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788 Complex therapy for treatment of osteoporosis
  1. Rustam Talishinskiy1,
  2. Kamalya Rustamova2
  1. 1Scientific Research Institute of Traumatology and Orthopaedics, Azerbaijan
  2. 2Scientific Research Institute of Obstetrics and Gynaecology, Azerbaijan

Abstract

Background Osteoporosis is system disease of skeletal system with loosening of bone tissue mass and microarchitecture disorders, which follow to bone’s fragility and high risk of fractures.

Statistical data make it possible to realise the level problem on Azerbaijan Republic. Population group of persons older than 50 y.o. increase, it was 19% of whole population in 2010, it consist 1700 000.

Specialist of Obstetrics and Gynaecology Institute of Azerbaijan Republic established and used methodic with ultrasound densitometry, which was helpful for primary risk group including decreasing of mineral density, disorders of bone architectonic and strength of skeletal bones.

Treatment methodic established by Obstetrics and Gynaecology Institute specialists included physical exercises and medical therapy. Physical exercises were prepared for all age groups. There was difference in intensity of exercises according to patient’s age. Main task of exercises was strengthening of vertebral column.

Methods There was used non invasive ultrasound densitometer SUNLİGHT OMNİSENSE 7000 included 3 probes for examination of different bones ( radius, tibia and phalanx of thumb) for diagnostic, screening and monitoring of osteopenia and osteoporosis. We have observed by densitometry 722 female patients (middle age 56, 4 ± 1, 0 y.o.) trying to detect osteoporosis in postmenopausal syndrome stage on period from January 2009 till October 2014. There were 382 (52, 9%) cases with osteoporosis and 211 (29, 2%) cases with osteopenia. There weren’t pathological process in 129 (17, 9%) cases.

Densitometry examination of patients was interpreted by special computer program. Computer program estimated patient’s status as osteoporosis, osteopenia or normal; also computer program predicted percentage possibility of fracture. Re- examinations were arranged after 6 months and 1 year.

Results Patients were treated by Obstetrics and Gynaecology Institute approved method. There was used complex treatment method included medical therapy and physical exercises. Physical activity was indicated as important part of treatment. Physical exercises course continued 3 months. All patients didn’t interrupt exercises after finish of treatment. Medical therapy includes hormonal therapy, Ca and bisphosphonates. Successful results of treatment demonstrated efficiency of treatment method and importance of physical activity in patients with osteoporosis and osteopenia.

Densitometry gave possibility to make monitoring during treatment period.

Conclusions Primary diagnostic of osteoporosis and osteopenia gave possibility to detect risk group and start complex treatment and dynamic monitoring. As result it was possible decrease clinical manifestation of osteoporosis and osteopenia to minimal level in limited period.

  • osteoporosis
  • ultrasound densitometry
  • complex treatment method

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