Along with dietary and medical management of osteoporosis, resistance training is important in improving bone density and osteogenesis (bone-building). This is achieved by placing the body under varying directions and amounts of load-bearing to encourage bone growth or to maintain bone density. Pilates Exercises, especially those involving spring resistance, place multi-directional loads on the skeletal system to encourage this bone loading process. Q Pilates Physiotherapists are trained in osteoporosis management and will often include traditional “weights” exercises in programs of people diagnosed with osteoporosis or osteopenia.