In patients with osteoporosis, which type of exercise should be avoided to prevent wedge fractures?

In patients with osteoporosis, repetitive flexion exercises should be avoided to prevent wedge fractures. Wedge fractures commonly occur in the vertebrae and are particularly associated with spinal flexion movements. This type of exercise can increase the compressive forces on the spine, particularly in the lumbar region, leading to potential vertebral body collapse in individuals who already have weakened bone density.

Engaging in activities that promote forward bending or flexion can place additional stress on the vertebral column, making it vulnerable to fractures. Conversely, exercise that maintains an upright position or incorporates extension can help strengthen the back muscles and improve posture, which can be beneficial for those with osteoporosis. By avoiding repetitive flexion movements, patients can mitigate the risk of sustaining wedge fractures associated with vertebral instability.

In contrast, options like repetitive jumping, repetitive extension, or repetitive rotation can be appropriately adapted or modified to ensure safety for patients with osteoporosis, thereby making them less of a direct risk for causing wedge fractures compared to repetitive flexion.