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Osteoporosis: A Comprehensive Clinical Approach Home Study Agenda
Participants must complete a course evaluation and post-test to receive course evaluation.
Topics to Be Covered:
Lecture 1:
Osteoporosis: New and evolving risk factors and advances in treatment
Bone Metabolism & Risk Factors
• Regulation of bone metabolism: Osteoclasts, osteoblasts, IGF-1.
• Hormones and bone health. The role of estrogen, testosterone, DHEA, and cortisol.
• Risk factors for osteoporosis and osteopenia.
• Prevalence of low bone mass in premenopausal women and in eating disorders.
• Bariatric surgery: A new concern for the development of osteoporosis.
• Implications of breast and prostate cancer on bone health.
• A review of the literature on osteonecrosis of the jaw in patients treated with oral bisphosphonates.
• The role of genetics and environment in the development of osteoporosis.
• Current guidelines for bone mineral testing. Current testing modalities (DXA, pDXA, ultrasound, etc.).
Posture Lab
• Clinical assessment of kyphosis
• Therapeutic exercises to strengthen the muscles of the upper back
• The protective effects of vitamin D. Connection between low vitamin D levels and higher cancer rates.
Lecture 2:
Clinical interventions to reduce fracture risk
Vitamins, Minerals and Exercise: How They Effect Bone Health and Metabolism
• Vitamin D: A key regulator of bone metabolism. New guidelines for vitamin D intake
• Bone health and osteoporosis: The role of vitamin K and potential antagonism by anticoagulants.
• Calcium requirements: New estimations for men and women. Getting more calcium in the diet.
• Muscle training for bone strength. Designing a strength training program to improve spinal and hip bone density.
• How bone adapts to altered loading environment. High intensity aerobic exercise vs low intensity on bone mass.
• Effects of exercise on postural balance and risk of falling in elderly people with decreased bone mineral density.
Pharmacological Intervention: Treatment and Prevention of Osteoporosis
• Pharmacological therapies for the treatment and prevention of osteoporosis. Review of mechanism of action.
• Bisphosphonate action on bone structure and strength: A look at current treatment options.
• Hormone therapy: Effect of estrogen therapy and estrogen-progesterone therapy on bone metabolism.
• Nuclear Receptors and Bone: New targets for the development of therapeutic agents.
• Emerging pharmacologic therapies for osteoporosis: A look at drugs on the horizon.
Fall Reduction Lab
• Current techniques for improving balance.
• Gait and proprioceptive training.
• Designing a fall prevention program.
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