Wellness
 
Physical Wellness - Exercise & Osteoporosis

What is Osteoporosis?

Simplistically speaking, osteoporosis is a condition of decreased bone density causing ones bones to be more susceptible to fracture. A fall, blow or lifting action that would normally not bruise or strain an average person may cause fracture in a person with severe osteoporosis.

According to the US National Osteoporosis Foundation, more than 24 million Americans currently suffer from this condition. Eight times as many women suffer compared to men. Most of these women are of the mature population whose bone mass have dropped significantly following menopause.

Associated Risks with Osteoporosis

  • Females are more likely to get this condition than males because of their lower bone mass
  • Post-menopausal women
  • Women who experienced early menopause
  • Women who have had their ovaries removed
  • Women with exercise induced amenorrhea (cessation of menstruation)
  • Underweight females compared to overweight females
  • Frequent radical dieting
  • Cigarette smoking
  • Calcium deficiency
  • Immobilisation or prolonged bed rest

General Guidelines for starting an Exercise Programme
The optimal type and amount of physical activity with this condition has not been established, but a moderate weight-bearing program such as walking and light resistance is recommended. Employ a low to moderate whole body approach and avoid isolated machine training. It is also essential to consult your Doctor/Physician prior to starting an exercise programme.

The Exercise Programme
The following programme contains exercises that could help in improving osteoporosis, but it is still recommend that you first consult your Doctor and preferably a Fitness Consultant at your Club, since each persons individual needs and goals are different. This programme serves merely as a guideline.

The Stretching Programme

Stretch Description Reps Duration
Levator/Upper Trapezius Sit comfortably, keeping your spine lengthened – "sit tall".  Grasp the right side of the chair.  Use your right hand to depress shoulder girdle and lean your head toward your left shoulder.  Use the left hand to gently move into the stretch.  Switch sides - repeat.  Note: You may need to play with different head positions to find the place of stretch.
3 Each Side 15 Seconds
Standing Hip Flexor Stand upright. Place one hand against wall for balance. Bend one leg backward, and grab the ankle with your hand.  Draw the belly button inward, and roll the pelvis backward.  Avoid: Arching low back, twisting your body jerking the foot backward.   3 Each Side 15 Seconds
Lat Stretch Sit on a ball.  Comfortably straighten your arm above your head and then with the opposite arm pull towards you by grabbing by the elbow joint. you should feel the stretch run down your side of your body.  Switch sides - repeat.   3 Each Side 15 Seconds
Chest Stretch There are two ways to do this.  First way: standing next to a wall, place arm up with elbow and palm flat against the wall and lean forward you should feel that stretch run across your chest.  Second way: kneeling on the ground and putting elbow and palm onto a bench or a ball and then push or drop your body lower than your starting point in turn feeling the stretch run across your chest.   3 Each Side 15 Seconds
Lower Back Hamstring Stretch Standing, cross one leg over the other and then the leg that is furthest away from you proceed to try and touch your toes this will in turn run down your side of the back and then pull on to the secondary muscle which is the hamstring. Repeat on both sides. 3 Each Side 15 Seconds

The Strengthening Programme

Exercise Description Reps/Sets Rest
Medicine Ball Front Squat

Preparation:  Place/hold medicine ball on top of the chest.  Feet should be comfortably apart in a "stand tall" position.
Movement:  Draw your belly button inward toward the spine.  Descend in a controlled manner maintaining proper posture.  Ascend to start position and repeat required reps.

12 Reps
1 - 3 Sets
30 Sec
Cable Cross Bilateral Push

Preparation: Adjust cable arms to the level of your shoulders. Grasp handles.  Assume a "stand tall" position with a split stance.  
Movement:
From the start position, draw your belly button inward toward your spine.  Maintaining the "stand tall" position and push the handles forward, DO NOT OVER EMPHASIZE PUSHING MOTION WITH ARMS!  Return to start position and repeat required reps.

10 Reps
1 - 3 Sets
30 Sec
Cable Cross Unilateral Pull

Preparation: Adjust cable arms low. Grasp handle.  Assume a "stand tall" position with split stance.
Movement: From the start position, draw your belly button inward toward your spine.  Maintaining the "stand tall" position, pull the handle toward your body.  Return to start position and repeat required reps.

10 Reps
1 - 3 Sets
30 Sec
4-Point Abdomen Draw

Preparation: Assume a 4-point stance.  Maintain neutral spinal alignment.  
Movement: Maintaining spinal alignment draw your belly button inward toward your spine.  Hold position for recommended time and repeat required reps.

10 - 12 Reps
1 - 3 Sets
30 Sec
Medicine Ball Lunges

Preparation: Place/hold medicine ball on top of chest.  Feet should be far apart to get 90 degree angels when lunging.  
Movement: Draw belly button inward toward the spine.  Descend in controlled manner just to 90 degrees no further maintaining proper posture.  Ascend to start position and repeat required reps.

12 - 15 Reps 1 - 3 Sets 30 Sec
Bent Over Rows

Preparation:  Bend your legs & lean slightly forward, hands in front of you & dumbbells touching.  Alternatively sit on v-core ball & lean forward hands placed under your legs.
Movement: Breath out and pull towards you keeping your shoulders in line with your ears.  When releasing, breathe in and relax the arms until they are straight.

12 - 15 Reps
1 - 3 Sets
30 Sec
Prone Extension

Position: Keep your head down on a bench with your legs hanging off.  
Movement: By using the muscle in your lower back, breath out and extend to a 180 degrees (straight) and then relax back to the beginning point and inhail.  

12 - 15 Reps
1 - 3 Sets
30 Sec


The Cardio Programme

Activity Type Heart Rate Zone Duration Frequency
Walking 50% - 70% Max Heart Rate 15 - 20 Min 3 Times per Week