Has anyone found an exercise based program proven to work?

Posted by ans @ans, Jan 21 7:15am

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.

wynn00001 | @wynn00001 | Apr 9 3:33pm

In reply to @thisoldewe "Well done wynn00001, I too am Canadian. Would be very interested in what you find out!..." + (show)

No luck with the physios I've contacted, but my latest plan is to write to the YWCA because they are particularly focused on women and have great gym facilities. In the meantime, I stumbled across a program called Starting Strength. It's very similar to Onero, but without the jump. I figure I can do heel drops or something on my own to get the effect of the jump. Starting Strength is almost entirely in the US, but there is a single trained coach in Canada and he happens to be in my city. I'm training one-on-one so it's expensive. More than I can afford really, but I'm extremely motivated to do this.

freckle1 | @freckle1 | Apr 9 3:53pm

In reply to @ans "I will also share that Dr, Claudia Tamas , who is the clinician in Somerset NJ,..." + (show)

Good to hear. I'd just add that my program really is intense. Afterwards I can barely manage to get myself home, and I usually sleep for two hours. However, I am not stiff the next day, as I was when I started six months ago.

hopefullibrarian | @hopefullibrarian | Apr 18 3:27pm

In reply to @hopefullibrarian "To follow-up on my contact with PT at my clinic about adding Onero to their offerings...I..." + (show)

My physio told me today that they're not going to do Onero because it's only in a few places in the states. 🙁 They also don't like that Onero charges a perpetual $150 fee for every participating trainer.

I'm very diappointed, but I don't want this to discourage any of you from talking to your gym, or clinic about it.

Please! Please! Please! If you're interested in Onero, talk to your local fitness center, and physical therapy departments/centers. Get the word out there, and encourage them to look into it.

ans | @ans | Apr 18 3:43pm

In reply to @hopefullibrarian "My physio told me today that they're not going to do Onero because it's only in..." + (show)

What do you mean a perpetual fee??

hopefullibrarian | @hopefullibrarian | Apr 18 8:39pm

Hi ans, By perpetual fee, I mean that for as long as they are offering the Onero program, they have to pay a monthly fee, so it's ongoing.
I just found the pricing page for providers and I think it's in Australian dollars (AUD). If that's the case then it's not as bad as it first appears. That would mean it's $150 AUD + GST (goods and services tax of 10%) = $165 AUD. At the current exchange rate that equals $105 USD.
Providers also have to renew their Onero license every year. It requires a quality assurance check and remittance of an additional fee.
You can have a look at the pricing structure here: https://onero.academy/pricing/
Just scroll down to the FAQs at the bottom of the page, and click on the 'Fees' tab.

scbarb79 | @scbarb79 | Apr 19 8:47am

Sounds like a great option. I have searched for this program but can only find one place in NJ. Are there any places in the US where I could get help?

hopefullibrarian | @hopefullibrarian | Apr 19 9:38am

In reply to @scbarb79 "Sounds like a great option. I have searched for this program but can only find one..." + (show)

Currently in the US there are two in California, one in Wisconsin, one in New Jersey, and two on Long Island.
Here's a link to view all licensee locations around the world on the Onero Academy website.
https://onero.academy/locations/
There aren't many. I hope that we can help to change that.

scbarb79 | @scbarb79 | Apr 19 12:52pm

In reply to @hopefullibrarian "Currently in the US there are two in California, one in Wisconsin, one in New Jersey,..." + (show)

Too far for me. I’m in South Carolina

freckle1 | @freckle1 | Apr 19 4:18pm

In reply to @hopefullibrarian "My physio told me today that they're not going to do Onero because it's only in..." + (show)

That ongoing fee is one reason why my physiotherapist here in Brisbane - where Onero was developed- doesn't practise it officially. She also thinks the program is too limited re the number of exercises prescribed.

freckle1 | @freckle1 | Apr 19 4:37pm

In reply to @scbarb79 "Too far for me. I’m in South Carolina" + (show)

My advice would be to find a properly trained physiotherapist- definitely not just a personal trainer - who is interested in offering a program based on Onero. I don't know what qualifications are needed for physiotherapists in the US. Here in Australia, where Onero was developed, being a licenced physiotherapist requires a four year degree, and these university courses are very hard to get into. My physio also has a Masters in Sports Science. She never has more than four clients at a time and we each have our individual programs. Classes are held in a gym which has the usual range of equipment. (I have a deeply ambivalent relationship with the leg press.)