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MaeganPorter

July18,2016
PTA1010
HallofFame:SallyField(Osteoporosis)
Osteoporosisismorecommoninwomenthaninmen.Infact,87%ofwomenovertheageof80
havereducedbonemineraldensity(Pagliarulo,2012).Osteoporosisisametabolicdiseasethatcausesthe
thinningofbonesthroughoutthebody(Pagliarulo,2012).Thisoccurswhenthereisanimbalance
betweennewbonegrowthandoldboneresorption.Newbonegrowthmayhaveslowedandoldbone
resorptionhasincreasedorboth(Driver,2016).Theouterareaofthebonelosesitsthicknessandthe
innerpartofthebonelosesitsdensity.Thiscausesthebonestobemoresusceptibletofracturesor
completebreaks.TherearetwodifferenttypesofOsteoporosis.Themostcommontypeofosteoporosis
(type1)isfoundinpostmenopausalwomenbecauseofthedecreaseofestrogenproductionintheirbody.
Withoutestrogen,thereismorebonebreakdowninthebody(Wiggin,2012).Thesecondtypeof
osteoporosis(type2)isrelatedwitholdageandlowlevelsofcalcium.LowlevelsofVitaminDand
certainhormonesaswellasreducedphysicalactivity,playafactorinOsteoporosis(Wiggin,2012).
SallyFieldisawellknownactressandhasbeeninmanyTVseriesandmovies(Gramantaite,
IMDB).Shewasdiagnosedwithtype1osteoporosisjustbeforeher60thbirthday.Shestates,Ialways

knewIfittheriskprofile.Iwasthin,smallboned,Caucasian,andheadingtowardsage60.ButI
wasamazedathowquicklyawomancouldgofrombeing

atrisktohavingfullfledged
osteoporosis(Chang,WebMD).Sallyhasalwaysbeenactiveinsportssuchashiking,biking
andextremeyogadaily.Shedidntknowshehadthedisease,untilabonescanwasdoneand
showedherhipsandspinewerethinning.Osteoporosisisknownasthesilentdisease,because
youdontusuallyknowyouhaveituntilafractureoccurs.

Inwomentheprocessofosteoporosisisacceleratedastheygothroughmenopauseand
haveadramaticdropinestrogen(Chang,WebMD).Estrogenisknownasaresorptive,soit
helpsslowdownboneloss,andwhenitdropsduringmenopause,manywomenareatriskof
osteoporosis.SallyFieldbegantreatmentofhormonereplacementtherapy,whichshesaid
helpedherbonesbutwhenshestoppedthetherapyherbonedensityplummeted(Chang,
WebMD).SallyendeduptakingamedicationcalledBonivatoslowdownbonegrowth.She
wasnotgoingtoletthisdiseasetakeherqualityoflifeaway,soshewasgoingtodoeverything
possibletostayhealthyandkeepliving.Sallysaid,Agingsuccessfullyisn'tjustaboutlooking
good,it'sabouthavingagoodsolidfeelingaboutyourhealthandyourselfasahealthyperson,"
(Chang,WebMD).Sheencourageswomentotakechargeandmakeacommitmenttobetter
bonehealthnow.Menareatriskofosteoporosisbutwearetoldthattheyhavelessthan20%
diagnosedcases(Chang,WebMD).
From19941999,astudywasconductedtoidentifyphysicalandmentaloutcomesof
osteoporosisthataffectthequalityoflifeinwomen(Kotz,2003).Therewere6,928womenin
thestudy,rangingfromtheageof1694yearsold.Theage,ethnicity,education,financialstrain
andphysicalactivitywerecontrolledinthestudy.Theycametotheconclusionthatthosewith
osteoporosisareathigherriskofhavingphysicalfrailtyanddifficultiesindailyactivities(Kotz,
2003).Theymaybeatriskofalowerqualityinlifebecauseoftheosteoporosis,causingthem
tomissoutongoingoutforentertainmentornotbeingabletoenjoyfreetime(Kotz,2003).
Careshouldbegivenimmediatelytothosewithosteoporosistomaintaintheirqualityoflifeby
helpingthemstayphysicallyfit.Thisiswherephysicaltherapycomesin.

Exerciseisamainkeytotreatosteoporosis,ithelpsstrengthenbones.TheNational
OsteoporosisFoundationrecommendstodoweightbearingactivitiessuchaswalking,dancing,
orstairclimbing,aswellasresistancetrainingseveraltimesaweek(Chang,WebMD).Physical
therapistscanpersonalizeanexerciseprogramthatwillfityourneedstoimproveyourbone
healthandlowertheriskoffractures(Morrison,2016).Healthyboneisbuiltandmaintained
throughahealthylifestyle(Morrison,2016).Physicaltherapycanimproveyourbalanceto
reducetheriskofafallandfracture,improveyourposture,strengthenyourmusclesandprovide
externaldeviceslikebracestopromotehealing(Morrison,2016).Allphysicaltherapistsare
trainedtotreatosteoporosis,buttherearethosewhospecializeinosteoporosisthatyoumay
wanttoconsiderseeing.
Osteoporosisisknownasthesilentdiseasebecauseyoudontreallyknowyouhaveit
untilafractureoccurs,soitisimportanttohaveahealthylifestylenow.Stayphysicallyfit.
Strengtheningyourmuscleswillimprovethestrengthofyourbonesaswell.Femaleswhoare
goingthroughmenopauseareatariskandshouldtakeactionintalkingtotheirdoctorabout
osteoporosis.Dontletthesilentdiseaseofosteoporosisaffectyourqualityoflife.

Bibliography

LoiseChang,MD.WebMD.SallyField:AnOsteoporosisStory.
http://www.webmd.com/osteoporosis/features/sallyfieldosteoporosisstory.Web.18Jul.
2016.

AisteGramantaite.IMDb.SallyFieldBiography.
http://www.imdb.com/name/nm0000398/?ref_=nmbio_bio_nm.Web.18Jul.2016.
(IMDB)

KristaKotz,PhD.PreventingChronicDisease.OsteoporosisandHealthRelated
QualityofLifeOutcomesintheALamedaCountyStudyPopulation.
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC544528/.Web/Print.15Dec.2003.(PEER)

BenWiggin,WPT.AdvanceHealthcareNetwork.Osteoporosis:CanPTHelp?
http://physicaltherapy.advanceweb.com/Features/Articles/OsteoporosisCanPTHelp.as
px.Web.15Aug.2012.

Pagliarulo,MichaelA.IntrotoPhysicalTherapyFourthEdition.Ithaca:Departmentof
PhysicalTherapy,2012.Print/Book.(PTA)

CatherineBurtDriver,MD.Emedicinehealth.Osteoporosis.
http://www.emedicinehealth.com/osteoporosis/page2_em.htm.Web.27Apr.2016.

MarySalokaMorrison.MoveForwardPT,PTA.PhysicalTherapistsGuideto
Osteoporosis.http://www.moveforwardpt.com/symptomsconditionsdetail.aspx?cid=b5e09
43977a8497db8d9b5250de60544.Web.2016.