Calcium and phosphorus reabsorption leads to osteoporosis

Notas do Editor

1. Most important: previous fractures, age, diet, medications, risk factors
2. Bad postures such as hunch back put added pressure on weak bony areas such as the vertebrae Be careful when assessing strength to make sure you don’t cause an injury Balance is a major concern so they don’t fall and break their bones!
3. Balance test will just depend on their level of functioning which you’ll probably understand from the history and systems review
4. Lots of possible goals for intervention just focus on what is more important to your patient
5. Bone mineral density (BMD) tests are used to detect osteoporosis, the thinning of bone tissue and loss of bone density over time. A BMD test performed by a central DXA can: Tell if a person has low bone density before a fracture occurs Tell if a person’s bones are losing bone density or staying the same when the test is repeated at intervals of one year or more Predict the chances that a person will have a fracture in the future Help a person and his or her healthcare provider decide if treatment is needed Who should be tested: Postmenopausal woman generally every 2 years A man age 50-70 with one or more risk factors for osteoporosis A man age 70 or older, even without any risk factorsAnyone who has broken a bone with minimal trauma, such as a ground level fall People who have used certain medications long-term including steroids
6. milwaukee– one particular body brace that is often used to treat kyphosis in the US. Modern CAD / CAM braces are used in Europe to treat different types of kyphosis. These are much easier to wear and have better in-brace corrections than reported for the Milwaukee brace. Since there are different curve patterns (thoracic, thoracolumbar and lumbar) different types of braces are in use. Cobb angle- method of measuring kyphosis **Since the word dowager is a technical term for a "dignified elderly woman " it began to be used to describe this condition since so many older women develop the condition.
7. NOF = Natl’ OP Foundation
8. sardine 500 mg - per 100 g portion figs 506 mg- per 220 g portion (4) tofu 510 mg –per 100 g portion yogurt- 243 mg per 150 g portion (plain)
9. NOF recommends that adults under age 50 get 1,000 mg of calcium every day, and adults age 50 and older get 1,200 mg of calcium every day.
10. Caffeine appears to decrease calcium absorption by a small amount. Drinking more than three cups of coffee every day may be harmful to bone health. If you enjoy drinking coffee and tea, you can help to make up for any calcium loss by getting enough calcium to meet your body’s needs. For coffee drinkers, the addition of milk can help make up for the loss of calcium caused by caffeine. Phosphorus: Phosphorous exists in the human body as phosphate and, like calcium, is a major part of bone. The phosphorus found in food is needed to build healthy bones and other tissues. Because phosphorus is in many foods, it’s rare for healthy people not to get enough. Phosphorous in the form of phosphate or phosphoric acid is often added to processed foods and soft drinks. As a result, concern has been expressed that Americans may be getting too much phosphorous. Certain soft drinks and sodas, especially colas, contain phosphorous in the form of phosphoric acid. These drinks may also have caffeine. Some people are concerned that the phosphoric acid and caffeine in soft drinks can harm bone health. Colas may have other chemicals, besides phosphoric acid and caffeine, that can affect the bones. People with osteoporosis should not drink more than five cola