Tratamento osteoporose

Physical approach for prevention and treatment of osteoporosis Abordagem física para prevenção e tratamento de osteoporose

Ana Paula Rebucci Lirani-Galvão; Marise Lazaretti-Castro
Disciplina de Endocrinologia, Departamento de Medicina, Escola Paulista de Medicina, Universidade Federal de São Paulo (Unifesp/EPM), São Paulo, SP, Brasil
Correspondence

SUMMARY
Osteoporosis and its consequent fractures are a major problem in public health. To complement the conventional pharmacological treatment for this metabolic disease, non-pharmacological treatment options have been developed in the last decades. Several studies demonstrate that physical exercise programs including impact exercises, specific strength training, balance and coordination training may maintain or increase spine and hip bone mineral density as well as decrease the frequency of falls among osteoporotic and osteopenic patients. Furthermore, some physical agents such as vibratory platforms, low intensity electrical stimulation, laser therapy and ultrasound show positive effects on osteoporotic tissue as well. Consequently, while planning treatment for an osteoporotic patient, non-pharmacological management options should be considered and integrated to the conventional treatment in order to maximize its effects and improve the quality of life of these patients.
Keywords: Physical exercise; osteoporosis; physical agents; bone density; strength training; impact exercise

SUMÁRIO
A osteoporose e suas consequentes fraturas são um grande problema de saúde pública. Para complementar o tratamento farmacológico convencional para essa doença metabólica, opções não farmacológicas de tratamento têm sido desenvolvidas nas últimas décadas. Vários estudos demonstram que programas de exercício físico que incluem exercícios de impacto, treino de força específico, equilíbrio e coordenação podem manter ou aumentar a densidade mineral óssea de quadril e coluna, bem como reduzir a frequência de