Patient Education With or Without Physical Training or Mindfulness and Medical Yoga in Established Spinal Osteoporosis

The SOL-study (School of Osteoporosis in Linköping) is a feasibility and pilot study on patient education in manifest spinal osteoporosis. The study design is interventional with patients randomized to one of three different interventions, i.e. 1. Theory only (T group) 2. Theory and physical exercise (TPh-group) 3. Theory and mindfulness/medical yoga (TMMY-group) The intervention period is 10 weeks, including 1 hour theory session/week (same for all groups) and for TPh- and TMMY-groups a one hour group training session is scheduled before the theory session. Inclusion criteria are: 1) manifest spinal osteoporosis (diagnosed osteoporosis and \> 1 vertebral fracture \[VF\]); 2) \> 3 months had passed since the most recent VF; and 3) age over 60 years. Clinical testing and questionnaire evaluation are performed at three timepoints; 1) Baseline (T1), i.e. before intervention; 2) Post-observation (T2) i.e. after a passive observation time of 4 months); and 3) Post-intervention (T3) i.e. after the interventions. A one year follow up post-intervention is performed by questionnaire evaluation.