GCS Question of the Day

Today's question

An 82-year-old woman is admitted to inpatient rehabilitation 6 days after a T12 osteoporotic compression fracture sustained during a low-energy fall from standing. Her DXA T-score at the femoral neck is -3.2. She is on alendronate and vitamin D, denies neurologic symptoms, and MRI shows an acute wedge deformity with ~30% anterior height loss and no retropulsion. She reports 4/10 pain that spikes to 8/10 with rolling and sit-to-stand, and she demonstrates increased thoracic kyphosis with a positive occiput-to-wall distance of 6 cm. She is highly motivated and asks what she should be doing in the gym to prevent another fracture. Which intervention is MOST appropriate to prioritize during the first two weeks of her rehabilitation?