Section 2: Exercise after a vertebral fracture

Exercises after a vertebral fracture

  • The nature of “best exercises” still remains unclear
  • Improvements in back extension strength, psychological symptoms, QOL have been noted
  • These exercises may improve balance
  • Improvements in pain is not a strong finding
  • A trend towards improvement in vertebral morphometry has not been demonstrated strongly (Gold19, Malmros33, Papaioannou41, Webber53, Hongo23 )
‘Any’ is good (On bedrest, bone loss of about 1% per week and regain at about 1% per month)

Adverse Events HAVE been reported during these programs

  • Fractured costal cartilage during prone exercise
  • Fractured rib while rolling from supine to prone
  • Metatarsal fracture when 2lb weight fell on foot
  • Hip fracture after 6MO physical examination
  • Soft tissue pain (neck, back)
  • Back pain, unspecified – 2/3 returned to exercise
  • Pain during exercise, fall concerns (14/74)

(Gold19, Hongo23, Papaioannou41)

NEW studies examining exercise for people with osteoporosis and vertebral fractures:

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