Sarcopenia brings a progressive loss of muscle mass and function. The concept of treating sarcopenia in fragility fracture patients has recently emerged, as it is one of the key factors for a future fall and fracture. Nevertheless, largely overlooked and undertreated in mainstream practice due to its complexity in diagnosis and suboptimal clinical pathways, sarcopenia has become a global threat, not to mention a heavy economic burden to our society. While exercise is a common intervention, poor compliance and reluctance have led to unsatisfactory results. The community is in dire need of an effective and broadly applicable intervention to tackle the condition.
Low magnitude high-frequency vibration (LMHFV) is a non-invasive biophysical therapy that provides systemic mechanical stimulation. Besides high adherence rates, LMHFV is found to produce significant improvements in reaction time, movement velocity, balance and muscle strength, as well as considerably lower fall incidences. These benefits would retain for one year even after cessation of treatment. Patients are invited to use the therapy platform three times a week at a dedicated clinic.
The effective therapy will bring down direct and indirect healthcare costs, as well as the need for further hospital visits and interventions. There would also be a decrease in lost work time for caregivers. The demonstrated effectiveness may facilitate the integration of LMFHV in other public hospitals, benefiting more patients.
β 120 vertebral fracture patients
β 120 patient caregivers
β 200 community elderly
Ronald is a clinician-scientist and a multiple-award winner, including a Gold Medal from the Hong Kong Academy of Medicine for the Best Original Research for Trainees in 2018. A current member of the Royal College of Surgeons of Edinburgh, he specialises in osteoporosis, fracture healing and rehabilitation of fragility fracture patients. Besides his acclaimed teaching, his dedication to community service and active experience sharing has been well received. Ronald received his PhD in Orthopaedics and Traumatology from CUHK.
Louis is a specialist in musculoskeletal ageing and biophysical intervention, experienced particularly in vibration therapy for osteoporosis, osteoporotic fracture healing and sarcopenia. He has been playing a key role in the Community Fall Prevention Campaign for over 10 years, besides being an active member of several orthopaedic professional societies. Louis earned his PhD in Orthopaedics and Traumatology from CUHK.