What should patients with osteoporosis avoid during training?

• A. Trunk flexion and powerful twisting movements of the trunk
• B. High-impact jumping
• C. Lying down during workouts
• D. Slow, controlled movements

Answer: (A)

When bones are fragile, especially in the spine, the safest training focus is protecting the spine from excessive bending and twisting. Trunk flexion (forward bending) and powerful twisting movements place high stress on vertebrae and can lead to vertebral fractures. So, movements should be performed with a neutral spine and under slow, controlled loading to strengthen the hips and legs without overstressing the spine. High-impact jumping is often avoided in osteoporosis, and training aims to avoid rapid, forceful spinal movements, but the most direct risk described here is bending and twisting the spine under load.