Osteoporosis

ONERO Program Summary:

At Rebound Health, we run the Onero group exercise program for people with Osteoporosis
This is a 12-month program of twice-weekly group exercise classes involving high intensity strength and impact training
While exercise is important for supporting bone health, the literature demonstrates that the dosage outlined in the Onero program has the potential to increase bone mineral density. If patients are not able to exercise at this frequency or intensity (e.g. if they have another health condition that limits exercise intensity of impact exercise levels), it is unlikely that bone mineral density will increase

Questions to go through with your supervisor:

What are some risk factors for developing osteoporosis
How would you explain to a patient why exercise is beneficial for people with osteoporosis?
What are the exercise guidelines for people with osteoporosis?
What are some considerations/questions you'd want to ask someone with osteoporosis in their initial consultation?

Further Reading:

'Exercise Prescription for Osteoporosis: Back to Basics' by Belinda Beck: https://journals.lww.com/acsm-essr/Fulltext/2022/04000/Exercise_Prescription_for_Osteoporosis__Back_to.1.aspx
ESSA Position Statement on Exercise & Osteoporosis: https://www.essa.org.au/Public/Public/Advocacy/Position_Statements.aspx
Exercise is Medicine Exercise & OP: https://exerciseismedicine.org/assets/page_documents/EIM%20Rx%20series_Exercising%20with%20Osteoporosis_2.pdf

Case Study practice

Ariana is a 62 y.o woman, T score -2.7 femoral neck, -2.3 lumbar spine. Previous fracture 2 years ago L wrist, nil ongoing concerns with wrist.

Ariana is very fear avoidant of lifting, as she sees herself as fragile.

How do you address Ariana's concerns and educate her about the benefits of exercise for bone health?
What is your initial ax? e.g. what questions and ax data do you gather?
Whta is your initial exercise prescription? How do you progress this client's exercise over time?

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