How should you modify reformer work for someone with osteoporosis?

• A. Avoid deep spinal flexion and high-load end ranges, use lighter springs, maintain spinal neutrality, shorten ranges if needed, and prioritize controlled, small movements.
• B. Increase range of motion and load for bone stimulation.
• C. Use maximal springs and deep flexion for bones.
• D. Avoid any reformer work entirely.

Answer: (A)

When working with osteoporosis, the priority is protecting the spine while providing safe, controlled loading that supports bone health without risking fracture. The best approach uses lighter springs, keeps the spine in a neutral position, shortens movements to avoid end-range stress, and emphasizes small, controlled motions to build stability gradually. Increasing range of motion and load or using maximal springs with deep flexion would raise spinal loading and fracture risk, and avoiding reformer work entirely is unnecessary when modifications can keep the exercises safe and beneficial.