Effectiveness of Physiotherapy for Osteoporotic Spinal Fracture

Inclusion Criteria: * if female, at least five years post-menopause * aged \> 50 years * primary osteoporosis defined as DXA T score \< -2.5 at either the spine or proximal femur with at least one morphometric vertebral crush fracture sustained between 3 months to 2 years previously * back pain/discomfort in thoracic or lumbar region felt at least weekly within the last 6 months * stable dose of medication for treatment of osteoporosis (eg. hormone replacement therapy, bisphosphonates) * community dwelling and able to attend for treatment * English speaking Exclusion Criteria: * secondary causes of bone loss such as osteomalacia, glucocorticoid medication etc. * co-morbidities that would interfere with participation in exercise such as severe heart or pulmonary disease, inflammatory joint disease, severe osteoarthritis, psychiatric condition * acute vertebral fracture in past 3 months * signs and symptoms arising from nerve root compression * back pain radiating into the lower limb * previous participation in a formal pain management program for back pain * physiotherapy for back pain in the past 6 months * allergic reaction to adhesive tape or poor skin condition that would prevent use of tape