PTH 151 Unit 1 - HO#6 Diseases: Osteoporosis, Osteomyelitis, and Osteomalacia PDF

TIDEWATER COMMUNITY COLLEGE PTA PROGRAM VIRGINIA BEACH CAMPUS **PTH 151 Unit 1 - HO\#6 Diseases: Osteoporosis, Osteomyelitis, and Osteomalacia** [Learner Objectives:] E1. Differentiate between bone disorders: osteoporosis, osteomyelitis, and osteomalacia. E2. Understand the clinical implicatio...

TIDEWATER COMMUNITY COLLEGE PTA PROGRAM VIRGINIA BEACH CAMPUS **PTH 151 Unit 1 - HO\#6 Diseases: Osteoporosis, Osteomyelitis, and Osteomalacia** [Learner Objectives:] E1. Differentiate between bone disorders: osteoporosis, osteomyelitis, and osteomalacia. E2. Understand the clinical implications associated with the physical therapy management of the diseases noted in E1. 7D23: G. Patient/Client Education H. Therapeutic Exercise **[Osteomyelitis]** Reference: Pathology: Implications for the Physical Therapist pg. 1201-1205 :images.jpeg [Implications for Therapist:] When working with patients with risk factors for osteomyelitis therapists must be vigilant for manifestations of infection. Keeping in mind prevention begins early in therapy with hospital infection control policies. Goals include: prevention of contractures, mm atrophy, impaired joint mechanics. Maximizing pt.'s function, improving quality of life and managing symptoms. **[Osteoporosis]** Reference: Pathology: Implications for the Physical Therapist pg. 1181-1194 [Definition:] the most common metabolic bone disease affecting about 10 million people in the US. Means porous bones and is a combination of decreased bone mass and micro-damage to bone structure increasing the risk for fracture. A precursor to osteoporosis is [osteopenia] (low bone mass). [PT Interventions] Goals include: stabilizing or increasing bone mass, preventing fracture, maximizing physical function, improving quality of life and managing symptoms 1. [Screening] -- recognize signs and symptoms such as: sharp pain in mid-thoracic region after sneezing; an increase in thoracic kyphosis. Perform: balance and falls assessment. Research shows a strong link between depression and osteoporosis -- person's experiencing depression should be screened for fall risk. 2. [Exercise] -- used to build bone mass, slow the decline of BMD (bone mineral density), prevent fracture and maintain muscle mass. - - - - - 3. [Patient education, postural correction and modalities for pain control:] a. 4. [Precautions/Considerations:] - - - -  **Osteomalacia** Reference: Pathology: Implications for the Physical Therapist pg. 1194-1196 [Definition]: A progressive disease in which lack of mineralization of new bone matrix results in a softening of the bone without loss of the present bone matrix. Osteomalacia is considered a generalized bone condition in which an insufficient mineralization results from a deficiency of calcium, Vitamin D and/or phosphate. Considered to be the adult form of rickets. [PT Interventions]: Goals include: stabilizing or increasing bone mass, preventing fracture, maximizing physical function, improving quality of life and managing symptoms. **[Note:]** Dietary Deficiency has been eradicated in the U.S. secondary to the dietary supplementation of dairy products with vitamin D. Osteomalacia can occur in the malnourished aging adult who does not receive adequate nutrition or enough exposure to sunlight.