Has anyone found an exercise based program proven to work?
To All-Very important information shared by Belinda Beck from- theboneclinic- goggle that- based in Australia- yesterday in the Osteoporosis Summit that has been sited here going on this week. The Liftmor trials, which she was in charge of , has been tracking people for over 10 years put a program into place called Onero, based on that thinking and the results are in and impressive. It works to improve bone mass. It's based on HiRIT -( I believe the acronym is to denote High Intensity Resistance Impact Training). It can be safe and effective led BY PEOPLE that have been trained. She emphasized NOT to do these exercises without SUPERVISION. Sherri Betz's exercise programs are built off this thinking. Beck said to grow bone you need specific, targeted training. They watched people over many years in the Liftmor trials and then went one step further to set up a clinic in the real world to test it out . As she explained, its based on one lifting 85% of what you can lift in one repetition. So that is a lot, but everyone is different. For one it might mean starting with a broom stick , for another it could mean 2o lbs or more. The program is individualized for each person. Each person receives a 2 1/2 hr baseline assessment. A very important thing she commented on that at first they were confused about was why the femoral neck didn't change the BMD score much- but hot off the press this week- they have a 3-D testing device in their clinic and it revealed that the thickness of the cortex increased particularly where the femoral neck fracture usually starts. and further the proximal head of the femur cortex gets thicker along with the trabeculae . so therefore the shape of the bones improve and there's increased internal hip support. She did go over some of the basic criteria to do this Onero program , but I won't bore you with those details , except to say that most people can participate in this treatment. I will direct you to go to a podcast with Margie Bissinger PT where she interviews Dr. Claudia Tamas, she is an Onero trained clinician that heads up a medical clinic in NJ. This information is new and there are very few clinics in the US that offer this . So get out there and talk about it, maybe share this info with your general dr, endo, PT office, etc. so it can begin to be offered in more places!!! That was a lot , but hope that this gives you all some hope!! Beck said they are changing the idea that instead of meds, exercise can be the first line of defense against osteoporosis issues!! Good Luck to all on your own path!
Interested in more discussions like this? Go to the Osteoporosis & Bone Health Support Group.
The problem with physicians and most therapists is that they don’t research and go to these kinds of conversations to up their own standards of practice. They are to satisfied with their practices. That is what I observed in my life time of dealing with both.
I wouldn't be surprised to find this program is an offshoot of sports medicine in Australia- it's big business here. My physio has a Masters in Sports Medicine. I do a little bit at home, but am careful to do only the exercises she prescribes.
Didn't know that Onero was developed by The Bone Clinic here in Brisbane. Good news is that two sessions a week are enough to improve bone density -as in my case.
I've been going for six months - just hit 50 sessions. While taking anastrozole. Wonder if there is any study of exactly how bad anastrozole is for bone health - e.g. as measured by its effects on patients who don't exercise.
Thank you!!
Well done wynn00001,
I too am Canadian. Would be very interested in what you find out!
Thanks!
There is an ONERO program in Long Island and somewhere in the Midwest, but don’t know where exactly..
You need a trained physiotherapist who practises in a regular gym and can use all the equipment available. Mine has no more than four clients at a time, even though most of us now know our routines. (This may be a requirement of her licence.)Gyms can be dangerous places. A girl broke her arm recently- not on my physio's watch though. As I said before, I am now lifting 24K kettlebells. But the build up has taken six months - two days a week.
My physio here in Brisbane- where the Onero program was developed - told me today that she uses a modified version of it. She thinks that their program- only four exercises- is too restricted. She uses a wide variety of equipment available at the gym. Anyway, I'm very happy with my bone density improvement after six months with her. At this rate I might be able to reverse my osteopenia diagnosis!
I will also share that Dr, Claudia Tamas , who is the clinician in Somerset NJ, also does more with her clients than just the exercises in the Onero program.