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Too Fit to Fracture

Dr. Lora Giangregorio from the University of Waterloo and a group of international experts developed the ‘Too Fit to Fracture exercise recommendations’ for individuals with osteoporosis or osteoporotic vertebral fracture. The guidelines were published for Osteoporosis International as an e-publication (November 2013).

At the Canadian Physiotherapy Congress, Osteoporosis Canada launched ‘Too Fit to Fracture’ with an English booklet and an educational series by Dr. Angela Cheung, Dr. Lora Giangregorio and Dr. Judi Laprade (June 2014). The ‘Too Fit to Fracture’ booklet is full of tips, exercises and safe exercise modifications for people with osteoporosis and/or fragility fractures.
The key message of ‘Too Fit to Fracture’ is to design an exercise routine that includes strength training, posture, balance training and weight bearing aerobic physical activity. These different forms of exercises are needed to maintain muscle strength, improve balance, improve posture and maintain strong bones.

Research indicates that performing challenging balance exercises can reduce falls, especially if performed most days of the week.
The second edition of the ‘Too Fit to Fracture’ booklet was published in December 2014 along with a French booklet and a promotional card for distribution at events. www.osteoporosis.ca/shop/product/too-fit-to-fracture-promo-card/
A ‘Too Fit to Fracture’ webpage was then added to Osteoporosis Canada’s website and the physical activity section was updated to reflect the new guidelines.

These resources are to help healthcare and fitness professionals design exercise plans for people with osteoporosis and/or fragility fractures, and for individuals to track and monitor their own progress. Work has begun, in collaboration with the University of Waterloo’s research team, on a third edition of ‘Too Fit to Fracture’. This edition will incorporate feedback from the Canadian Osteoporosis Network (COPN), healthcare professionals and Waterloo’s Knowledge Translation activities.