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Working with Osteoporosis and Osteopenia Part A

presented by Margaret Martin

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Satisfactory completion requirements: All disciplines must complete learning assessments to be awarded credit, no minimum score required unless otherwise specified within the course.

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This course will enable you to deliver comprehensive treatment programs for all levels of clients - from active adults with osteopenia to frail adults with osteoporosis. In Part A of this course, Margaret Martin will cover the key fundamentals of bone health including bone physiology, testing bone density and quality, effect of exercise on bone health, nutrition and pharmaceutical intervention. She will then go into detail on client assessment tools (including the Senior Fitness Test), exercise safety tips, balance theory, postural analysis and retraining, core theory, flexibility theory, weight bearing exercises, alternative treatment options, contraindicated exercises, vertebral fracture management and treating special populations.

Meet Your Instructor

Margaret Martin, PT, CSCS

Margaret is a Physical Therapist, Certified Strength and Conditioning Coach and Certified Yoga Teacher with over 27 years experience helping clients achieve their health and fitness goals. Margaret has practiced in California, Ontario and British Columbia. Margaret is the author of several books on osteoporosis including Exercise for Better Bone and Yoga for Better Bones.…

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Chapters & Learning Objectives

1. Fundamentals

This chapter covers the key fundamentals of bone health. You may not be responsible for prescribing the medications your client needs, but you should be familiar with the key pharmaceutical treatments for osteoporosis. You may never administer a bone density test, but you should be able to interpret your client's DEXA test results and be comfortable discussing the results with your client. This Chapter will help you with each of these areas and other topical areas as well. By the end of this Chapter you will, identify the consequences of osteoporosis and osteopenia, understand the fundamentals of bone physiology, understand the basics of bone density testing, be able to identify risk factors for osteoporosis, understand the effect of exercise on bone, use of pharmaceuticals in the treatment of osteoporosis, and understand the nutritional guidelines.

2. Assessment

This chapter covers the key elements associated with the assessment of the bone health of your clients with specific attention to the Senior Fitness Test. Your ability to assess a client and determine their specific needs is essential to your success as a health care professional. By the end of this chapter you will be able to identify the items involved in a comprehensive assessment, accurately measure a client's height, and administer the Senior Fitness Test. In this Chapter, you will see two video demonstrations of the Senior Fitness Test with a 65 year old female and a 85 year old.

3. Exercise Safety Tips

This chapter provides exercise safety tips that you should review with your clients who have low bone density, osteopenia or osteoporosis. Specifically, you will learn how to teach your patients how to breathe efficiently, how to safely get up and down from the floor and how to activate their deep abdominal muscles. By the end of this chapter, you will be able to identify the safety tips that need to be part of your client's exercise program.

4. Fall Prevention/Balance Testing

This chapter covers the important concepts associated with balance and fall prevention. It focuses on strategies, including exercise, that you can use to address the balance and fall prevention needs of your clients. These strategies include nutrition, strength, lower extremity and postural exercises, kypho-orthosis, home modifications, and tripping hazard modifications. By the end of this chapter you will be able to identify and understand the most common fall prevention strategies and administer the Fullerton Advanced Balance Scale.

5. Postural Analysis and Retraining

This chapter covers core theory and exercises. Core strength is critical to your client's ability to reduce fall risk and is essential to stabilization of the spine. The chapter provides an overview of the anatomy of the core, the challenges you may face when trying to increase core strength, both protective and destructive core support, and the key components to building core strength. By the end of this chapter you will be able to instruct your beginner and active level clients in safe and effective core exercises.

6. Core Theory

Core strength can greatly affect the overall health of your client. Strong core muscles are essential in the stabilization of the spine and can prevent potentially dangerous torques to the vertebrae. Core strength can also help your client reduce the risk of fall. Someone with core strength is better able to catch himself during a fall and correct his position.

7. Flexibility Theory

This chapter covers the key elements of flexibility including muscle soreness and injury reduction, static versus dynamic stretching, static stretching and balance, flexibility tips, and Aaron Mattes's Method of Active Isolated Stretching. Flexibility is the foundation of a bone health exercise program. When your client is flexible, he or she will have the range of motion necessary for proper body mechanics during the exercise program and while performing day-to-day activities. By the end of this chapter you will be able to instruct your beginner and active level clients in safe and effective flexibility exercises.

8. Weight Bearing and Cardiovascular

This chapter covers the recommended weight bearing and cardiovascular vascular activities for your client. The specific activities you prescribe for your client depend on your assessment of their fracture risk and activity level. By the end of this chapter you will be able to identify the most beneficial cardiovascular exercises for low, moderate and high fracture risk clients.

9. Alternative Approaches

This chapter covers a medley of treatment options and provides you with alternative approaches to the prevention and management of low bone density, osteopenia and osteoporosis. By the end of this chapter you will be able to consider alternative approaches to bone building and their clinical implications as they relate to osteoporosis.

10. Contraindicated Exercises

This chapter will introduce tips to address contraindicated exercises. Individual exercises that you will frequently see in a gym that should be either avoided or modified are reviewed. By the end of this chapter you will be able to identify contraindicated exercises, provide modifications to some exercises to make them safe for your clients, and identify the Pilates and Yoga exercises that should either be modified or left out of your client's program.

11. Vertebral Fracture Management

This chapter provides you with the guidelines for Vertebral Fracture Management. It will provide a detailed overview of vertebral fracture pathology and options for the management and treatment of vertebral fractures. By the end of the chapter you will be able to understand the etiology, diagnosis and treatment of vertebral fractures.

12. Osteoporosis in Special Populations

This chapter identifies special populations that warrant your attention. When you assess and treat your clients for low bone density, it is important that you take into account their unique situation. They may have a specific medical condition that affects their bone health or be part of an ethnic group that is more susceptible to reduced bone density. The chapter also includes a complete list of co-morbidities as well as medications that can negatively affect bone health. By the end of this chapter you will be able to identify medical conditions, diseases and medications that can impact bone health.

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