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Osteoporosis Exercise Rehabilitation

Weight-bearing, resistance and balance exercises in osteoporosis increase bone density, prevent falls and reduce fracture risk.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Fizik Tedavi ve Rehabilitasyon department. Book Appointment →

What is Osteoporosis Exercise Rehabilitation?

Osteoporosis is a systemic skeletal disease characterised by decreased bone mineral density and disruption of microarchitecture, increasing fracture risk.

Exercise rehabilitation is one of the most important non-pharmacological interventions in osteoporosis. Mechanical loading triggers osteoblast activity through Wolff's law, increasing bone density.

Effective programmes include progressive resistance training (high intensity), impact loading exercises (jumping, hopping), balance training and posture exercises. The LIFTMOR (Lifting Intervention for Training Muscle and Osteoporosis Rehabilitation) protocol uses 80–85% 1RM resistance training.

Symptoms

Asymptomatic in early stage (silent disease)
Loss of height and stooped posture (kyphosis)
Acute or chronic back pain (vertebral fracture)
Wrist, hip, vertebra fragility fracture
Decreased mobility and fear of falling
Quality of life impairment
Decreased grip strength

Risk Factors

Postmenopausal women (oestrogen deficiency)
Advanced age (>65 years)
Family history of osteoporosis
Low body weight (BMI <19)
Smoking and alcohol use
Long-term corticosteroid use
Calcium and vitamin D deficiency

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • Bone density (DEXA) screening should start at age 65 for postmenopausal women
  • Apply to the emergency department immediately for sudden back pain with possible vertebral fracture
  • Hip pain after a fall requires X-ray investigation
  • Frequent falls require comprehensive geriatric evaluation

Treatment Methods

01
Progressive resistance training (LIFTMOR: 80–85% 1RM, 5 reps × 5 sets)
02
Impact loading exercises (jumping, hopping, stair climbing)
03
Balance training (single-leg stance, tandem walking)
04
Posture exercises (back extensors strengthening)
05
Tai chi and yoga (fall prevention)
06
Avoidance of forward bending exercises (vertebral fracture risk)

Which Department to Visit?

You can visit our Fizik Tedavi ve Rehabilitasyon department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

Learn About Fizik Tedavi ve Rehabilitasyon Department

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.