Читать книгу Pathy's Principles and Practice of Geriatric Medicine - Группа авторов - Страница 181

In older men and women who have already sustained an osteoporotic fracture, exercise is still extremely important to help recover function and prevent recurrent injurious falls. Progressive resistance training has been shown to be superior to standard physical therapy during the recovery from hip fracture in elderly patients.⁷⁴ In addition, resistance training has been shown to be a potent treatment for depression in older adults⁷⁵ and may thus substitute for antidepressant medications, which are known to increase the risk of falls and hip fracture.²³ A combination of resistance training and balance training may offer the best approach to rehabilitation in this setting, as it optimally targets several of the remediable physiological risk factors for falls, fractures, and disability in this cohort.⁷⁶ Additional studies are needed to define the effects of training in this clinical setting on bone density and strength itself and the optimal timing and duration of such interventions in the post‐fracture recovery period.