Low Risk of Fracture With End-Range Movements of the Hip in People With Low Bone Mineral Density: A Narrative Review

Background: The risks of end-range movements for people with osteoporosis, specifically at the hips and shoulder, are not well understood. Objectives: To synthesize literature on the safety of stretching for people with osteoporosis by searching: 1) biomechanical literature to determine how much for...

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Autores principales:	Christina Ziebart MSc, Caitlin McArthur, PT PhD, Judi Laprade, PT PhD
Formato:	article
Lenguaje:	EN
Publicado:	SAGE Publishing 2021
Materias:	Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/6f328b8e608d4602a2e2a24966bd23d3
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spelling	oai:doaj.org-article:6f328b8e608d4602a2e2a24966bd23d32021-11-19T22:33:34ZLow Risk of Fracture With End-Range Movements of the Hip in People With Low Bone Mineral Density: A Narrative Review2333-721410.1177/23337214211052398https://doaj.org/article/6f328b8e608d4602a2e2a24966bd23d32021-10-01T00:00:00Zhttps://doi.org/10.1177/23337214211052398https://doaj.org/toc/2333-7214Background: The risks of end-range movements for people with osteoporosis, specifically at the hips and shoulder, are not well understood. Objectives: To synthesize literature on the safety of stretching for people with osteoporosis by searching: 1) biomechanical literature to determine how much force results from an end-range maneuverer and is required to fracture joint components (focusing on the hip joint) and 2) clinical literature to describe techniques used, populations studied, effects, and reported adverse events. Methods: We conducted two separate search strategies in PubMed, EMBASE, and Scopus (1955–2020). Results: 16 articles described either biomechanical or clinical effects of passive and active end ranges of the hip joint. The largest load in the hip, described in the literature was in a crescent lunge during yoga. The moment produced in a crescent lunge is much smaller than that of the tensile strength of osteoporotic bone, suggesting the crescent lunge movement could be considered safe. Clinically, no adverse events were reported in exercise, stretching or yoga interventions. Conclusion: This review found no evidence that end range movements of the hip are unsafe, but there is little evidence. No studies were identified that explored the risk of humeral fracture during end range stretches.Christina Ziebart MScCaitlin McArthur, PT PhDJudi Laprade, PT PhDSAGE PublishingarticleGeriatricsRC952-954.6ENGerontology and Geriatric Medicine, Vol 7 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Geriatrics RC952-954.6
spellingShingle	Geriatrics RC952-954.6 Christina Ziebart MSc Caitlin McArthur, PT PhD Judi Laprade, PT PhD Low Risk of Fracture With End-Range Movements of the Hip in People With Low Bone Mineral Density: A Narrative Review
description	Background: The risks of end-range movements for people with osteoporosis, specifically at the hips and shoulder, are not well understood. Objectives: To synthesize literature on the safety of stretching for people with osteoporosis by searching: 1) biomechanical literature to determine how much force results from an end-range maneuverer and is required to fracture joint components (focusing on the hip joint) and 2) clinical literature to describe techniques used, populations studied, effects, and reported adverse events. Methods: We conducted two separate search strategies in PubMed, EMBASE, and Scopus (1955–2020). Results: 16 articles described either biomechanical or clinical effects of passive and active end ranges of the hip joint. The largest load in the hip, described in the literature was in a crescent lunge during yoga. The moment produced in a crescent lunge is much smaller than that of the tensile strength of osteoporotic bone, suggesting the crescent lunge movement could be considered safe. Clinically, no adverse events were reported in exercise, stretching or yoga interventions. Conclusion: This review found no evidence that end range movements of the hip are unsafe, but there is little evidence. No studies were identified that explored the risk of humeral fracture during end range stretches.
format	article
author	Christina Ziebart MSc Caitlin McArthur, PT PhD Judi Laprade, PT PhD
author_facet	Christina Ziebart MSc Caitlin McArthur, PT PhD Judi Laprade, PT PhD
author_sort	Christina Ziebart MSc
title	Low Risk of Fracture With End-Range Movements of the Hip in People With Low Bone Mineral Density: A Narrative Review
title_short	Low Risk of Fracture With End-Range Movements of the Hip in People With Low Bone Mineral Density: A Narrative Review
title_full	Low Risk of Fracture With End-Range Movements of the Hip in People With Low Bone Mineral Density: A Narrative Review
title_fullStr	Low Risk of Fracture With End-Range Movements of the Hip in People With Low Bone Mineral Density: A Narrative Review
title_full_unstemmed	Low Risk of Fracture With End-Range Movements of the Hip in People With Low Bone Mineral Density: A Narrative Review
title_sort	low risk of fracture with end-range movements of the hip in people with low bone mineral density: a narrative review
publisher	SAGE Publishing
publishDate	2021
url	https://doaj.org/article/6f328b8e608d4602a2e2a24966bd23d3
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Low Risk of Fracture With End-Range Movements of the Hip in People With Low Bone Mineral Density: A Narrative Review

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