Exercise for Patients with Established Osteoporosis

  • Mehrsheed SinakiEmail author


Musculoskeletal changes that are related to osteoporosis/osteopenia can be prevented or mitigated through implementation of proper osteoporosis rehabilitation programs. Osteoporosis can affect patients physically and psychologically. We need to treat the patient, not just the low bone and muscle mass. Being positive in our presentation is crucial for patients' compliance with the program. The physical activity (PA) and exercise interventions recommended here are evidence based and are the result of controlled trials and studies. In addition, the author has included a few caveats that are intended to emphasize avoidance of overstraining the spine beyond its biomechanical competence when interested in osteogenicity of exercise and PA. Effective back-strengthening exercises need to be devised according to the patient’s biomechanical competence.

Recreational exercises such as strenuous flexion in some yoga positions can increase torque pressure applied to the vertebral bodies and result in anterior wedging or, worse, compression fracture.


Physical activity (PA) Osteogenicity Risk of falls New hypothesis Spinal Proprioceptive Extension Exercise Dynamic (SPEED) program Yoga positions and spinal flexion in osteoporosis 


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Copyright information

© Springer International Publishing AG 2017

Authors and Affiliations

  1. 1.Department of Physical Medicine and RehabilitationMayo ClinicRochesterUSA
  2. 2.Professor of Physical Medicine and RehabilitationMayo Clinic College of Medicine and ScienceRochesterUSA
  3. 3.Director of Rehabilitation of Osteoporosis ProgramMayo ClinicRochesterUSA

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