An overview of non-pharmacological prevention of fracture in the area of osteopathies with a focus on physical strain

Authors: Běhounek Jiří
Authors‘ workplace: Revmatologické a rehabilitační oddělení, Thomayerova nemocnice, Praha
Published in: Clinical Osteology 2019; 24(3): 101-106


The aim of this work is to create a short overview of possible influencing the risk for fractures and their pathogenesis by non-pharmacological means. Also, an overview of basic information about the mechanism of the strain acting on the bone, and the effect of different types of exercise on the bone, muscle mass and the risk of falling alone.


exercise – osteoporosis – osteoporosis

  1. Informace dostupné z WWW: <>.
  2. Valenta J. Kostní tkáň. In: Valenta J a kol. Biomechanika: kapitola 2.7.1. Akademia: Praha 1985.
  3. Štěpán J. Životospráva při osteoporóze: informace pro ženy i muže. SZÚ: Praha 2000. ISBN 80–7071–164–7.
  4. Bass S, Pearce G, Bradney M et al Exercise Before Puberty May Confer Residual Benefits in Bone Density in Adulthood: Studies in Active Prepubertal and Retired Female Gymnasts. J Bone Miner Res 1998; 13(3): 500–507.
  5. Jenšovský J. Diagnostika a léčba osteoporosy. Karolinum: Praha 2018. ISBN 978–80–246–3741–9.
  6. Slatkovska L, Alibhai SMH, Beyene J et al. Effect of whole-body vibration on BMD: a systematic review and meta-analysis. Osteoporos Int 2010; 21(12): 1969–1980. Dostupné z DOI: <–010–1228-z>.
  7. Barrett-Connor E, Weiss TW, McHorney CA et al. Siris Predictors of falls among postmenopausal women: results from the National Osteoporosis Risk Assessment (NORA). Osteoporos Int 2009; 20(5): 715–722. Dostupné z DOI: <–008–0748–2>.
  8. Faulkner KA, Cauley JA, Studenski SA et al. [Study of Osteoporotic Fractures Research Group]. Lifestyle predicts falls independent of physical risk. Osteoporos Int 2009; 20(12): 2025–2034. Dostupné z DOI: <–009–0909-y>.
  9. Rosa J. Diagnostika a léčba postmenopauzální osteoporózy. Osteologický bulletin 2015; 20(4): 150–168.
  10. Campbell AJ, Robertson MC, Gardner MM et al. Randomised controlled trial of a general practice programme of home based exercise to prevent falls in elderly women. BMJ 1997; 315(7115): 1065–1069. Dostupné z DOI: <>.
  11. Sinaki M, Itoi E, Wahner HW et al. Stronger Back Muscles Reduce the Incidence of Vertebral Fractures. A Prospective 10 Year Follow-up of Postmenopausal Women. Bone 2002; 30(6): 836–841.
  12. Iwamoto J, Suzuki H, Tanaka K et al. Preventative effect of exercise against falls in the elderly: a randomized controlled trial. Osteoporos Int 2009; 20(7): 1233–1240. Dostupné z DOI: <–008–0794–9>.
  13. Gregg EW, Cauley JA, Seeley DG et al. Physical activity and Osteoporotic Fracture Risk in Older Women. Ann Intern Med 1998; 129(2): 81–88. Dostupné z DOI: <–4819–129–2-199807150–00002>.
  14. Nguyen T, Sambrook P,Kelly P et al. Prediction of Osteoporotic Fractures by Postural Instability and Bone Density. BMJ 1993; 307(6912):1111–1115. Dostupné z DOI: <>.
  15. Ambrose TL, Eng JJ, Khan KM et al. The Influence of Back Pain on Balance and Functional Mobility in 65- to 75-Year-Old Women with Osteoporosis. Osteoporos Int 2002; 13(11): 868–873. Dostupné z DOI: <>.
  16. Ďurišová E. Bolesti chrbtice, klbov, kostí a … AKU-HOMEO: Košice 2012. ISBN 978–80–89496–07–5.
  17. Kemper HCG, Bakker I, Twisk JW et al. Validation of a Physical Activity Questionnaire to Measure the Effect of Mechanical Strain on Bone Mass. Bone 2002; 30(5): 799–804.
  18. Barry DW, Kohrt WM. BMD Decreases Over the Course of a Year in Competitive Male Cyclists. J Bone Miner Res 2008; 23(4): 484–491. Dostupné z DOI: <>.
  19. Belavý DL, Miokovic T, Armbrecht G et al. Resistive vibration exercise reduces lower limb muscle atrophy during 56-day bed-rest. J Musculoskelet Neuronal Interact 2009; 9(4):225–235
  20. Bergström I, Landgren BM, Brinck J et al. Physical training preserves bone mineral density in postmenopausal women with forearm fractures and low bone mineral density. Osteoporos Int 2008;19(2): 177–183. Dostupné z DOI: <–007–0445–6>.
  21. Gusso S, Munns CF, Colle P et al. Effects of whole-body vibration training on physical function, bone and muscle mass in adolescents and young adults with cerebral palsy. Sci Rep 2016; 6: 22518. Dostupné z DOI: <>.
  22. Fratini A, Bonci T, Bull AM. Whole Body Vibration Treatments in Postmenopausal Women Can Improve Bone Mineral Density: Results of a Stimulus Focussed Meta-Analysis. PLoS One 2016; 11(12): e0166774. Dostupné z DOI: <>.
  23. Chien MY, Wu YT, Hsu AT et al. Efficacy of a 24-Week Aerobic Exercise Program for Osteopenic Postmenopausal Women. Calcif Tissue Int 2000; 67(6): 443–448.
  24. Liu-Ambrose TL, Khan KM, Eng JJ et al. Both resistance and agility training reduce back pain and improve health-related quality of life in older women with low bone mass. Osteoporos Int 2005; 16(11): 1321–1329. Dostupné z DOI: <–005–1842–3>.
  25. Karlsson KM, Karlsson C, Ahlborg HG et al. Bone Turnover Responses to Changed Physical Activity. Calcif Tissue Int 2003; 72(6): 675–680. Dostupné z DOI: <–002–2052-z>.
  26. Máček M, Radvanský J et al. Fyziologie a klinické aspekty pohybové aktivity. Galén: Praha 2011. ISBN 978–80–7262–695–3.
Clinical biochemistry Paediatric gynaecology Paediatric radiology Paediatric rheumatology Endocrinology Gynaecology and obstetrics Internal medicine Orthopaedics General practitioner for adults Radiodiagnostics Rehabilitation Rheumatology Traumatology
Forgotten password

Don‘t have an account?  Create new account

Forgotten password

Enter the email address that you registered with. We will send you instructions on how to set a new password.


Don‘t have an account?  Create new account