Try to aware patients to not wear shoes with thick soles.
Balance programs could be integrated to prevent the trigger that causes fracture
Special attention
Kyphosis could be seen with such patients.
Orthopaedic : severe kyphosis may alter the center of gravity and gait
Pulmonary: ventilatory problems in severe kyphosis
Sensory: in Kyphosis seeing the front of the treadmill may be difficult
Muscular: vertebral fractures may result in back pain
Psychological: fear of falling
Summary
Regular Exercise prevents bone loss
Exercise training enhances BMD in children
Less strong evidence for exercise training alone to increase BMD
Premenopauzal woman: Meta-analysis suggest that there are benefits of high intensity loading exercises in combination with resistance training to increase lumbar and trochanter BMD (Martyn St James J Bone Mineral Met 2010)
Postmenopausal women; no effect on Spine BMD but significant effect on femoral neck BMD of walking alone
