A 70 years old lady with a one year history of compressed L1 vertebral fracture and osteoporosis with resulting kyphosis. she is on long term low dose steroids due to partially controlled rheumatoid arthritis. Osteoarthitis of the Rt hip and both knees are added problems. What are the best exercises to do without additional harm?
Can’t answer about strength inside without eval. or knowing pain but there are many!
Definitely water with thorough eval first. L1 means no deep water belt but maybe horse or noodle. If uncomfortable in deep I’d work in neck depth water. Slowly first. Then bring her shallower as time progressed for walking with more body weight if tolerable, and add aqua DB work for upper body strength (after hand progressions).
If my client I would prefer this than land pilates or yoga with her for the conditions mentioned. Similar ROM exercises can be done standing in shallow water and would help balance on land.
With steroids and osteoporosis I might see if she could start walking on TM slowly without pain.