Almanac of Clinical MedicineAlmanac of Clinical MedicineАльманах клинической медицины2072-05052587-9294Moscow Regional Research and Clinical Institute (MONIKI)13810.18786/2072-0505-2014-32-73-79REVIEW ARTICLEОБЗОРNON-MEDICAMENTAL METHODS OF OSTEOPOROSIS TREATMENTНЕМЕДИКАМЕНТОЗНЫЕ МЕТОДЫ ЛЕЧЕНИЯ ОСТЕОПОРОЗАEvstigneevaL. P.ЕвстигнееваЛ. П.
Russian Federation

PhD, Executive of Rheumatology Department, Sverdlovsk  Regional Clinical Hospital No.1

канд. мед. наук, зав. ревматологическим отделением ГБУЗ СО «СОКБ №1»

levstigneyeva@mail.ruSverdlovsk Regional Clinical Hospital No.1ГБУЗ Свердловской области «Свердловская областная клиническая больница №1» (ГБУЗ СО «СОКБ №1»)185 Volgogradskaya ul., Yekaterinburg, 620102, Russian Federation620102, г. Екатеринбург, ул. Волгоградская, 185, Российская Федерация150520143273791302201613022016Copyright ©; 2014, Evstigneeva L.P.Copyright ©; 2014, Евстигнеева Л.П.2014Evstigneeva L.P.Евстигнеева Л.П.https://creativecommons.org/licenses/by/4.0https://almclinmed.ru/jour/article/view/138

Physical activity and exercises play an important role in the prevention and treatment of osteoporosis. Clinical studies demonstrated the effectiveness of exercises manifesting themselves in small increase of bone mineral density and reduction of the risk of falls. In patients with vertebral fractures, the exercises improve the quality of life, posture, and mobility. The exercise effect depends on the type of exercises and on the study population. For patients with osteoporosis, it is reasonable to combine aerobic exercises with resistance training and exercises aimed at training of balance. In order to avoid adverse events, exercises should be started gradually. Patients with vertebral fractures may additionally undergo orthoses and physiotherapy.

Физическая активность и физические упражнения играют значимую роль в профилактике и лечении остеопороза. Клинические исследования демонстрируют эффективность физических упражнений, что проявляется в небольшом приросте минеральной плотности костной ткани и снижении риска падений. У пациентов с переломами позвонков физические упражнения повышают качество жизни, улучшают осанку и подвижность. Эффект физических упражнений различается в зависимости от типа упражнений и от исследуемой популяции. Для лиц с остеопорозом целесообразно комбинировать аэробные нагрузки с силовыми упражнениями и упражнениями, направленными на тренировку равновесия. В целях безопасности их следует вводить постепенно. При переломах позвонков дополнительно могут применяться ортезы и физиотерапевтические методы лечения.

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