What is advised regarding twisting motions in osteoporosis guidelines?

What is advised regarding twisting motions in osteoporosis guidelines?

• A. Twist rapidly to improve mobility
• B. Twisting motions should be slow, if at all
• C. Twist with breath-holding
• D. Avoid twisting entirely

Answer: (B)

In osteoporosis, twisting the spine can create dangerous torsional and shear forces on already weakened vertebrae. Because the bones are less able to withstand stress, rapid or forceful twists raise the risk of a vertebral fracture. The safest approach is to keep twisting movements very slow and controlled, or avoid them if needed. Slow, deliberate rotations minimize peak loads on the spine and help maintain stability during the movement. Avoid breath-holding during twists, as it can increase intra-abdominal and blood pressure, potentially adding to the risk. In many cases, instructors modify or skip twisting altogether for clients with significant osteoporosis, choosing safer alternatives that keep the spine aligned and protected.

In osteoporosis, twisting the spine can create dangerous torsional and shear forces on already weakened vertebrae. Because the bones are less able to withstand stress, rapid or forceful twists raise the risk of a vertebral fracture. The safest approach is to keep twisting movements very slow and controlled, or avoid them if needed. Slow, deliberate rotations minimize peak loads on the spine and help maintain stability during the movement. Avoid breath-holding during twists, as it can increase intra-abdominal and blood pressure, potentially adding to the risk. In many cases, instructors modify or skip twisting altogether for clients with significant osteoporosis, choosing safer alternatives that keep the spine aligned and protected.