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Sustained Lumbar Extension

A sustained back-extension hold that builds the endurance of the spinal erectors — the muscle group most consistently shown to improve posture and reduce back pain in osteoporosis.

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Example dosage

Library examples are not a personal prescription. Follow the dose and movement version agreed for your plan.

Sets
2
Reps
5–8
Intensity
Hold 3–5 s
Rest
30–45 s

Per UK Consensus: repeat 3–5×, hold 3–5 s, at least twice weekly.

Bone load

Spine
Hip
Wrist

Equipment

Bodyweight

Set up

  1. 1Lie face-down, hands by your sides or under the forehead, gentle pelvic press.

Do this

  • Lift the chest and upper back, leading with the breastbone
  • Keep the neck long and gaze down
  • Hold the position and breathe

Avoid this

  • Throwing the head back
  • Jerking up quickly

Safety

Extension is encouraged in osteoporosis; flexion is not. Keep it smooth and pain-free.

Progress or regress

Make it easier

Make it harder

No progressions are listed here. Ask your clinician about adaptations.