Physical Therapy Aspects on Diabetic Female Osteoporosis Complication

Abstract Osteoporosis is a disease that affects over 40 percent of women over the age of 50. The diabetes-osteoporosis relationship is complex and still incompletely elucidated, despite numerous studies conducted in recent decades(1). The influence of diabetes on bone tissue differs, however, between the forms of type 1 and type 2 diabetes. The purpose of this paper is to highlight the main aspects of the physical therapy in the prophylaxis and treatment of diabetic osteoporosis in females, in the context of proper guidance and an appropriate exercise program. After 35 years of age, the bone continuously loses its substance, a normal and natural phenomenon with the aging. However, this loss can become a serious problem if the initial "bone reserve" was too low or if the bone loss is done too quickly, and especially after the menopause. The result is an increased risk of fracture, either by a normal fall, like in the wrist or hip, or by a moderate lifting effort, as in the case of the vertebrae. Insufficient physical activity, sedentarism, obesity or low body weight, metabolic disorders with absorption deficits lead to demineralization and bone marrow scarring. So, an appropriate exercise program under the auspices of: resistance, posture, balance, are targets that can activate osteoblast in the process of deposition and collagen construction in the bone matrix. A good exercise program in the prophylaxis and treatment of osteoporosis consists of exercise, posture and balance exercises designed for both upper and lower limbs, but also for abdominal and pelvic belts.