Menopause, Exercise and Physical Function: A Rehabilitation Framework

Assessment and clinical reasoning

• Ask about current activity, strength, sleep, symptoms, falls risk and goals.
• Assess functional strength and aerobic tolerance using repeatable measures.
• New unexplained bleeding, chest symptoms, syncope or other concerning systemic change requires appropriate medical assessment.

Resistance training

Progressive resistance training supports muscle strength and physical function. Use major muscle groups at least twice weekly when appropriate, starting at a tolerable effort and progressing load as technique and recovery permit.

Aerobic and impact activity

Build regular moderate-to-vigorous aerobic activity according to health status and preferences. Weight-bearing and impact activities can be useful for bone health when appropriate, while higher-risk individuals need individualized progression.

Progression

• Change one main variable at a time: load, volume, impact or complexity.
• Use symptoms and next-day recovery to adjust dose.
• Reassess strength, capacity and participation rather than relying only on body weight.

Common mistakes and clinical pearls

• Do not prescribe only low-intensity activity if the person can safely progress.
• Avoid framing menopause as inevitable physical decline.
• Choose exercise modes the person can sustain long term.

Summary

Rehabilitation through menopause should build strength, fitness and confidence with individualized progressive exercise and appropriate medical collaboration.