Manipulations are not usually recommended for those with osteoporosis.
Weight-bearing and strengthening exercise is essential but should be done on an individualised basis, and should be based on DXA scan results, medical history, cause/s of osteoporosis, and the ability of the child, under the assessment and guidance of a health professional such as a Chartered Physiotherapist.
Walking, running, jogging, tennis, football, skipping, hopping, and best of all dancing are all examples of weight-bearing exercises. Dancing is excellent for building up bone strength.
Contact sports such as rugby and hurling are usually not recommended due to the increased risk of fracture. Skateboarding, ice-skating, and skiing would not be recommended. We would not recommend children be encouraged to participate in ballet or gymnastics due to the increased risk of eating disorders and excessive strains on joints. It is important that children be encouraged to lead as normal a life as possible, and team sports help communication skills and teamwork.
Swimming is good exercise, as it helps to strengthen muscles and build up endurance however, it is not weight-bearing and therefore should not be the only form of exercise.