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what is bone remodelling
the continual process of bone breakdown (resorption) and formation (deposition)
what is Wolfe’s Law
Bone forms in areas of stress and is resorbed in areas of non-stress
what elements do the bones store?
calcium and phosphorus
what happens if a person isnot able to get enough calcium from their diet or unable to absorb
bone breaks down to maintain blood calcium levels
how do the kidneys regulate blood calcium levels
filtration and reabsorption rates
whats cortical bone and trabecular bone
cortical- hard
trabecular- spongy
three steps of bone development
Growth
appositional : thickness/mass
longtiduinal: length @ epi plate
modelling
ensures appropriate shape, esp during growth
remodelling
occurs in response t ostress
osteoclasts; causes resorption
osteoblasts; causes deposition , ossification
osteocytes; mature osteoblasts; initiates calcification
Vitamin D ( calcitionin) impact on bone remodelling
stimulis for release: increased blood ca levels
effect on bone; deposition (increases calcium)
effect on blood ca: decreased
Parathyroid hormone impact on bone
stimulus; increased blood ca levels
effect on bone: bone resorption (decreased calcium)
blood ca: increases
what does vitamin D due to ca in intestines
increases its abosprtion and increases blood ca levels
what are estrogen, testerone and growth hormone role in bones
stiulate bone growth and eventual epiphesiyal plate closure
what is mechanotransduction (exercise effect)
process by which bone responds to mechanical force on it
compression and tensille forces
explain what happens in bones while weight bearing or exercise
hydrostatic pressure, causing movement of fluid
triggers osteogenic response, building new bone
what is mechanostat thoery
process by which bone responds to mechanical forces placed on them
whats minimal effective strain
higher MES required for overload
adaptations to bone with exercise
speceficity; weight bearing
overload: MES above daily activities for increase BMD
Rest/recovery, individualization, maintenance,r eversibility