MANAGEMENT OF COMPRESSION FRACTURES A LITERATURE-BASED UPDATE AND SUGGESTED INTERVENTIONS

I. Introduction A. Epidemiology, Pathology and Sequelae of Osteoporosis 1. Looking at, inside and beyond the bones II. Recognizing Patients At Risk in the Physical Therapy Population A. First Signs and Risk Factors for Osteoporosis B. Risk Factors for Fracture III. Vertebral Compression Fractures--Definitions, descriptions, epidemiology, pathology IV. Interventions A. General guidelines B, Specific Recommendations from the literature

C. The Meeks’ Method 1. Acute Stage—First 3-5 Days a) REST b) Positioning c) Body Mechanics d) Pain Relief Modalities e) Isometric Strengthening Exercises 2. Sub-Acute Stage—6-8 weeks a) Positioning b) Body Mechanics c) Position Changes and Transfers d) Pain Relief Modalities e) Strengthening and Flexibility Exercises f) Postural Correction g) Balance h) Gait Training 3. Chronic Stage a) Positioning b) Body Mechanics c) Position Changes and Transfers d) Pain Relief Modalities e) Strengthening and Flexibility Exercises f) Postural Correction g) Balance h) Gait Training 4. Goal Setting a) Facility 1) Staff Education 2) Wheelchair Guidelines 3) Exercise Program b) Fitness Center--Exercise Guidelines c) Home--Home Exercise Program 5. All Stages a) Home Care Therapy b) Bracing Considerations C. Contraindicated Exercises and Movements D. Vertebroplasty and Kyphoplasty 1. Definitions & Descriptions of procedures 2. Indications 3. Literature review of results 4. Therapy indications 5. Recommendations for Therapy Management IV. Summaries A. Role of Physical Therapists in Changing Medical Environment B. Team Approach C. Other Issues Involved—co-morbidities

MANAGEMENT OF COMPRESSION FRACTURES A LITERATURE-BASED UPDATE AND SUGGESTED INTERVENTIONS

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