KNGF Guideline

for Physical Therapy in patients

with Osteoporosis

Case-finding referral no referral (direct access)

- patient being treated for other - serious pathology?
presenting problem is
problem - recommend contact with family
- advice from family physician osteoporosis-related physician

not to be treated
according to KNGF
increased risk of osteoporosis no
Guideline on
Osteoporosis
yes

other complaints,
increased risk of falling abnormal body posture
e.g. pain and immobility

no yes no yes

increased risk of osteoporosis

increased risk of
increased risk of with increased risk of falling
osteoporosis without
osteoporosis with and with clear co-morbidity;
increased risk
increased risk of falling the co-morbidity may be
of falling
the leading disorder

yes

maintain and increase bone

mass reduce risk of falling
consider referral to exercise improve body posture
consider falls guideline
program for osteoporosis

practice functions / activities

practice functions / activities
with osteogenic stimulus,
at the right intensity
practice functions / activities
aimed at thoracic spine
aimed at individual risk
extension, mobility, muscle
factors for falling
strength and endurance

education
information and advice

evaluation and conclusion of treatment

reporting

V-05/2011 the complete guideline is available from www.kngfrichtlijnen.nl KNGF