BONE HEALTH SIG
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Welcome to the Bone Health Special Interest Group! Please visit this page often for access to numerous resources to support your practice in evidence based treatment and education related to bone health AND for SIG news and events.
Join a SIG
The primary purpose of the Bone Health SIG is to:
- Develop and apply research and knowledge to
- Promote, maintain, and preserve bone health through the life span
- Reduce age-related bone loss
- Reduce fracture risk
- Manage and treat bone loss, osteoporosis and fractures
- Expand understanding of bone and its unique response to mechanical loading and exercise
- Increase public awareness of the role of physical therapy in the promotion of bone- healthy exercise and lifestyle and the management and treatment of bone loss and fracture
- Develop guidelines for successful clinical practice.
- Inform all physical therapy practice to incorporate knowledge of bone into everyday practice and exercise prescription, with emphasis on bone building exercise in youth and safe, non- compressive core and balance exercises for older adults.
There are many opportunities for participation, so please consider getting involved! To participate or learn more about current SIG activities and projects, contact the SIG chair.
SIG LEADERSHIP
- CHAIR: Lisa Hamilton, PT, DPT
- VICE CHAIR: Kathlene Camp, PT, DPT
- SECRETARY: Mary Milidonis, PT, MSPT, PhD
- STUDENT LIAISONS: Paula Stonehouse SPT, Giulia Marsella SPT
SIG LIAISONS
- Academy of Aquatic Physical Therapy
- Academy of Oncology PT
- Academy of Orthopedic PT
- Academy of Pelvic Health PT
BH SIG News
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BH SIG Events
No Upcoming Events Found
BH SIG MINUTES
- SIG Minutes August 20, 2024
- SIG Minutes April 4, 2024
- SIG Minutes Aug 8 2023
- SIG Minutes Aug 30 2022
- SIG Minutes Feb 15 2022
- SIG Minutes Aug 3 2021
- SIG Minutes Mar 2 2021
BH SIG Newsletters
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Interdisciplinary Symposium on Osteoporosis (ISO)
- BHOF ISO 2024 Summary
Bone Health SIG Member Resources
Free Bone Health SIG Toolkit
This toolkit has been developed by members of the Bone Health Special Interest Group (BHSIG) of the Academy of Geriatric Physical Therapy (APTA Geriatrics), to assist clinicians screen, provide thorough assessment and essential interventions for patients with low bone density and history or risk for fracture.
Welcome Letter – October 2023
Welcome to the BHSIG and Fall 2023!
We are heading into the final stretches of 2023, and our focus continues on building the Bone Health Toolkit. We are excited to bring this resource to life and feel that it will be an important resource for both clinicians and patients with osteoporosis and compromised bone health. This toolkit will include guidance for evidence based screening, evaluation and interventions that are based upon the CPG/Delphi Study, as well as a compendium of additional resources that are user friendly and accessible. We are excited to bring both the Toolkit and the KT from the CPG/Delphi to life as a resource for your practice and patients.
October 20 is World Osteoporosis Awareness day, and we invite you to check out the many resources through the International Osteoporosis Foundation. This is a great opportunity as physical therapists to bring awareness and educate our clients and communities about Bone Health and steps to take to stay strong and healthy.
CSM 2024 is in Boston, MA February 15-17, 2024. Registration is OPEN! We are excited to present on Thursday, February 15: GR-17875 – Applying a Geriatrics 5Ms Framework to Osteoporosis Management. The Geriatric 5Ms model (What Matters Most, Mind, Mobility, Medications, Multi-complexity) provides a comprehensive approach to older adult care and has been associated with reduced institutionalization, greater independence, and higher levels of physical function. This 5Ms model provides a framework to address factors impacting bone health and focuses on patient-centered care. We hope to see you there!
Lastly, thank you to all who continue to contribute to our SIG and to the leadership team. We would not be successful as a volunteer organization without contributions from all of you!
Lisa Hamilton PT, DPT, NCPT, CHWC
Chair, APTA Geriatrics Bone Health Special Interest Group
Bone Health Flash
September 2024 – Fall Prevention + Osteoporosis Awareness
Fall Prevention Awareness
Reminder: September 23-27 is Fall Prevention Awareness week (FPAW). Reducing fracture risk includes reducing the risk of falls. The National Council on Aging (NCOA) provides several resources to promote fall prevention: https://www.ncoa.org/page/falls-prevention-awareness-week-toolkit.
NCOA also provides some specific resources for addressing bone health and fall prevention including familiar links with ABH/BHOF. Check out these resources for your patients/clients:
• Fracture Risk Calculator
• Better Bone Health: A Discussion Guide (pdf)
(See July Bone Flash for additional links for raising awareness on bone health protection during FPAW)
World Osteoporosis Day
Say No to Fragile Bones – 2024 Campaign
Check out these resources for sharing information with your clients and community: https://www.worldosteoporosisday.org/resources/say-no-fragile-bones
Here is the toolkit to guide action steps to increase awareness and action: https://www.osteoporosis.foundation/sites/iofbonehealth/files/2024-05/wod24toolkit_final.pdf. See the section which provides recommendations for bringing awareness and action steps within different settings.
You could also consider this trifold from BHOF to provide an overview for patients on actions to protect bone health.
What’s in the News?
Check out the CPG update from Osteoporosis Canada. Authors provide a GRADE approach to multifactorial recommendations including exercise, nutrition, and pharmacotherapy (including sequencing of medications) interventions.
Morin SN, Feldman S, Funnell L, et al. Clinical practice guideline for management of osteoporosis and fracture prevention in Canada: 2023 update. CMAJ. 2023;195(39):E1333-E1348. doi:10.1503/cmaj.221647. https://pubmed.ncbi.nlm.nih.gov/37816527/
Although post-menopausal women receive the most attention for bone health, check out these additional guides:
For men: Evidence is supportive for improvements in BMD with use of many of the same pharmacological treatment options for women. Although, HRT can be effective in women, testosterone therapy in men should be reserved for hypogonadal men and they should also be established with an anti-osteoporosis medication to effectively reduce fracture risk. Addressing OP care for men has significant cost-savings impact. Physical exercise and balanced diet should also be a focus for men.
Fuggle NR, Beaudart C, Bruyère O, et al. Evidence-Based Guideline for the management of osteoporosis in men. Nat Rev Rheumatol. 2024;20(4):241-251. doi:10.1038/s41584-024-01094-9. https://pubmed.ncbi.nlm.nih.gov/38485753/.
For children and adolescence: Although your practice may primarily be in geriatric services, awareness for the presence of primary and secondary causes of OP in children could can assist us in long-term management.
Ward LM. A practical guide to the diagnosis and management of osteoporosis in childhood and adolescence. Front Endocrinol (Lausanne). 2024;14:1266986. Published 2024 Jan 25. doi:10.3389/fendo.2023.1266986. https://pubmed.ncbi.nlm.nih.gov/38374961/#,
Save the Date – Journal Club!
The BHSIG will be hosting the January Journal Club Webinar on Tuesday evening, January 21, 2025.
> Article highlight: Hartley GW, Roach KE, Nithman RW, et al. Physical Therapist Management of Patients With Suspected or Confirmed Osteoporosis: A Clinical Practice Guideline From the Academy of Geriatric Physical Therapy. J Geriatr Phys Ther. 2022;44(2):80. doi:10.1519/JPT.0000000000000357. https://pubmed.ncbi.nlm.nih.gov/35384942/
> Article presenter: Greg Hartley, PT, DPT, FAPTA
> Case Presentation: Kathlene Camp, PT, DPT (look for case publication in the January GeriNotes)
What’s Happening in the SIG
General Body Meeting – Our general meeting occurred on Tuesday, August 20. Check the BHSIG website for meeting minutes. Kavita Patel, PT, DPT, BoneFit Trainer provided updates on upcoming training opportunities, shared her insight on the ISO 2024 conference, and proposed some considerations for collaboration.
Next Meeting in April 2025, watch for emails to register.
In Case you Missed It
Take a look at our recently developed Bone Health Toolkit, https://aptageriatrics.org/sig/bone-health-toolkit/. Share the link available on our SIG website with your colleagues to help guide and inform care provided for your patients/clients to protect bone health. Please provide feedback or desires for information to address in future updates.
Want to Get Involved?
> Share – Let us know how you are providing awareness for bone health needs and supporting action. We would love to highlight your news.
> Contribute – Join our general body meetings to hear about initiatives and how you can collaborate.
Join the SIG
To receive regular updates and access to all resources, join our SIG.
Kathlene Camp, PT, DPT, Board Certified Specialist in Geriatric Physical Therapy, Vice Chair, BHSIG
Bone Health and Osteoporosis (BHOF) Updates
Register for the new workshop here.
Download the Flyer
Register for the upcoming workshop
- SIG Newsletter July 2022
- SIG Newsletter May 2022
- SIG Newsletter April 2022
- SIG Newsletter March 2022
- SIG Newsletter December 2021
- SIG Newsletter October 2021
- SIG Newsletter September 2021
- SIG Newsletter August 2021
- SIG Newsletter July 2021
- SIG Newsletter June 2021
- SIG Newsletter February 2021
- SIG Newsletter January 2021
- SIG Newsletter November 2020
- SIG Newsletter October 2020
- SIG Newsletter September 2020
- SIG Newsletter July 2020
- SIG Newsletter June 2020
Bone Health References – 2021 Update
Download Here
Secondary Fracture Prevention – a Multi-stakeholder Coalition Solution for a Current Gap in Treatment
The American Society for Bone and Mineral Research (ASBMR) assembled a multi-stakeholder coalition including representation from the American Physical Therapy Association to develop clinical recommendations for the optimal prevention of secondary fracture among people aged 65 years and older with a hip or vertebral fracture. Review of this document describes essential strategies requiring collaboration within care management teams addressing education, communication and interventions. “Emphasizing the connection between fracture and osteoporosis elevates the fracture from an unfortunate accident to a sentinel event indicative of an important underlying chronic disorder.” There is frequent failure to investigate the diagnosis of osteoporosis and provide the long-term integrated care that this chronic condition requires. Following the first fracture it is imperative to initiate immediate interventions to increase the number of patients receiving appropriate osteoporosis treatment. Physical therapists have a long history of successful intervention for acute osteoporotic fractures, but often do not continue care for lifelong management of these patients. Additionally, the medical management across specialties is frequently inconsistent. Given the treatment gap for comprehensive management of this condition, there are predictable complications which will have lifelong impact on function and quality of life. Therefore, physical therapists must actively embrace this call to action. We are vital members of the multidisciplinary team, and with aggressive evidence based approach to encompass the full scope of therapy interventions throughout the lives of these patients, we can fully support the overall strategies presented by the coalition.
Review the full article: Conley RB, Adib G, et al. (2020). “Secondary Fracture Prevention: Consensus Clinical Recommendations from a Multistakeholder Coalition.” J Bone Miner Res 35(1): 36-52. PMID: 31538675 DOI: 10.1002/jbmr.3877
Osteoporosis & Aquatic Exercise: New Concepts, Updated Research, Novel Techniques
Download the Document
Community Bone Health Presentation
Download the Powerpoint Presentation
Why Start A Community Exercise Program
Please watch Sherri Betz, PT DPT, former chair of the BGSIG in this featured podcast.
Stand TallTM DVD
A new Stand TallTM DVD by Wendy Katzman, DSc, PT, OCS has been produced the UCSF Department of Physical Therapy and Rehabilitation Center. To order the video, contact Anthony.Casino@ucsf.edu
What Are Evidence-Based Exercise Programs and Why Are They Important?
Download Here
Do It RIGHT! and Prevent Fractures!
The Bone-Healthy Way of Life and Exercise
American Bone Health would like to acknowledge the hard work and determination of the author Sherri Betz, PT, GCS, in bringing this important information to the public. We thank the models Jan and Lee Prawitz, Sue Walters and Joan White, who donated their time to show others how to keep their bones fracture free. We recognize and thank Nancy Abodeely, PT, OCS, for reviewing the final content to ensure we communicated safe and effective activities and exercises. American Bone Health is proud to have the endorsement of the Bone Health Special Interest Group of the APTA Geriatrics, American Physical Therapy Association, for this work.
Download Here