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Osteoporosis: A Comprehensive Treatment Strategy (Sara Meeks Seminar)

Friday, June 22 at 7:00 AM
Des Moines University, Olsen Center, Des Moines, IA, 50312 Show Map

Osteoporosis: A Comprehensive Treatment Strategy

Register online

In this two day course, Ms. Meeks presents a comprehensive approach to the management of persons with osteoporosis, osteopenia, and postural problems which is also useful for spinal stenosis and back pain. Included is regularly up-dated information on definitions, pathology and epidemiology of osteoporosis. The program includes a complete patient assessment, site-specific exercise program, ostural correction, balance, gait, body mechanics during activities of daily living, use of foam rollers for balance and core strengthening, scapular stabilization exercises with resistance band, information on use of treatment modalities as they pertain to osteoporosis, and guidelines for advanced exercises (e.g., in the gym, Yoga, Pilates etc.) Therapists who take this course can then give good advice to patients seeking information about safety in movement in environments other than the physical therapy clinic.

Description and Relevance to Clinical Practice

Osteoporosis is occurring in epidemic proportions around the world in children, young adults, the elderly, men and women. Rehab professionals regularly see patients with osteoporosis in their treatment settings; yet, they seldom get osteoporosis as part of the patient’s diagnosis.

Safe management of this condition is imperative both from the standpoint of preventing fracture in the patient population and also from the standpoint of a reduction in the financial impact to the patient and to society. When a patient sustains a vertebral compression or hip fracture, quality of life changes dramatically and the mortality rate and costs are very high.

In this course Osteoporosis: A Comprehensive Treatment Strategy, an innovative, effective, safe, site-specific comprehensive program for Physical Therapy management of the patient with osteoporosis is presented. All levels are continually updated with the latest literature and information on bone health.

The therapist who completes this course will be able to identify an at-risk population in the treatment setting, will be able to treat safely and according to identified Patterns of Postural Change© and will be able to make appropriate referrals as indicated and necessary. They will also be able to guide patients in appropriate movement choices in the gym and other exercise settings.

The Meeks Method

This comprehensive program is designed to prevent, arrest and/or reverse the common Patterns of Postural Change© that occur as, but not necessarily because, people age. Below the diagram is a description of each point. View additional information regarding each point.

In addition to the twelve basic tenets described here, The Meeks Method consists of advanced training for health professionals who are interested in learning how to move from, and with consideration of safety for, the bones. Leaning to move “from the inside out” can profoundly change the way you teach patients and exercise clients how to move and can also change your own life.


Upon completion of this course, participants will be able to:

  1. Articulate basic information on osteoporosis and osteopenia, including first signs and risk factors, epidemiology and pathology for these conditions and know how to identify people who may be at risk in their own clinic.
  2. Apply the concept of the terns of Postural Change© as it applies to exercise prescription in the P.T. clinic and articulate guidelines for exercise and fitness classes.
  3. Articulate the elements of thorough pre-assessment and assessment procedures for persons with known or suspected osteopenia and/or osteoporosis. Perform and interpret the REEDCO Posture Score.
  4. Articulate the principles of movement and philosophy of the exercise program, be able to perform and teach the exercises, including site specific strengthening/flexibility exercises, postural correction, balance and gait.
  5. Instruct patients in ADL’s and body mechanics with guidelines appropriate for the geriatric population and for people with Osteoporosis.
  6. Articulate the suggested use of effective modalities and specific treatments that are used to augment the exercise program.
  7. Know when and how to make referrals to other health professionals as indicated by patient condition.
  8. Advise patients on exercise programs that they may currently be doing (e.g., Aerobics classes, Gym machines, Senior classes, Pilates, Yoga, T’ai Chi, Aquatherapy) so that they will be as safe as possible in other environments.
  9. Identify specific treatment guidelines and considerations for patients in acute, sub-acute, rehab, outpatient, nursing home, skilled nursing facility, assisted living facility and home care settings.


Friday, June 22, 2012
7 a.m. – 5 p.m.
7 a.m. Registration
8 a.m.

Laying the Foundation

  • PowerPoint presentation with exercise and movement interspersed throughout the morning
  • Instruction in perch posture, standinge exercises, compensatory and pain avoidance movement pattern recognition
  • My experience in geriatrics/osteoporosis
  • Research related to management program
  • Osteoporosis: The current epidemic – epidemiology
  • Overview and results, definitions of osteoporosis/osteopenia
  • Triangle of management
  • Bone density scans and how to read them
  • Bone Quality Framework
  • Presentation of FRAX
10 a.m. Break
10:15 a.m. Continuation of Laying the Foundation
12 p.m. Lunch
1 p.m.

Gait Training, Postural Correction, Balance Testing and Exercises, Introduction of Habitual and Non-Habitual Movement Patterns

  • Discussions of walking poles, shoes, walkers and other assistive devices
2 p.m.

Second PowerPoint Presentation

  • Meeks method, protocol for treatment, and case reports
3 p.m. Break
3:15 p.m.

Site-Specific Exercise Program

  • Demonstration of position
    ing and first 4 exercises
  • Guidelines for severely involved and frail patients
  • Practice of positioning and instruction in first 4 exercises in groups of 2
  • Presentation and practice of the site-specific exercises — individuals exercise independently
Saturday, June 23, 2012
8 a.m. – 5 p.m.
8 a.m. Patient pre-assessment and assessment
9:30 a.m. Continuation of site-specific exercise program stabilization exercises
10 a.m. Break
10:15 a.m.

Continuation of site-specific exercise program; Strengthening/Balancing with Foam Rollers

  • Demonstrations of Site-Specific Exercises
12 p.m. Lunch
1 p.m.

Treatment guidelines

  • Management of compression fractures acute through chronic care
  • Discussion on Re-Imbursement
  • Activities of Daily Living
  • Modalities and Special Treatments
3 p.m. Break
3:15 p.m.

Effects of treatment/identified patterns of postural change. Guidelines “above and beyond” the P.T. clinic

  • Pain
  • Muscle Spasm
  • “Non-Compliant” patients
  • Presentation of patterns of postural change exercise and fitness guidelines
4:45 p.m. Evaluations and presentation of certificates


Sara M. Meeks, P.T., M.S., G.C.S., K.Y.T.

  • has been a licensed, practicing Physical Therapist since 1962,
  • has specialized in the unique management implications of persons with osteopenia and osteoporosis since 1984 has developed an evidenced-based, easy, effective, comprehensive, site-specific, 12-part program for the conservative management of persons with osteopenia, osteoporosis, postural problems and back pain.

Learn more about Ms. Meeks.

Hotel accommodations

To view local hotels, click here.


Course registration fees include all course sessions, course manual and supplies (6 x 36 foam roller), continental breakfast and snacks.

  • $450.00


Sara Meeks Seminars
P.O. Box 5577
Gainesville, FL 32627-5577
Phone: 352-378-6484
Toll Free: 888-330-7272
Fax: 352-336-1899

All images are courtesy of Sara Meeks Seminars.

Des Moines University (DMU) prohibits discrimination in employment, educational programs, and activities on the basis of race, national origin, color, creed, religion, sex, age, disability, veteran status, sexual orientation, gender identity, or associational preference. The University also affirms its commitment to providing equal opportunities and equal access to University facilities. Individuals with disabilities are encouraged to attend DMU sponsored events. If you are a person with a disability who requires an accommodation in order to participate in this program, please contact the DMU Continuing Medical Education office at 515-271-1541 or cme@dmu.edu prior to the activity.