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EXERCISE RECOMMENDATIONS

Too Fit To Fracture

Are you too fit to fracture?

Multicomponent exercise recommendations combine muscle strengthening and balance training as a means of reducing falls and resulting fractures for people living with osteoporosis.

What is Too Fit to Fracture?

Too Fit to Fracture is a series of exercise recommendations for people with osteoporosis or spine fractures. It was developed by expert consensus using the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) method, which is endorsed by the World Health Organization and the Cochrane Collaboration, to determine the quality of evidence for each recommendation in the existing scientific literature. The strength of the recommendations (strong, conditional, or no recommendation) and the direction (for or against) took into consideration the quality of the available evidence, the balance between the benefits and risks associated with exercise, and the patient groups’ values and preferences. The Too Fit to Fracture expert panel included researchers and clinicians from Australia, Canada, Finland, and the USA, as well as partners from Osteoporosis Canada.

Learn more about who developed Too Fit To Fracture!


Who developed Too Fit to Fracture?

Dr. Lora Giangregorio
Department of Kinesiology, University of Waterloo

Dr. Alexandra Papaioannou
Department of Medicine, McMaster University
Scientific Director, Geriatric Education and Research in Aging Sciences (GERAS) Centre

Dr. Norma MacIntyre
School of Rehabilitation Sciences, McMaster University

Dr. Maureen Ashe
Department of Family Practice, University of British Columbia

Dr. Ari Heinonen
Department of Health Sciences, University of Jyväskylä

Dr. Kathy Shipp
Department of Community and Family Medicine, Duke University

Dr. John Wark
Department of Medicine, University of Melbourne

Dr. Stuart McGill
Department of Kinesiology, University of Waterloo

Dr. Heather Keller
Department of Kinesiology, University of Waterloo

Mr. Ravi Jain
Director, Ontario Osteoporosis Strategy, Osteoporosis Canada

Dr. Judi Laprade
Division of Anatomy, University of Toronto

Dr. Angela Cheung
Department of Medicine, University of Toronto

References

Giangregorio, L. M., McGill, S., Wark, J. D., Laprade, J., Heinonen, A., Ashe, M. C., … Papaioannou, A. (2015). Too Fit To Fracture: outcomes of a Delphi consensus process on physical activity and exercise recommendations for adults with osteoporosis with or without vertebral fractures. Osteoporosis International. https://doi.org/10.1007/s00198-014-2881-4
Giangregorio, L. M., Papaioannou, A., MacIntyre, N. J., Ashe, M. C., Heinonen, A., Shipp, K., … Cheung, A. M. (2014). Too Fit to Fracture: Exercise recommendations for individuals with osteoporosis or osteoporotic vertebral fracture. Osteoporosis International. https://doi.org/10.1007/s00198-013-2523-2


Video series on exercise and osteoporosis

Dr. Lora Giangregario

Osteoporosis Canada has developed a video series on exercise and osteoporosis in partnership with the University of Waterloo and Geriatric Education and Research in Aging Sciences Centre which provides ideas for safe and effective exercise and physical activity.

The video series tells the stories of four very different people with osteoporosis and showing you their innovative solutions to keep healthy and active.

 The information contained in these videos is not intended to replace medical advice. Consult your healthcare provider or a physical therapist about what exercises are right for you.


Too Fit to Fracture: Managing osteoporosis through exercise

Too Fit to Fracture

Too Fit to Fracture: Managing Osteoporosis through Exercise includes information on strength training, balance exercises and aerobic activity; interactive tools for getting started; tips for addressing barriers to exercise; and ways to move safely during everyday activities to avoid the risk of falls or spine fractures.

Poor posture, combined with loss of bone strength, can increase the risk of spine fracture. Poor alignment can be improved with exercises that target muscles important for posture.


Too Fit to Fall or Fracture: One Page Guide

Too Fit to Fall or Fracture

This one page guide is packed with useful information to get you started thinking about ways you can safely and effectively exercise.

See what the experts recommend along with real life examples of what you can do and what you should avoid


Osteoporosis Canada launches new exercise recommendations

Exercise Recommendations press release

New multicomponent exercise recommendations combine muscle strengthening and balance training as a means of reducing falls and resulting fractures for people living with osteoporosis

People with osteoporosis, and those at risk of developing it, can prevent bone loss, fractures and falls by combining specific types of exercises.

Released: Friday June 20, 2014


Webcast Presentation (Replay)

Too Fit To Fracture Webcast

Are you Too Fit To Fracture? New exercise and physical activity recommendations for individuals with osteoporosis

Originally aired: Wednesday June 25, 2014

Presented by: Dr. Lora Giangregorio

Learn what the experts think you should include in your exercise program to prevent bone loss and falls, and increase muscle strength. Get some tips on how to put the latest research into action. Understand how to practice “spine sparing”, and avoid or modify the movements that might not be safe for someone with osteoporosis.


How to safely do everyday activities

11 short videos on how to safely do every day activities.


Bone Fit ™ Trained Locator

Bone Fit locator

Find a Bone Fit™ trained professional in your area.

Bone Fit™ is an evidence-informed exercise training workshop, designed for healthcare professionals & exercise practitioners to provide training on the most appropriate, safe & effective methods to prescribe & progress exercise for people with osteoporosis.


For health professionals

Beyond The Break Series: Module 5

Beyond The Break module 5

Part 1: Are you too fit to fracture?

Presented by:

Dr. Lora Giangregorio, PhD, University of Waterloo | June 27, 2014

Bone Fit clinical application of exercise recommendations

Part 2: Clinical Application of the exercise recommendations

Presented by:

Dr. Judi Laprade, PhD, University of Toronto | July 4, 2014

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