Backed by the LIFTMOR clinical trial

Build bones that
carry you forward.

The osteoporosis strength program built to help you build bone — guided video coaching, AI form review, and a plan shaped around your DXA scan, grounded in the LIFTMOR trial. From the physical therapists at Mindful Movement.

Designed for women & men over 50 with osteopenia or osteoporosis.
Spine BMD
+2.9%
Today’s bone load
1 in 2
women over 50 will break a bone
85%
1RM — the load that builds bone
+2.9%
spine BMD in the LIFTMOR trial
86
guided exercise videos
Real program, real people

Filmed by physical therapists, not stock photos.

Every one of the 86 movements is demonstrated by real people, with coaching cues you can actually follow.

Barbell Deadlift
Barbell Back Squat
Standing Overhead Press
Trap-Bar Deadlift
Hip Hinge Practice
Dumbbell Chest Press
Bent-Over Row
Box Jump
Single-Leg Stand
Weighted Bulgarian Split Squat
Step-Up
Goblet Sumo Squat
Lateral Skaters
Banded Row
Wall Push-Up
Tandem Walking
The silent thief

Osteoporosis has no symptoms — until a bone breaks.

Bone loss is invisible. Most people learn they have it after a fall, or a vertebra quietly fractures. But bone is living tissue: load it correctly and it gets stronger. Walking and calcium aren’t enough — bone responds to progressive resistance and impact. That’s exactly what Bone Builder delivers, safely.

Most programs are too timid

Gentle ‘senior’ workouts don’t reach the load threshold bone needs to remodel. We progress you toward research-grade intensity.

Or dangerously generic

Loaded forward-bending and twisting can crack a fragile spine. Every Bone Builder movement is screened against the BoneFit precautions.

Form is everything

A neutral spine under load builds bone; a rounded one risks fracture. Our AI form review watches your spine the way a physio would.

The evidence

The protocol that rewrote the rulebook.

For decades, women with osteoporosis were told to avoid lifting anything heavy. The LIFTMOR trial (Watson et al., 2018) tested the opposite: supervised high-intensity deadlifts, squats and overhead presses at 80–85% of maximum, plus jumping chin-ups with drop landings — just 30 minutes, twice a week.

The result: significant gains in spine and hip bone density, better posture and strength — with no increase in fracture. Bone Builder turns that protocol into a guided, progressive plan you can follow at home or in the gym.

LIFTMOR (Watson 2018/2019)Bone Fit™ ClinicalToo Fit to FractureUK Consensus 2022
80–85%
of 1RM — the loading intensity that signals bone to grow
5 × 5
deadlift · squat · overhead press
2×/week
just 30 focused minutes per session
Drop landings
brief, high-magnitude impact for the hip & spine
How it works

A physio in your pocket.

Everything you’d get from a one-on-one bone-health PT — assessment, a tailored plan, coaching and form correction — in a calm, simple app.

01

Assess

Answer a few questions about your bone density, history and goals. We stratify your fracture risk and pick your safe starting track.

02

Personalize

Get a 12-week plan — Foundation, Build or Peak — that adapts to your equipment and progresses every week.

03

Move

Follow crystal-clear video coaching with cues, common mistakes and safe dosing for every exercise.

04

Perfect

Turn on AI form review and your camera checks your spine, depth and lockout in real time — like Hinge Health.

Why it works

The proof is in the research.

Bone Builder delivers the supervised, high-intensity protocol from the LIFTMOR trial — the study that showed lifting can rebuild bone in women with low bone mass.

+2.9%
spine bone density
8 months of twice-weekly HiRIT (Watson 2018)
Stronger
back, legs & grip
Improved sit-to-stand, walking & functional tests
Zero
fractures from training
Supervised HiRIT was safe in low-bone-mass women

What progress feels like

Beyond the scan, members work toward standing taller, feeling steady, and moving without fear.

Illustrative composites of the outcomes the program aims for — not real member reviews. We’ll share real, named stories, with permission, as our community grows.

I stopped bracing for a fall every time I stepped off a curb. The balance work changed how I move through my day.

C
Carol
62 · osteopenia

My DXA had been dropping for years. Learning to deadlift with a flat back — safely — finally gave my spine a reason to hold.

D
Diane
68 · osteoporosis

The form review caught my rounding before my back ever complained. It’s like having my PT in the room.

S
Susan
59 · prevention

For years we told patients with low bone density to be careful and avoid lifting. The evidence now says the opposite — done with good technique, loading is the treatment. Bone Builder is how we put that into your hands.

— The physical therapy team at Mindful Movement Physical Therapies

Your program

Three tracks. One safe path forward.

We never start you heavier than your bones are ready for. You progress when you’re ready — and only as far as is safe for you.

Foundation

Gentle

Posture, the hip-hinge skill, gentle bone loading and daily balance. Safe for recent fractures, very low bone density and beginners.

  • BoneFit postural strengthening
  • Heel drops & gentle loading
  • Daily balance training
Most popular

Build

Moderate

Real progressive resistance with dumbbells and bands, plus balance and impact preparation. The bridge to heavy lifting.

  • Goblet squats, RDLs, rows
  • Small hops & impact prep
  • Loaded balance work

Peak — HiRIT

Vigorous

The full LIFTMOR protocol: barbell deadlift, squat and press at 80–85% 1RM, plus jumping chin-ups with drop landings.

  • 5×5 barbell lifts
  • Jumping chin-up + drop
  • Twice weekly, 45 min
Take the assessment to find your track

Free · 3 minutes · no account needed

Form review · live
Tracking your movement. Land soft and balanced — absorb through the hips and knees.
AI form review

It watches your spine, so you don’t have to.

Turn on your camera and Bone Builder tracks your body in real time. For a deadlift it checks that your back stays neutral; for a squat, your depth and trunk angle; for a press, full lockout without arching. You get gentle cues as you move and a clear form score after every set — the on-device coaching that makes Hinge Health feel like a clinic visit.

  • Real-time skeletal tracking, processed privately on your device
  • Exercise-specific safety rules drawn from the BoneFit precautions
  • Automatic rep counting and a post-set form report

Your bones are listening.
Give them something to build on.

Take the free 3-minute assessment and see the exact plan that fits your bone density, your history and your goals.

Questions

Osteoporosis exercise, answered.

Can exercise really improve bone density?

Yes. Bone is living tissue that strengthens in response to load. In the LIFTMOR randomized trial, postmenopausal women with low bone mass who did supervised high-intensity resistance and impact training gained bone density at the spine over eight months. Exercise won't cure osteoporosis, but the right progressive loading can slow bone loss and rebuild some density — best paired with adequate calcium, vitamin D, and any prescribed medication.

Is it safe to lift weights with osteoporosis?

It can be, with correct technique and appropriate progression. The LIFTMOR trial found supervised heavy resistance training was well tolerated in women with low bone mass and did not increase fractures. The key is loading with a neutral spine, avoiding end-range spinal flexion under load, and building up gradually. Bone Builder screens your fracture risk, teaches the hip hinge first, and uses AI form review to watch your spine — and you should get clearance from your provider before starting.

What is the best exercise for osteoporosis?

Research points to progressive resistance training (like deadlifts, squats and presses done with good form) combined with brief high-impact loading and dedicated balance training. Resistance and impact signal bone to grow at the spine and hip; balance work prevents the falls that cause most fractures. Bone Builder combines all three, progressing from gentle Foundation work to the full LIFTMOR barbell protocol as you're ready.

Can I follow Bone Builder at home?

Yes. Bone Builder scales to your equipment — bodyweight and bands for the Foundation and Build tracks, and a barbell for the Peak (LIFTMOR) track if you have access to one. Every one of the 86 movements has a video demonstration with coaching cues, and the AI form review runs on your device's camera, so you can train at home or in a gym.

How is Bone Builder different from generic senior workouts or other apps?

Most gentle 'senior' programs never reach the load threshold bone needs to remodel, while generic strength apps ignore the spinal precautions that matter with low bone density. Bone Builder is built by a physical therapy clinic specifically for osteoporosis: it faithfully reproduces the evidence-based LIFTMOR protocol, screens every movement against the BoneFit precautions, and matches your plan to your DXA scan and fracture history.

Is Bone Builder a substitute for physical therapy or medical advice?

No. Bone Builder is an educational exercise program from Mindful Movement Physical Therapies, not individual medical advice or a replacement for in-person care. Talk to your provider before starting, especially if you have a vertebral fracture history, a very low T-score, or other health conditions.