The global approach to rehabilitation following an osteoporotic fragility fracture: A review of the rehabilitation working group of the International Osteoporosis Foundation (IOF) committee of scientific advisors

D Pinto; M Alshahrani; R Chapurlat; T Chevalley; E Dennison; B M Camargos; A Papaioannou; S Silverman; J-F Kaux; N E Lane; J Morales Torres; J Paccou; R Rizzoli; O Bruyere; Rehabilitation Working Group of IOF Committee of Scientific Advisors

doi:10.1007/s00198-021-06240-7

The global approach to rehabilitation following an osteoporotic fragility fracture: A review of the rehabilitation working group of the International Osteoporosis Foundation (IOF) committee of scientific advisors

Osteoporos Int. 2022 Mar;33(3):527-540. doi: 10.1007/s00198-021-06240-7. Epub 2022 Jan 20.

Authors

D Pinto^{1

2}, M Alshahrani^{3

4}, R Chapurlat⁵, T Chevalley⁶, E Dennison⁷, B M Camargos⁸, A Papaioannou⁹, S Silverman¹⁰, J-F Kaux¹¹, N E Lane¹², J Morales Torres¹³, J Paccou¹⁴, R Rizzoli⁶, O Bruyere¹⁵; Rehabilitation Working Group of IOF Committee of Scientific Advisors

Collaborators

Rehabilitation Working Group of IOF Committee of Scientific Advisors:
R Blank, B Buehring, C Cooper, S Ferrari, J A Kanis, J F Kaux, O D Messina, B M Camargos, J Y Reginster, Ş Tüzün

Affiliations

¹ Department of Physical Therapy, Marquette University, P.O. Box 1881, Wisconsin, 53201, Milwaukee, USA. d.pinto@marquette.edu.
² Department of Public Health, Epidemiology and Health Economics, WHO Collaborating Centre for Public Health Aspects of Musculo-Skeletal Health and Ageing, University of Liège, 4000, Liège, Belgium. d.pinto@marquette.edu.
³ Department of Physical Therapy, Marquette University, P.O. Box 1881, Wisconsin, 53201, Milwaukee, USA.
⁴ Department of Medical Rehabilitation Science, King Khalid University, Abha, Kingdom of Saudi Arabia.
⁵ INSERM UMR 1033, Université de Lyon, Hôpital Edouard Herriot, Lyon, France.
⁶ Division of Bone Diseases, Department of Medicine, University Hospitals and Faculty of Medicine of Geneva, Geneva, Switzerland.
⁷ MRC Lifecourse Epidemiology Unit, University of Southampton, Southampton, UK.
⁸ Densitometry Diagnostic Unit - Rede Materdei de Saúde, Belo Horizonte, Mina Gerais, Brazil.
⁹ Department of Medicine, Division of Geriatrics, McMaster University, Hamilton, Canada.
¹⁰ Cedars-Sinai Medical Center and University of California, Los Angeles, CA, USA.
¹¹ Department of Physical and Rehabilitation Medicine, University Hospital of Liège, University of Liège, Liège, Belgium.
¹² Department of Medicine and Rheumatology, Davis School of Medicine, University of California, Sacramento, CA, USA.
¹³ University of Guanajuato at León, Osteoporosis Unit, Hospital Aranda de La Parra, León, Mexico.
¹⁴ Département Universitaire de Rhumatologie, Centre Hospitalier Et Universitaire, Hôpital Roger Salengro, Lille, France.
¹⁵ Department of Public Health, Epidemiology and Health Economics, WHO Collaborating Centre for Public Health Aspects of Musculo-Skeletal Health and Ageing, University of Liège, 4000, Liège, Belgium.

PMID: 35048200
DOI: 10.1007/s00198-021-06240-7

Abstract

Purpose: To conduct a review of the current state of the evidence for rehabilitation strategies post-fragility fracture.

Methods: Narrative review conducted by the Rehabilitation Working Group of the International Osteoporosis Foundation Committee of Scientific Advisors characterizing the range of rehabilitation modalities instrumental for the management of fragility fractures.

Results: Multi-modal exercise post-fragility fracture to the spine and hip is strongly recommended to reduce pain, improve physical function, and improve quality of life. Outpatient physiotherapy post-hip fracture has a stronger evidence base than outpatient physiotherapy post-vertebral fracture. Appropriate nutritional care after fragility fracture provides a large range of improvement in morbidity and mortality. Education increases understanding of osteoporosis which in turn increases utilization of other rehabilitation services. Education may improve other health outcomes such as pain and increase a patient's ability for self-advocacy.

Conclusion: Rehabilitation interventions are inter-reliant, and research investigating the interaction of exercise, nutrition, and other multi-modal therapies may increase the relevance of rehabilitation research to clinical care.

Keywords: Education; Exercise; Fracture; Nutrition; Osteoporosis; Rehabilitation.

Publication types

Review

MeSH terms

Hip Fractures*
Humans
Osteoporosis*
Osteoporotic Fractures* / prevention & control
Quality of Life
Spinal Fractures*

Abstract

Publication types

MeSH terms

Grants and funding