title: [New strategies for exercise training in osteoporosis].
abstract: In the prevention and treatment of osteoporosis, movement with muscle strengthening and proprioceptive training plays a major role. This was taken into consideration in the guidelines by the governing body on osteoporosis (Dachverband Osteoporose, DVO) from 2014 on prophylaxis, diagnosis and treatment of osteoporosis and in the DVO guidelines from 2008 on physiotherapy and exercise therapy for osteoporosis. Increases in lumbar bone density of between 0.5 % and 2.5 % can be achieved in women by strengthening exercises with high resistance. With this combination and strengthening of the quadriceps muscle a reduction of falls and hence the fracture risk could also be achieved. In traumatology, training for muscle strengthening is not always possible, especially for elderly patients. Practically relevant alternatives are regular walking and aquatraining, which may also lead to a significant increase in bone mineral density. Furthermore, large effects can be achieved with alternating side whole-body vibration (WBV) training with whole body vibration plates with only 3 days of training per week and with short training periods (15-20 min). Rates of increase in leg strength between 20 % and almost 40 % and in bone density between 0.5 % and 4 % in 6 months have been described. Whether and with what intensity whole body vibration therapy could be used for e.g. more rapid healing of fractures, is currently unclear. Initial positive results have been described in animal models.
authors.affiliation: Klinik und Poliklinik für Orthopädie, Physikalische Medizin und Rehabilitation, Osteologisches Schwerpunktzentrum (DVO), Klinikum der LMU, München, Campus Innenstadt, München, Deutschland.
authors.forename: A
authors.initials: A
authors.lastname: Winkelmann
authors.affiliation: Klinik für Allgemeine, Unfall-, Hand- und Plastische Chirurgie, Osteologisches Schwerpunktzentrum (DVO), Klinikum der LMU München, Campus Innenstadt, Nussbaumstrasse 20, 80336, München, Deutschland.
authors.forename: S
authors.initials: S
authors.lastname: Schilling
authors.affiliation: Klinik für Allgemeine, Unfall-, Hand- und Plastische Chirurgie, Osteologisches Schwerpunktzentrum (DVO), Klinikum der LMU München, Campus Innenstadt, Nussbaumstrasse 20, 80336, München, Deutschland.
authors.forename: C
authors.initials: C
authors.lastname: Neuerburg
authors.affiliation: Klinik für Allgemeine, Unfall-, Hand- und Plastische Chirurgie, Osteologisches Schwerpunktzentrum (DVO), Klinikum der LMU München, Campus Innenstadt, Nussbaumstrasse 20, 80336, München, Deutschland.
authors.forename: W
authors.initials: W
authors.lastname: Mutschler
authors.affiliation: Klinik für Allgemeine, Unfall-, Hand- und Plastische Chirurgie, Osteologisches Schwerpunktzentrum (DVO), Klinikum der LMU München, Campus Innenstadt, Nussbaumstrasse 20, 80336, München, Deutschland.
authors.forename: W
authors.initials: W
authors.lastname: Böcker
authors.affiliation: Zentrum für Muskel und Knochenforschung, CHARITÉ - UNIVERSITÄTSMEDIZIN BERLIN, Campus Benjamin Franklin, Freie Universität & Humboldt Universität, Berlin, Deutschland.
authors.forename: D
authors.initials: D
authors.lastname: Felsenberg
authors.affiliation: Klinik für Allgemeine, Unfall-, Hand- und Plastische Chirurgie, Osteologisches Schwerpunktzentrum (DVO), Klinikum der LMU München, Campus Innenstadt, Nussbaumstrasse 20, 80336, München, Deutschland. ulla.stumpf@med.uni-muenchen.de.
authors.forename: U
authors.initials: U
authors.lastname: Stumpf
mesh_terms: D019317:Evidence-Based Medicine; D005081:Exercise Therapy / Q000379:methods / Q000592:standards* / Q000639:trends; D005858:Germany; D006801:Humans; D010024:Osteoporosis / Q000175:diagnosis* / Q000628:therapy*; D058866:Osteoporotic Fractures / Q000175:diagnosis* / Q000517:prevention & control*; D017410:Practice Guidelines as Topic; D016896:Treatment Outcome
keywords: Exercise; Osteoporosis; Prevention; Proprioception; Whole-body vibration training