Diabetes buy LY2157299 Care 28:278–282CrossRefPubMed 41. Warriner AH, Curtis JR (2009) Adherence to osteoporosis treatments: room for improvement. Curr Opin Rheumatol 21:356–362CrossRefPubMed 42. Cooper A, Drake J, Brankin E, PERSIST Investigators (2006) Treatment persistence withonce-monthly ibandronate and patient support vs once weekly alendronate: results from the PERSIST trial. Int J Clin Pract 60:896–905CrossRefPubMed 43. Miller WR, Rollnick S (2002) Motivational interviewing: preparing people for change. Guilford Press, New York 44. Swanson AJ, Pantalon MV, Cohen KR (1999) Motivational interviewing and treatment adherence among psychiatric and dually diagnosed patients. J Nerv Ment Disease 187:630–635CrossRef

45. Cotte FE, Fautrel B, Pouvourville G De (2009) A Markov model simulation of the effect of

treatment persistence in postmenopausal osteoporosis. Med Decis Making 29:125–139CrossRefPubMed”
“Introduction Age-related hyperkyphosis is an exaggerated anterior curvature of the thoracic spine. Older adults with hyperkyphosis are at increased risk for impaired physical function [1–6], falls [7], and fractures [8]. While multiple studies have demonstrated a negative effect of hyperkyphosis www.selleckchem.com/products/GDC-0449.html on physical function [1, 3, 5, 6, 9, 10], none have been able to disentangle whether the impaired function might be explained by another associated predictor underlying spinal osteoporosis [11]. Furthermore, these studies have been limited by small sample sizes [3], qualitative measures of kyphosis [1, 5], or lack of control of confounding variables

[1, 3, 9, 10]. As impaired physical function itself is associated with fall risk and fractures, further examination of the relationship between kyphosis and measured physical function might inform other Glutamate dehydrogenase treatment strategies to forestall or even prevent functional decline. Currently, physicians often will refer patients to physical therapy for problems with balance and gait, but there are few referrals for hyperkyphosis. The association between hyperkyphosis and advanced age, decreased grip strength, low bone mineral density, and vertebral compression fractures [1, 5, 12–16], that themselves can impact on physical function, may serve to downplay the importance of age-related postural change. As an example, even though only 36-37% of older persons with the worst degrees of kyphosis have underlying vertebral fractures [13, 17], most clinicians assume vertebral fractures are the cause of hyperkyphosis, and may therefore consider it an incidental finding rather than an important clinical condition worthy of treatment itself [18, 19]. Establishing hyperkyphosis as a significant predictor of impaired mobility, independent of other significant predictors likely to impair mobility, could help justify intervention to reduce or delay progression of hyperkyphosis.

Leave a Reply

Your email address will not be published. Required fields are marked *


You may use these HTML tags and attributes: <a href="" title=""> <abbr title=""> <acronym title=""> <b> <blockquote cite=""> <cite> <code> <del datetime=""> <em> <i> <q cite=""> <strike> <strong>