have a full understanding of factors related to altered BMC in order to identify clients at risk of osteoporosis and osteoporotic fracture. Safe and effective treatment techniques can then be selected and the correct form of exercise can be prescribed.

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