TFTF High Level

If 65 years of age or older to achieve health benefits & improve functional abilities:
Accumulate 150 minutes of moderate – to vigorous- intensity aerobic physical activity per week Bouts of 10 minutes or more Muscle strengthening of major muscle groups – at least 2 days per week Perform physical activities to enhance balance & prevent falls More physical activity leads to greater health benefits

Point to Ponder: Is this sufficient for bones?

Too Fit To Fracture Delphi Consensus Process

Table: “Are national physical activity guidelines appropriate for this case?” (% of R1, n=39)*

For clients with OP: Guidelines are appropriate

  • Weight-bearing aerobic activity most often;
  • Progressive resistance training designed to increase muscle strength i.e., 8-12 repetitions at an intensity rating of 5-8 on a 0-10 scale
  • Balance training strongly for all – 2 hours per week or 20 min per day;
  • Daily exercise to increase muscular endurance in spinal extensors;

Clients with OP + Fractures/Pain: Alternate to guidelines:

  • 150 min/wk moderate intensity aerobic activity, bouts ≥10 min (cautious with vigorous)
  • Progressive resistance training designed to increase muscle strength, emphasis on form/alignment instead of intensity;
  • Balance training strongly for all – 2 hours per week or 20 min per day;
  • Daily exercises to increase muscular endurance in spinal extensors;
  • Perform exercises in positions where spine is least loaded when possible: loads in supine<standing<seated;
  • PT/OT guidance on appropriate exercise, alignment, transitions, use of assistive aids, positioning for pain control.

Therapeutic Goals for Osteoporosis

Prevent fractures via:

GuideforOP

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