The role of exercise in the treatment of osteoporosis

Mehrsheed Sinaki, Michael Pfeifer, Elisabeth Preisinger, Eiji Itoi, René Rizzoli, Steven Boonen, Piet Geusens, Helmut W. Minne

Research output: Contribution to journalReview articlepeer-review

52 Citations (Scopus)


The objective of exercise in the treatment of osteoporosis is to improve axial stability through improvement of muscle strength. Therefore, a back extension exercise program specific to one's musculoskeletal competence and pain can be performed in a sitting position and later advanced to the prone position. When fragility is resolved, back extension is performed against resistance applied to the upper back. To decrease pain and immobility in acute vertebral fracture, use of spinal orthoses become inevitable. Therapeutic exercise should address osteoporosis-related deformities of axial posture, which can increase risk of fall and fracture. Strengthening of the major appendicular muscles decreases fragility. The effect of strengthening exercise is augmented by proper intake of cholecalciferol and calcium. Thus, the role of a therapeutic exercise program is to increase muscle strength safely, decrease immobility-related complications, and prevent fall and fracture. As with pharmacotherapy, therapeutic exercises are individualized.

Original languageEnglish
Pages (from-to)138-144
Number of pages7
JournalCurrent Osteoporosis Reports
Issue number3
Publication statusPublished - 2010 Sep


  • Back extension exercise
  • Bone mineral density
  • Kyphosis
  • Muscle strengthening
  • Osteogenic exercise
  • Osteoporosis
  • Rehabilitation
  • Spinal Proprioceptive Extension Exercise Dynamic (SPEED)
  • Spinal orthotics
  • Vertebral fracture

ASJC Scopus subject areas

  • Endocrinology, Diabetes and Metabolism


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