OA & Bone Health Track
BEDROCK
Bone Enhancement & Dual-protection through Resistance, Osteoporosis Care & Kinetic training
Duration
24 weeks · Foundation (Wk 1–4), Build (Wk 5–12), Optimise (Wk 13–24)
Structure
FRAX-tiered, 3 phases over 6 months
Delivery
Virtual
About this protocol
BEDROCK is a falls-prevention programme that also builds bone, for patients on denosumab/Jubbonti, post-menopausal women, long-term glucocorticoid users, and those with prior fragility fracture. Ten core exercises — balance and proprioception first, then functional strength, then bone-loading impact — pair with Interval Walking Training on alternate days, every exercise tiered by FRAX risk category (GREEN <10%, AMBER 10–20%, RED >20%). Note the step target intentionally caps near 4,000/day with emphasis on brisk-cadence minutes, not total volume. Designed for the denosumab biosimilar PSP whitespace created by Jubbonti switching mandates.
Clinical authors
- Angelo Papachristos, PT, ACPAC
- Sameer Chunara, PT, ACPAC
Evidence base
BEDROCK is derived from systematic review and randomized controlled trial evidence in Osteoporosis, Bone Health & Falls Prevention. Protocol parameters — phase structure, load progression, and outcome measures — align with EULAR, ACR, and ASAS exercise-therapy recommendations. Outcome tracking favours open-access PROMIS instruments where validated equivalents exist.
View the evidence library →Outcome measures
- FRAX score (10-year major osteoporotic fracture probability)
- Timed Up & Go (TUG) — fall-risk tier gating
- 30-Second Chair Stand
- Falls history since last session
- BMD / DXA at intake (patient-reported)
- Daily step count (target 4,000, not 10,000)
- Brisk-cadence minutes/week (≥50 min/wk at ≥100 spm)
PROMIS short forms are free, NIH-developed measures used in place of paid legacy instruments.
What's included
- Virtual assessment with a certified exercise therapist
- Personalised programme plan
- Live-virtual group or individual sessions
- Asynchronous guided home programme
- Regular ePRO check-ins with adaptive progression
- Care coordinator support
- Programme completion report
Interested in this protocol?
Speak to us about adding BEDROCK to your PSP or benefits plan.
Request a pilotFor patients