Understanding patient experiences and challenges to osteoporosis care delivered virtually by telemedicine: a mixed methods study
ConclusionThe TM program bridges the access gap for those living with OP in underserviced and remote areas. However, we identified the need to improve the existing processes to better coordinate access to allied health team members and arrangements for investigations. Participants also expressed interest for a virtual osteoporosis self-management program.
ConclusionsAdherence was problematic. Benefits at 4 months did not persist and at 12 months, we found no significant differences between treatments. There is inadequate evidence a short physiotherapy intervention of either manual therapy or home exercise provides long-term benefits, but arguably short-term benefits are valuable.Trial registrationISRCTN 49117867.
ConclusionDevelopment of FITT is of benefit to the health service as a whole and improves early mobilisation, extension for weekend cover should be considered.Interventions such as adjustments to anti hypertensives and opportunistic assessment of bone health should be highlighted to all medical teams.A concise falls pathway encompassing these interventions and FITT assessment does not seem obscure in this age of over-crowding and crisis.
CONCLUSIONS: In conclusion, we do not have sufficient evidence to determine the effects of exercise on incident fractures, falls or adverse events. Our updated review found moderate-quality evidence that exercise probably improves physical performance, specifically Timed Up and Go test, in individuals with vertebral fracture (downgraded due to study limitations). However, a one-second improvement in Timed Up and Go is not a clinically important improvement. Although individual trials did report benefits for some pain and disease-specific quality of life outcomes, the findings do not represent clinically meaningful improvem...
This study provides a new idea of magnetic field intervention, and also preliminarily verifies the feasibility of adding magnetic field to traditional orthopedic implant materials. However, the magnetic field strength of implanted materials still needs to be further refined. PMID: 31155966 [PubMed - as supplied by publisher]
ConclusionsGreater awareness that men get this condition is needed in both society in general and also by health care professionals who often do not expect osteoporosis to affect men. Approaches to diagnosis and treatment need to be considered and improved to ensure that they become appropriate and effective for men as well as women.
DISCUSSION: The review shows a lack of empirical evidence since sufficient empirical findings regarding the appropriateness of physiotherapy care are missing for many of the indications, in particular on physiotherapy in hospitals and rehabilitation facilities. The results of single studies are limited by insufficient assessment of therapeutic needs or the therapy modalities applied. Analyses which encompass multiple settings and/or providers of care have not been conducted in all studies, even though respective approaches would have been suitable. Nevertheless, suggestions for targeted improvement of the appropriateness o...
Conclusions Aging leads to a progressive decrease in androgen production that, in turn, leads to the development of LOH, defined by significant low T serum levels (in the lowest quartile) in the presence of signs and symptoms of hypogonadism (51). LOH could be due to both testicular and hypothalamic-pituitary dysfunction (32), and ED is one of its main symptoms. ED in LOH is linked to increased oxidative stress, subclinical inflammation, and subsequent endothelial dysfunction (101). In elderly men, it has been shown that LOH is also linked to lower cAMP pool and to an alteration of the cGMP signaling pathway. PDE5 gene l...
CONCLUSION: The ICF conceptual framework provides a holistic representation of disability by facilitating a critical appraisal of the health status of people with OP. The framework creates an awareness of the broad and multidimensional nature of OP on the health of individual patients, integrates dimensions of functioning, and highlights the complexity of the evaluation and management of OP. PMID: 30628503 [PubMed - as supplied by publisher]
Purpose: Spondyloarthritis is an inflammatory condition affecting joints (including the spine) and tendons that can cause disabling pain and fatigue, impacting significantly on quality of life, work and psychological wellbeing. Longer-term complications include cardiovascular disease and osteoporosis. Physiotherapy has been considered key in the management of spondyloarthritis. A systematic review was undertaken on the effectiveness of physiotherapy interventions including manual therapy, exercise programmes, hydrotherapy, acupuncture and physical aids to guide practice, service delivery and support self-management.
Conclusion: Shortwave diathermy and pulsed electromagnetic frequency demonstrate similar clinical benefits as other modalities for improving pain, function, and quality of life in the short-term. Further research is needed to better evaluate the parameters of electromagnetic energy and effects for other conditions commonly affecting aging and older adults and at other treatment sites on the body.