Braun T., Hermanns M., Haug V., Nau J., Scheffler B., Diermayr G., Hartley G., Avin K., Saal S.. (2026). Physical therapist management of patients with suspected or confirmed osteoporosis – German translation and contextual adaptation of a clinical practice guideline from the Academy of Geriatric Physical Therapy (USA). https://doi.org/10.3389/fresc.2026.1933821
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What this study found
Researchers conducted a structured, multi-step adaptation process to translate and contextually modify the 2022 Academy of Geriatric Physical Therapy (APTA Geriatrics) osteoporosis clinical practice guideline for use in German-speaking healthcare systems. Following systematic literature screening and quality appraisal using AGREE-II standards, the team selected the APTA guideline as the source document.
Through iterative review with an expert panel, practicing physical therapists, and individuals living with osteoporosis, the authors adapted the document to local clinical contexts. Crucially, the core therapeutic recommendations regarding physical therapy management remained intact, with adaptations limited to contextual elements such as terminology and educational glossaries.
Why it matters
Osteoporosis significantly increases fracture risk, functional decline, and loss of independence among older adults. Physical rehabilitation is a frontline intervention for improving bone health, balance, pain control, and overall physical functioning. Key practical takeaways for rehabilitation practice include:
- Standardized practice: Gives German-speaking physical therapists validated, evidence-based recommendations for fall risk reduction and targeted exercise.
- Interprofessional alignment: Helps referring clinicians and physiatrists confidently coordinate care with physical therapists using internationally recognized standards.
- Patient-centered focus: Incorporates direct patient feedback to ensure guidance remains practical and accessible for individuals with bone loss.
Limitations
While the adaptation process followed a rigorous methodology, successful clinical uptake depends on regional healthcare infrastructure, professional training, and local practice models. Furthermore, as new clinical trial evidence emerges, regular updates will be required to maintain alignment with the evolving evidence base in bone health management.