I teach a beginning weight training class for (mostly) seniors (50+). One class member has been diagnosed with osteoporosis.
Do you have any set of exercises to use with individuals who have osteoporosis (this person also has arthritis and cervical spinal stenosis, and according to her Physical Therapist, should do weight bearing exercises, but keep her spine in neutral position, and not lift anything above her shoulders.
I can't believe a licensed physical therapist okayed group fitness.
Although this is not going to answer your question, here is my position.
If you can't explain the pathophysiology of the disease/condition in question, if you don't have a good grasp of the arthrokinematics of the involved joints, then you are taking a great risk.
Even if you have written clearance, as a fitness professionals we all must recognize where our area of expertise begins and where it ends. Too, even it if is within your scope, it doesn't mean that a fitness professional is prepared to train an individual presenting with so many clinical conditions.
I looked at your profile and saw that you are a group exercise instructor. As such, you are working with apparently healthy individuals who have pretty much responsibility for the exercises they do if they choose to be in a class setting.
I generally have an issue with group weight training because I have witnessed too often that people have a difficult time following instructions, no matter how properly given. Consider this last comment a side bar.
Even in a personal training setting, I do not have 'a set of exercises to use for people with osteoporosis' because my exercise selection is dependent on the individual assessment. It would also take into account the arthritis and the spinal stenosis. I would also require a physician's okay and would personally talk to the physical therapist. Obviously, the person went to the PT for some reason.
Frankly, with this person in a group exercise class, you are taking on an awful lot of responsibility, and I believe that you are going beyond your scope of practice. If this is part of a program at a health club, I would refer this to my supervisor.
Take care, Daniel
Ultimately she will need to know her limitations and restrictions and be able to modify and implement them.
I would be very clear about your concerns and state them to her
You are under no obligation to have her participate if you feel it's a risk.