Welcome to the Bone Health Special Interest Group! Please visit this page often for access to numerous resources to support your practice in evidence based treatment and education related to bone health AND for SIG news and events.

  • The primary purpose of the Bone Health SIG is to:

    • Develop and apply research and knowledge to
      • Promote, maintain, and preserve bone health through the life span
      • Reduce age-related bone loss
      • Reduce fracture risk
    • Manage and treat bone loss, osteoporosis and fractures
    • Expand understanding of bone and its unique response to mechanical loading and exercise
    • Increase public awareness of the role of physical therapy in the promotion of bone- healthy exercise and lifestyle and the management and treatment of bone loss and fracture
    • Develop guidelines for successful clinical practice.
    • Inform all physical therapy practice to incorporate knowledge of bone into everyday practice and exercise prescription, with emphasis on bone building exercise in youth and safe, non- compressive core and balance exercises for older adults.

    There are many opportunities for participation, so please consider getting involved! To participate or learn more about current SIG activities and projects, contact the SIG chair.


  • CHAIR: Kathy Brewer, PT, DPT, MEd
  • VICE CHAIR: Kathlene Camp, PT, DPT
  • SECRETARY: Cynthia Barros, PT, DPT



Bone Health SIG Update – December 2022

December 14, 2022

Happy December! On behalf of APTA Geriatrics Bone Health SIG, please receive this wish for you and your family to have Happy and Healthy Holidays!

It has been a busy year with a focus on building a Bone Health toolkit. This resource will include guidance for evidence based screening, evaluation and interventions for your patients/clients with osteoporosis and compromised bone health. If you questions or ideas for contributions, please contact our project manager Lisa Hamilton @ lisahamiltonPT@gmail.com.

In response to the recently published documents supporting physical therapist management of patients with Osteoporosis (available from our website), there is collateral work being done to provide a Knowledge Translation with resources for both clinicians and patients.

On January 17, our SIG will be hosting the first 2023 the Academy Journal Club presenting Effects of Pilates Exercise on Bone Mineral Density in Postmenopausal Women: A Systematic Review and Meta-analysis (JGPT June 2022) with a collaborative case from Sherri Betz PT, DPT, CEEAA, NCPT. Register here and tune in for an informative evening beginning at 8 pm eastern. And look for Sherri’s article in the January GeriNotes reviewing her case presentation.

CSM is just around the corner. Please scour the rich agendas for both in person and on-demand courses. APTA CSM | APTA . A list of courses sponsored by APTA Geriatrics can be found by using the search tool (by section) and includes preconference offerings. Don’t forget to visit poster and platform sessions and of course the member meeting scheduled for Thursday evening, February 23. Specific for Bone Health is a session by Sherri Betz “Research Update on Exercise for Osteoporosis” on Thursday 2/23 at 3-5pm, session # GR-13903.

Please look for an announcement of a virtual member meeting (via Zoom) in early March. Date/time and registration will be on the website.

In case you haven’t heard – APTA Geriatrics offers FREE Student dues for Academy membership. Tap all the students in you programs, communities and practice to join the

Academy and BHSIG! We will be looking for a student liaison in 2023 to contribute to our leadership efforts. This is a new academy wide initiative – stay tuned for more info.

Lastly, I would like to welcome Lisa Hamilton as incoming chair for the SIG. She previously served as vice-chair and now currently as project manager for our Toolkit project. Lisa brings clinical experience and enthusiasm to the role of chair and we look forward to her leadership. Lisa will begin her term at the conclusion of CSM 2023. Thank you to all those candidates who expressed an interest in serving. We would not be successful as a volunteer organization without contributions from any and all of you.

Kathy Brewer PT, DPT, MEd, CEEAA
Geriatric Clinical Specialist Emeritus
Chair, APTA Geriatrics Bone Health Special Interest Group

Publications From JGPT For Osteoporosis Now Available

March 23, 2022

Publications from JGPT for Osteoporosis:

Bone Health SIG Member Resources

BoneFit™ USA

What Is BoneFit™?
BoneFit™ is an evidence-informed exercise training workshop, designed for healthcare professionals and exercise specialists to provide training on the most appropriate, safe and effective methods to prescribe and progress exercise for people with osteoporosis. BoneFit™ includes two different levels of workshops – BoneFit™ Basics and BoneFit™ Clinical. BoneFit™ Basics workshops are aimed at exercise and fitness professionals. BoneFit™ Clinical workshops are aimed at rehabilitation professionals. BoneFit™ was created and launched by Osteoporosis Canada in 2010. BHOF is working with Osteoporosis Canada and the founders of BoneFit™ to bring this training program to the United States.

Get BoneFit™ Trained

Exercise and fitness professionals that work with uncomplicated osteoporosis clients are eligible to participate in BoneFit™ Basics workshops. Rehabilitation professionals working in a clinical environment with simple or complex osteoporosis patients are eligible to participate in the BoneFit™ Clinical workshops. Students in both fields are also welcome to participate.

Each workshop includes two components – online learning modules that need to be completed in advance and in-person training. After completing the online modules and the in-person training, attendees must pass an online quiz with 70% to be officially BoneFit™ Trained. Healthcare professionals may be eligible for continuing education credits for participating in a workshop.

If you are interested in helping grow the BoneFit™ USA initiative by partnering for future workshops or being a BoneFit™ trainer, please contact us at education@bonehealthandosteoporosis.org.

BONE HEALTH REFERENCES – This just in…2021 References update

Secondary Fracture Prevention – a Multi-stakeholder Coalition Solution for a Current Gap in Treatment

The American Society for Bone and Mineral Research (ASBMR) assembled a multi-stakeholder coalition including representation from the American Physical Therapy Association to develop clinical recommendations for the optimal prevention of secondary fracture among people aged 65 years and older with a hip or vertebral fracture. Review of this document describes essential strategies requiring collaboration within care management teams addressing education, communication and interventions. “Emphasizing the connection between fracture and osteoporosis elevates the fracture from an unfortunate accident to a sentinel event indicative of an important underlying chronic disorder.” There is frequent failure to investigate the diagnosis of osteoporosis and provide the long-term integrated care that this chronic condition requires. Following the first fracture it is imperative to initiate immediate interventions to increase the number of patients receiving appropriate osteoporosis treatment. Physical therapists have a long history of successful intervention for acute osteoporotic fractures, but often do not continue care for lifelong management of these patients. Additionally, the medical management across specialties is frequently inconsistent. Given the treatment gap for comprehensive management of this condition, there are predictable complications which will have lifelong impact on function and quality of life. Therefore, physical therapists must actively embrace this call to action. We are vital members of the multidisciplinary team, and with aggressive evidence based approach to encompass the full scope of therapy interventions throughout the lives of these patients, we can fully support the overall strategies presented by the coalition.

Review the full article: Conley RB, Adib G, et al. (2020). “Secondary Fracture Prevention: Consensus Clinical Recommendations from a Multistakeholder Coalition.” J Bone Miner Res 35(1): 36-52. PMID: 31538675 DOI: 10.1002/jbmr.3877

Osteoporosis & Aquatic Exercise: New Concepts, Updated Research, Novel Techniques

Community Bone Health Presentation

Why Start A Community Exercise Program

Please watch Sherri Betz, PT DPT, former chair of the BGSIG in this featured podcast.

Stand TallTM DVD

A new Stand TallTM DVD by Wendy Katzman, DSc, PT, OCS has been produced the UCSF Department of Physical Therapy and Rehabilitation Center. To order the video, contact Anthony.Casino@ucsf.edu

What Are Evidence-Based Exercise Programs and Why Are They Important?

Do It RIGHT! and Prevent Fractures!
The Bone-Healthy Way of Life and Exercise

American Bone Health would like to acknowledge the hard work and determination of the author Sherri Betz, PT, GCS, in bringing this important information to the public. We thank the models Jan and Lee Prawitz, Sue Walters and Joan White, who donated their time to show others how to keep their bones fracture free. We recognize and thank Nancy Abodeely, PT, OCS, for reviewing the final content to ensure we communicated safe and effective activities and exercises. American Bone Health is proud to have the endorsement of the Bone Health Special Interest Group of the APTA Geriatrics, American Physical Therapy Association, for this work.

Sherri Betz presentation of the National Osteoporosis Foundation Webinar: Safe Pilates and Yoga for Bone Health now available.