Onero Programme: Osteoporosis Exercise

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The Onero programme is a supervised, bone-targeted high intensity

resistance and impact training. This safe form of exercise reduces

the risk for osteoporotic fracture in postmenopausal women

with low to very low bone mass.

Osteoporosis is a common condition affecting 1.2 million Australians, it’s where bones become fragile and brittle leading to a higher risk of fractures than in normal bones. The evidence-based Onero programme improves bone health in postmenopausal women with osteopenia and osteoporosis.

What does the Onero Programme involve?


Fully Supervised Sessions

  • The safety of the Onero programme depends on clinical decision-making skills to diagnose co- morbidities and adapt the program in its initial stages in order to be able to participate without risk of injury or exacerbation of existing conditions.

  • Considerable clinical expertise is required to protect potentially frail individuals with multiple co- morbidities in the Onero  target population from risk of injury during the high intensity training programme.

  • A hallmark of the Onero  programme is close supervision of a vulnerable population by allied health professionals appropriately trained to do so.

Functional Assessments

  • By employing seven simple functional assessments, the effectiveness of the Onero can be monitored. These tests form part of a vital strategy to track real world safety and effectiveness of the Onero programme in the larger research programme underway at The Bone Clinic.


Falls Prevention Exercises

  • The risk of osteoporotic fracture is greatly increased in people who fall. Onero training includes exercises to help prevent falls and thereby reduce osteoporotic fractures.


Initial Assessment

The initial assessment for the Onero programme involves an individual consultation with our accredited Exercise Physiologist  to explain the program, obtain a full medical history and undertake an assessment of your current functional ability. 

Exercise Sessions

Following an Initial assessment participants will transition in to our small group sessions with the evidence recommending two supervised sessions per week. The exercise protocol is targeted specifically to bone, being brief but high intensity.

Maddeson Muir is our accredited Onero Programme provider at PROmotion. To find out more about Maddeson and to book online, click here


1. Watson SL, Weeks BK, Weis L, Horan SA, and Beck BR. (2018). High-Intensity Resistance and Impact Training Improves Bone Mineral Density and Physical Function in Postmenopausal Women With Osteopenia and Osteoporosis: The LIFTMOR Randomized Controlled Trial. Journal Bone Mineral Research 33(2):211-220

2. Watson SL, Weeks BK, Weis L, Horan SA, and Beck BR (2015) Heavy resistance training is safe and improves bone, function and stature in postmenopausal women with low to very low bone mass: Novel early findings from the LIFTMOR trial. Osteoporosis International, 26 (12) 2885-2894.
3. Beck BR and Weis LJ: Translating high intensity loading for osteoporosis to the real world: Two year observations from The Bone Clinic. Research to Practice 2018, Brisbane, Australia, 27-29 March 2018 Annual Scientific Meeting of Exercise and Sports Science Australia (Winner: Practitioner Award)

Osteoporosis  Exercise Perth