Physical training for fracture prevention: Evidence- and consensus-based practice recommendations of the updated DVO guideline Körperliches Training zur Frakturprophylaxe: Evidenz- und konsensbasierte Praxisempfehlungen der aktualisierten DVO-Leitlinie

Kemmler W, Schöne D, Kohl M, Thomasius F, Jakob F, Kerschan-Schindl K, Lange U, Becker C, Peters S, von Stengel S (2025)

Publication Type: Journal article

Publication year: 2025

Journal

Die Orthopädie Springer Medizin Verlag

DOI: 10.1007/s00132-025-04731-7

Abstract

Background: Exercise is an effective intervention for preventing low-trauma fractures, but optimized training recommendations for different target groups are not available in terms of the desired level of detail or with the desired practical orientation. Training targets: The primary aim of this evidence- and consensus-based guideline was, therefore, to derive personalized practice recommendations for effective, safe, and transferable training programs for fracture prevention. The present approach is based on assigning training goals according to the determinants of fracture risk that are relevant to the individual, such as bone strength, fall risk, and risk of fall-related injury. Exercises: Training protocols for maintaining or improving bone strength should generally include phases of intensive mechanical loading, which can be achieved through weight-bearing exercises and dynamic strength training. The fall risk should be addressed through an individualized combination of balance training, including perturbation training, step training, and interactive cognitive-motor and functional strength training. Simple, low-risk strategies for landing safely during or after a fall can be recommended without reservation; however, more demanding falling techniques require close supervision by experienced staff and high safety standards. Ideally, the frequency of training should be three sessions per week across all training goals. We advise (block) periodized approaches with phases of different focus, as well as consistent, individual adaptation and progression throughout the training process.

Authors with CRIS profile

Wolfgang Kemmler Lehrstuhl für Diagnostische Radiologie Daniel Schöne Institute of Radiology Simon von Stengel Institute of Radiology

Involved external institutions

Hochschule Furtwangen DE Germany (DE) Dachverband Osteologie DVO DE Germany (DE) Österreichische Gesellschaft für Knochen- und Mineralstoffwechsel (OEGKM) / Austrian Society for Bone and Mineral Research (AuSBMR) AT Austria (AT) Deutsche Gesellschaft für Physikalische und Rehabilitative Medizin (DGPRM) DE Germany (DE) Universitätsklinikum Heidelberg DE Germany (DE) Universität der Bundeswehr München DE Germany (DE)

How to cite

APA:

Kemmler, W., Schöne, D., Kohl, M., Thomasius, F., Jakob, F., Kerschan-Schindl, K.,... von Stengel, S. (2025). Physical training for fracture prevention: Evidence- and consensus-based practice recommendations of the updated DVO guideline Körperliches Training zur Frakturprophylaxe: Evidenz- und konsensbasierte Praxisempfehlungen der aktualisierten DVO-Leitlinie. Die Orthopädie. https://doi.org/10.1007/s00132-025-04731-7

MLA:

Kemmler, Wolfgang, et al. "Physical training for fracture prevention: Evidence- and consensus-based practice recommendations of the updated DVO guideline Körperliches Training zur Frakturprophylaxe: Evidenz- und konsensbasierte Praxisempfehlungen der aktualisierten DVO-Leitlinie." Die Orthopädie (2025).

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