Strength & Stability: Clinical Programming for Bone & Muscle Preservation in Menopausal Women – Part 2

Credit

Handouts/Brochure

Speaker

Elizabeth Frey, FCAMPT, MCISC (MANIP), MSc. PT, MSc, BPHE, BSc, MCPA Related seminars and products

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Elizabeth Frey, FCAMPT, MCISC (MANIP), MSc. PT, MSc, BPHE, BSc, MCPA

Liz holds a BSc and BPHE from Queen’s University; a MSc in Exercise Physiology from the University of Toronto, a MSc (PT) from McMaster University, and a MCISC (Manip) from University of Western Ontario. She is a member of the CPA and a fellow of the Canadian Academy of Manipulative Physical Therapists (FCAMPT). Liz is also a Contemporary Medical Acupuncture provider.

Liz is a clinic owner and practicing physiotherapist with a specialty in pelvic health physiotherapy. She is an instructor for Rocktape® Canada, a clinical lab facilitator at the University of Toronto, and a clinical supervisor for physiotherapy students.

As an orthopaedic and pelvic health physiotherapist, Liz integrates her over 10 years of clinical expertise to provide a unique whole-body approach to wellness. Liz’s practice focuses on helping women navigate pregnancy, menopause, and everything in between. Her care model addresses the underlying dysfunction causing injury and provides education to help prevent future re-injury. Her patient-centered approach empowers her patients to set goals, balance muscular dysfunction, and work toward optimal health. She does all of this through hands-on techniques, comprehensive education, and tailored progressive exercise programs.

Personally, as a busy mother of three children, the health habits that don’t slip for Liz are mindset and exercise – it is her positive outlook and passion to stay strong and mobile as she ages that are a few of her defining features.
 

Speaker Disclosures:
Financial: Elizabeth Frey is the owner of PhysioPlus Health Group, an instructor with Rock Tape, and has an employment relationship with Fringe. She is a mentor with Orthopedic Division. She receives a speaking honorarium and recording royalties from PESI, Inc.
Non-financial: Elizabeth Frey is a member of the Canadian Academy of Manipulative Physiotherapy and the Women’s Health Division of the CPA.

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Objectives

1. Design individualized, phase-based exercise programs (foundation, progressive loading, and power/functional integration) that match the starting fitness level and goals of postmenopausal women with varying bone density and functional capacity.
2. Construct weekly training templates (specifying strength, power, cardiovascular, balance, and recovery sessions) that balance training frequency, exercise modalities, and adequate recovery for optimal bone and muscle adaptation.
3. Implement evidence-based strategies to address common training challenges (including pain management, pelvic floor dysfunction, fear of fracture, and adherence barriers) while maintaining program effectiveness and client safety.

Outline

Section 1: Building Individualized Exercise Programs

• Determining starting points: beginner, intermediate, and advanced level definitions
• Phase 1 - Foundation (1-6 weeks): movement quality, mobility, and consistency
• Phase 2 - Progressive Loading (6-8 weeks): increasing resistance workload and volume
• Phase 3 - Power & Functional Integration (ongoing): speed, dynamic balance, and functional resilience

Section 2: Weekly Programming Templates & Training Frequency

• Beginner weekly template: foundation strength, Zone 2 cardio, and balance training
• Intermediate weekly template: progressive loading, HIIT intervals, and power introduction
• Advanced weekly template: heavy compound lifts, functional power, and recovery protocols
• Balancing training frequency: strength (2-3x/week), cardio (1-2x HIIT, 1-2x aerobic), and rest days

Section 3: Addressing Common Training Challenges

• Managing fatigue, pain, and arthritic flare-ups during training
• Pelvic floor considerations: screening the "3 Ps" and modifying high-impact exercises
• Fear of fracture: building confidence through stable exercises and appropriate progressions
• Coaching strategies: cueing techniques, strength-based language, and adherence support

Section 4: Clinical Application - Case Study

• Case study: Susan (age 65, sedentary, osteopenia, preparing for 4-day hiking trip)
• Phase-specific programming across 12+ months: foundation to hiking-specific training
• Progression of strength exercises: chair squats to weighted step-ups with pack
• Integrating cardio conditioning: interval walks to trail simulation hikes with elevation

Target Audience

• Doctors of Chiropractic
• Registered Nurses
• Nurse Practitioners
• Physician Assistants
• Physical Therapists