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Digital Seminar

Strength & Stability: Exercise Programming for Bone Health & Muscle Preservation in Menopausal Women – Part 1


Speaker:
Elizabeth Frey, FCAMPT, MCISC (MANIP), MSc. PT, MSc, BPHE, BSc, MCPA
Duration:
1 Hour 22 Minutes
Format:
Audio and Video
Copyright:
Oct 21, 2025
Product Code:
POS065697
Media Type:
Digital Seminar


Description

Master the physiological foundations and clinical assessment strategies essential for prescribing effective exercise programs during menopause and beyond.

This evidence-based module equips physiotherapists and rehabilitation professionals with the critical knowledge to address the musculoskeletal syndrome of menopause—a condition affecting 1 in 3 women over 50 with fragility fractures and a 20% mortality rate within one year of hip fracture.

You'll gain deep understanding of how estrogen loss triggers rapid bone density decline (up to 2.5% annually at the lumbar spine), accelerated sarcopenia, and systemic inflammation.

Clinical Impact:

  • Confidently stratify fracture risk using DXA T-scores, Z-scores, TBS, and FRAX tools
  • Identify sarcopenia early with validated assessments (SARC-F, grip strength, TUG)
  • Explore the categories of exercise and why they are especially important for menopausal women
  • Gain insight into today’s most current research on the impact of various exercise types in menopausal women

What You'll Learn:

  • The mechanobiology of bone remodeling and muscle preservation in estrogen-depleted environments
  • Comprehensive risk assessment protocols for bone and muscle health
  • Research-backed exercise prescription principles: resistance, power, cardiovascular, balance, and mobility training
  • How to differentiate between beginner, intermediate, and advanced training levels

This module transforms your understanding from "exercise is good" to "this specific exercise stimulus, at this intensity, drives this physiological adaptation"—giving you the clinical precision to change outcomes for women in midlife and beyond.

Credit

Planning Committee Disclosure - No relevant relationships

All members of the PESI, Inc. planning committee have provided disclosures of financial relationships with ineligible organizations and any relevant non-financial relationships prior to planning content for this activity. None of the committee members had relevant financial relationships with ineligible companies or other potentially biasing relationships to disclose to learners.  For speaker disclosures, please see the faculty biography.



* Credit Note - **

NOTE: Tuition includes one free CE Certificate (participant will be able to print the certificate of completion after passing the online post-test (80% passing score) and completing the evaluation). Instructional methods will include PowerPoint, didactic lecture, and others.

Continuing Education Information:  Listed below are the continuing education credit(s) currently available for this non-interactive self-study package. Program content is reviewed periodically per accrediting board rules for currency and appropriateness for credit. Credit approvals are subject to change. Please note, your state licensing board dictates whether self-study is an acceptable form of continuing education, as well as which credit types are acceptable for continuing education hours. Please refer to your state rules and regulations. If your profession is not listed, please contact your licensing board to determine your continuing education requirements and check for reciprocal approval. 
For other credit inquiries not specified below, please contact info@pesi.com or 800-844-8260 before purchase.

Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of your profession.  As a licensed professional, you are responsible for reviewing the scope of practice, including activities that are defined in law as beyond the boundaries of practice in accordance with and in compliance with your profession's standards.  

For Planning Committee disclosures, please see the statement above.  For speaker disclosures, please see the faculty biography.


* Credit Note - ---

Earn up to 1.25 CE hours. Please see below, for more details, as credit amounts vary by state and profession. 


Nurses - Nurses, Nurse Practitioners, and Clinical Nurse Specialists

This self-study activity consists of 1.25 clock hours of continuing education instruction. Credit requirements and approvals vary per state board regulations. Please save the course outline, the certificate of completion you receive from this self-study activity and contact your state board or organization to determine specific filing requirements.


Nurses - California Nurses

PESI, Inc. is a provider approved by the California Board of  Registered Nursing, Provider #: 17118 for 1.0 self-study contact hours. 

** You will need to provide your license number to PESI. PESI must have this number on file in order for your hours to be valid.


Nurses - Florida Nurses

PESI, Inc. is an approved provider by the Florida Board of  Nursing. Provider #: FBN2858. These materials qualify for 1.0 self-study contact hours.

CE Broker


Physical Therapists - Alaska Physical Therapists & Physical Therapist Assistants

CE credit is available. This self-study course consists of 1.25 continuing education credit hours for Alaska Physical Therapists. The Board Rule 12 AAC 54.420 confirms acceptance of continuing education programs that are recognized by other state physical therapy licensing boards. PESI, Inc. is recognized by the Physical Therapy Board of California as an approval agency to approve providers.


Physical Therapists - Arizona Physical Therapists & Physical Therapist Assistants

CE credit is available. The Arizona State Board of Physical Therapy recognizes continuing competence activities that have been approved by any state PT association or national medical/health care association (e.g., AOTA, ASHA). This self-study activity consists of 1.25 clock hours of instruction applicable for physical therapists.


Physical Therapists - California Physical Therapists & Physical Therapist Assistants

PESI, Inc. is recognized by the Physical Therapy Board of California as an approval agency to approve providers. This self-study lecture qualifies for 1.25 continuing competency hours.


Physical Therapists - Physical Therapists & Physical Therapist Assistants

This self-study course consists of 1.25 clock hours of instruction that is applicable for physical therapists. CE requirements for physical therapists vary by state/jurisdiction. Please retain the certificate of completion that you receive and use as proof of completion when required.


Physical Therapists - Illinois Physical Therapists & Physical Therapist Assistants

PESI, Inc. is a Registered Physical Therapy Continuing Education Sponsor through the State of Illinois Department of Financial and Professional Regulation, Division of Professional Regulation. License #: 216.000270. This self-study course qualifies for 1.0 CE credit hours.


Physical Therapists - Kentucky Physical Therapists, Physical Therapist Assistants

This self-study course consists of 1.25 continuing education credit hours. For Kentucky licensees, according to 201 KAR 22:045, this self-study educational offering may be applied toward Category 2 continued competency requirements.  Please review the regulation to determine eligibility. 


Physical Therapists - New York Physical Therapists & Physical Therapist Assistants

PESI, Inc. is recognized by the New York State Education Department, State Board for Physical Therapy as an approved provider for physical therapy and physical therapy assistant continuing education. This self-study course qualifies for 1.6 contact hours.


Physical Therapists - North Carolina Physical Therapists & Physical Therapist Assistants

PESI, Inc. is an approved provider with the Illinois Division of Professional Regulation, Provider Number: 216.000270. This intermediate course is approved by the North Carolina Board of Physical Therapy Examiners by virtue of PESI Inc. approved provider status with the Illinois Division of Professional Regulation. This course qualifies for 1.0 continuing education hours.


Physical Therapists - Oklahoma Physical Therapists, Physical Therapist Assistants

CE credit is available. This asynchronous activity consists of 1.25 continuing education credit hours for Oklahoma Physical Therapists. Oklahoma Administrative Code 435:20-9-3.1 confirms acceptance of continuing education programs offered by providers approved by other state physical therapy licensing boards. PESI, Inc. is a Registered Physical Therapy Continuing Education Sponsor through the State of Illinois Department of Financial and Professional Regulation, Division of Professional Regulation. License #: 216.000270.


Physical Therapists - Pennsylvania Physical Therapists and Assistants

The Pennsylvania State Board of Physical Therapy recognizes approval by all other state boards. This self-study activity consists of 1.25 clock hours of instruction that is applicable for physical therapists.


Physical Therapists - Texas Physical Therapists & Physical Therapist Assistants

This self-study activity is provided by the Texas Board of Physical Therapy Examiners Accredited Provider #2706032TX and meets continuing competence requirements for physical therapist and physical therapist assistant licensure renewal in Texas. Instructional Level: Advanced. This activity will provide 1.25 CCUs. The assignment of Texas PT CCUs does not imply endorsement of specific course content, products, or clinical procedures by TPTA or TBPTE. Full attendance is required; no partial credits will be offered for partial attendance.


Physical Therapists - Utah Physical Therapists And Physical Therapist Assistants

This course is designed to meet the Utah DOPL Rule R156-24b-303b.2.c.iv - A commercial continuing education provider providing a course related to the practice of physical therapy. Please retain a copy of the advertising brochure and your certificate of completion to provide to your board should this be requested of you. This self-study activity consists of 1.25 clock hours of continuing education instruction.


Physical Therapists - Vermont Physical Therapists & Physical Therapist Assistants

CE credit is available. This course consists of 1.25 continuing education credit hours for Vermont Physical Therapists. The Board confirms acceptance of continuing education programs that are recognized by other state physical therapy licensing boards. PESI, Inc. is a Registered Physical Therapy Continuing Education Sponsor through the State of Illinois Department of Financial and Professional Regulation, Division of Professional Regulation. License #: 216.000270.


Physical Therapists - Virginia Physical Therapists & Physical Therapy Assistants

CE credit is available. This self-study course consists of 1.25 hours of type 2 continued competency credit for Virginia Physical Therapists and Physical Therapy Assistants. Regulation 18VAC112-20-131, Section B, (2) states that up to ten type 2 continued competency credits can be earned by completing independent study activities related to the clinical practice of physical therapy. 


Chiropractors - Chiropractors

PESI is recognized by the PACE program of the Federation of Chiropractic Licensing Boards. This online course consists of 1.0 CE hours of instruction in the following subjects: History and Exam(0.25hrs); Differential/physical diagnosis(0.25hrs); Corrective/Therapeutic Exercise(0.25hrs);Sports medicine(0.25hrs) . Approval #065697/102125. 

 

For a list of boards that accept PACE courses, please visit this website: https://pacex.fclb.org/pages/BoardRequirements.php

 

**Please note that Chiropractors and/or Chiropractor Assistants must complete the post-test and evaluation and answer yes to the PACE Chiropractor evaluation question if they would like their participation submitted to PACE.


Other Professions

This self-study activity qualifies for 1.25 continuing education clock hours as required by many national, state and local licensing boards and professional organizations. Save your activity advertisement and certificate of completion, and contact your own board or organization for specific requirements.



Handouts/Brochure

Speaker

Elizabeth Frey, FCAMPT, MCISC (MANIP), MSc. PT, MSc, BPHE, BSc, MCPA's Profile

Elizabeth Frey, FCAMPT, MCISC (MANIP), MSc. PT, MSc, BPHE, BSc, MCPA Related seminars and products


Elizabeth Frey, FCAMPT, MCISC (MANIP), MSc. PT, MSc, BPHE, BSc, MCPA

Liz holds a BSc and BPHE from Queen’s University; a MSc in Exercise Physiology from the University of Toronto, a MSc (PT) from McMaster University, and a MCISC (Manip) from University of Western Ontario. She is a member of the CPA and a fellow of the Canadian Academy of Manipulative Physical Therapists (FCAMPT). Liz is also a Contemporary Medical Acupuncture provider.

Liz is a clinic owner and practicing physiotherapist with a specialty in pelvic health physiotherapy. She is an instructor for Rocktape® Canada, a clinical lab facilitator at the University of Toronto, and a clinical supervisor for physiotherapy students.

As an orthopaedic and pelvic health physiotherapist, Liz integrates her over 10 years of clinical expertise to provide a unique whole-body approach to wellness. Liz’s practice focuses on helping women navigate pregnancy, menopause, and everything in between. Her care model addresses the underlying dysfunction causing injury and provides education to help prevent future re-injury. Her patient-centered approach empowers her patients to set goals, balance muscular dysfunction, and work toward optimal health. She does all of this through hands-on techniques, comprehensive education, and tailored progressive exercise programs.

Personally, as a busy mother of three children, the health habits that don’t slip for Liz are mindset and exercise – it is her positive outlook and passion to stay strong and mobile as she ages that are a few of her defining features.
 

Speaker Disclosures:
Financial: Elizabeth Frey is the owner of PhysioPlus Health Group, an instructor with Rock Tape, and has an employment relationship with Fringe. She is a mentor with Orthopedic Division. She receives a speaking honorarium and recording royalties from PESI, Inc.
Non-financial: Elizabeth Frey is a member of the Canadian Academy of Manipulative Physiotherapy and the Women’s Health Division of the CPA.


Additional Info

Access for Self-Study (Non-Interactive)

Access never expires for this product.


Questions?

Visit our FAQ page at www.pesi.com/faq or contact us at www.pesi.com/info


Objectives

  1. Interpret bone health assessment data (including DXA T-scores, Z-scores, Trabecular Bone Score, and FRAX scores) to accurately stratify fracture risk and determine appropriate exercise intensity levels for postmenopausal women.
  2. Interpret validated muscle health screening tools (SARC-F questionnaire, grip strength dynamometry, and Timed Up and Go test) to identify sarcopenia risk and fall risk in midlife and older women.
  3. Apply evidence-based exercise prescription principles (specifying intensity, volume, and frequency parameters for resistance, power/plyometric, cardiovascular, and balance training) that address the specific physiological changes of menopause including accelerated bone loss, sarcopenia, and metabolic dysfunction.

Outline

Section 1: The Science of Menopause - Understanding Bone & Muscle Changes

  • The Musculoskeletal Syndrome of Menopause: hormonal impacts on bone, muscle, cartilage, and fat
  • Bone biology in midlife: Wolff's Law, Mechanostat Theory, and the RANKL/OPG pathway
  • Trabecular vs. cortical bone loss patterns and the critical menopausal window (2.5% annual BMD decline)
  • Sarcopenia and dynapenia: estrogen's role in muscle mass, strength, and neuromuscular function

Section 2: Clinical Assessment - Stratifying Risk & Evaluating Function

  • Bone health assessment tools: DXA scans, T-scores, Z-scores, Trabecular Bone Score (TBS), and FRAX
  • Muscle health screening: SARC-F questionnaire, grip strength testing, and Timed Up and Go (TUG)
  • Identifying red flags, contraindications, and medical clearance requirements
  • Assessing exercise readiness: motivation, beliefs, barriers, and current activity levels

Section 3: Evidence-Based Exercise Prescription Principles

  • Resistance training: optimal parameters for bone and muscle (≥70% 1RM, 2-3x/week, compound movements)
  • Power/plyometric training: maintaining fast-twitch fibers and bone strain through explosive movements
  • Cardiovascular training: HIIT/SIT for metabolic health vs. limiting excessive Zone 2 cardio
  • Balance, mobility, and core stability: fall prevention and movement quality enhancement

Section 4: Translating Research to Practice

  • High-intensity and high-volume resistance training improves BMD and muscle hypertrophy
  • Multicomponent training frequency (3x/week) optimizes metabolic and body composition outcomes
  • Resistance training reduces visceral fat and systemic inflammation in postmenopausal women

Target Audience

  • Doctors of Chiropractic
  • Registered Nurses
  • Nurse Practitioners
  • Physician Assistants
  • Physical Therapists

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