OKenawa
OKenawa and HFR
Medical Personalization. An innovative and tailored approach. A holistic approach.
Summary
Medical Personalization
Collaboration
Care

Medical Personalization
Context and history
The Osteoporosis Consultation Fracture Pathway of the Fribourg Hospital (HFR) began its activities in January 2017. Since then, it has been striving to provide personalized medical follow-up for patients with osteoporosis, particularly those who have suffered fragility fractures.
In November 2020, the International Osteoporosis Foundation (IOF), through its CAPTURE the FRACTURE program, recognized the Fracture Liaison Service (FLS) of the HFR by awarding it the bronze rank. This service is now an integral part of the Rheumatology Service of the HFR, highlighting its commitment to improving osteoporosis-related care Capture the Fracture - HFR Fribourg.
Collaboration with other healthcare institutions
The Osteoporosis consultations at HFR are part of a network of collaborative care pathways with several other healthcare institutions, such as:
RésOS Screening Network
Geneva University Hospitals (HUG)
Lausanne University Hospital (CHUV)
Neuchâtel Cantonal Hospital
These collaborative pathways allow for an optimization of care for patients affected by osteoporosis, a condition often underdiagnosed and difficult to treat without early detection.
In summary
The Osteoporosis consultations at HFR and RésOS are part of a network of coordinated and specialized care, aiming to offer patients a personalized and effective medical follow-up. Goals: better management of fragility fractures and a strengthened prevention of osteoporosis.
Collaboration
Personalized care
To improve post or prehospital care for patients in osteoporosis consultations, HFR (Fribourg Hospital) and RésOS have chosen to collaborate with OKenawa®. This collaboration aims to establish a regular physical activity, specifically adapted to the needs of people with osteoporosis.
OKenawa®: an original and adapted physical activity
OKenawa® offers a low-impact physical activity inspired by martial arts and the Alexander Technique, designed to be gentle on the joints while being effective for muscle strengthening and bone density preservation. This activity is practiced in parallel with specialized and regular medical follow-up, as well as biological monitoring, carried out in partnership with the HFR hospital laboratory, accredited to international ISO 15189 standards.
For more information about the laboratory: https://www.h-fr.ch/nos-specialites/nos-specialites-medicales/laboratoire
A holistic approach
The reintroduction to movement offered by OKenawa® takes into account the individual needs of the participants. This approach combines medical, sports and scientific aspects to ensure measurable results, whether in terms of muscle strengthening, balance, and fall prevention (while minimizing the risk of injuries).
The martial-type physical activity with the principles of the Alexander Technique respects the unique motor skills of each person, by adjusting:The intensity
and type of exercisesThe duration
The duration sessions
Frequency sessions
In summary
The collaboration between HFR, RésOS, and OKenawa® provides comprehensive and safe care, combining physical activity with professional medical follow-up for people suffering from osteoporosis.

Care
A personalized and adapted approach
The medical personalization and the exercise program implemented by OKenawa® take into account the history of each participant. These factors include:
The general condition of the person
Age and gender of the individual
The type of fracture sustained
The type of treatments underway
Biological results reported by the laboratory, in collaboration with the HFR hospital laboratory
Furthermore, the care also takes into account lifestyle habits and the sports background of each individual, to better personalize the exercise program and ensure its effectiveness.
Specific and realistic objectives
Each program is designed with specific goals, realistic and achievable, accompanied by defined deadlines. This approach allows for regular progress tracking in a structured manner and ensures measurable results.
Suitable tools and exercises
The tools used, whether physical exercises or medical monitoring, are individualized to match the physical abilities of each participant. This ensures care that respects everyone's limits while encouraging significant progress.
In summary
The care provided by OKenawa® is deeply personalized, adapting to each individual based on their physical, medical, and personal specifics. This approach allows for setting clear and achievable goals while using appropriate and suitable tools for each situation.