In this discussion, Dr. Dustin Jones, a specialist in geriatric orthopedic issues, shares insights on osteoporosis management. He highlights how empowering language can replace fear-based narratives, encouraging patients to embrace movement for better bone health. The conversation also dives into educational initiatives aimed at enhancing geriatric care, stressing the importance of continual learning and community engagement to support older adults positively. Dr. Jones’s expertise shines as he promotes a proactive approach to aging.
Emphasizing action-oriented advice empowers clients with osteoporosis to regain control and engage in exercise without fear of fractures.
Recent guidelines advocate for high-intensity training as essential for managing osteoporosis, shifting focus from avoidance to strengthening activities.
Deep dives
Empowerment Over Fear
It is crucial to avoid leading clients with osteoporosis into a fear-based mindset regarding their condition. Instead of emphasizing movements to avoid, professionals should focus on what clients can actively do to regain control over their lives. This shift in messaging can mitigate the detrimental effects of fear, such as deconditioning and negative self-perception, which often arise when individuals are told to avoid certain activities. By providing empowering and action-oriented advice, clients can develop a sense of agency and be motivated to engage in exercises without the worry of potential fractures.
Reframing Precautions
Recent consensus guidelines from the UK and Canada highlight a pivotal change in how to communicate precautions to individuals with osteoporosis. Rather than prioritizing what to avoid, these guidelines emphasize the importance of high-intensity resistance training and impact-based workouts as foundational components of managing the condition. This reorientation encourages a more positive approach, where the focus is first on activities that improve strength and bone health, followed by cautionary advice on minimizing risks. Such a strategy is expected to produce more favorable outcomes and reduce fear associated with physical activity.
Practical Strategies for Safety
Providing practical strategies for movement allows individuals with osteoporosis to engage in daily activities safely. Rather than simply advising against bending, twisting, or lifting, clients can be taught alternative techniques, such as employing a hip hinge to pick up items while maintaining spinal neutrality. This hands-on guidance enhances their ability to perform necessary tasks without increasing injury risk. By arming clients with actionable steps and techniques, they can feel empowered to navigate their lives confidently and maintain an active lifestyle.
Dr. Dustin Jones // #GeriOnICE // www.ptonice.com In today's episode of the PT on ICE Daily Show, join Modern Management of the Older Adult division leader Dustin Jones delves into the topic of nocebos and their impact on individuals with osteoporosis, particularly concerning the fear of fractures. He addresses a question from listener Lisa Moore about the common advice given to patients with osteoporosis, which often includes avoiding bending, twisting, and lifting. Dr. Jones explores whether this advice is helpful or potentially harmful, emphasizing the need for evidence-based practices in managing osteoporosis. He highlights the fear surrounding flexion-based exercises due to outdated research linking them to increased fracture risk, and encourages a more balanced perspective on movement for those living with osteoporosis. Tune in for valuable insights on how to support clients in overcoming fear and maintaining an active lifestyle.
Take a listen to learn how to better serve this population of patients & athletes, or check out the full show notes on our blog at www.ptonice.com/blog.