Volume 27, Issue 121 (March-April 2019)                   J Adv Med Biomed Res 2019, 27(121): 23-31 | Back to browse issues page

XML Print

Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Tarasi Z, Rajabi R, Minoonejad H, Shahrbanian S. The Effect of Spine Strengthening Exercises and Posture Training on Functional Thoracic Hyper Kyphosis in Young Individuals. J Adv Med Biomed Res. 2019; 27 (121) :23-31
URL: http://zums.ac.ir/journal/article-1-4999-en.html
Dept. of Health and Sports Medicine, School of Physical Education, University of Tehran, Tehran, Iran , H.minoonejad@ut.ac.ir
Abstract:   (1202 Views)

Background & Objective: Hyper- kyphosis negatively affects health status, physical mobility, and quality of life. Corrective exercise interventions are often utilized to manage subjects with thoracic hyper-hypnosis. The purpose of this study was to investigate the effectiveness of multimodal spine strengthening exercises (spinal strengthening, spinal alignment and other such exercises for increased spine mobility) and posture training in young individuals with functional thoracic hyper-kyphosis.
Materials & Methods: 97 young men with hyper-kyphosis abnormality (a kyphosis angle of more than 42 degrees) with a mean age of 23.82±2.96 years, the height of 174.74 ± 7.75 cm, and the weight of 70.36 ± 8.53 kg were selected. The individuals were randomly assigned to experimental and control groups. Experimental group subjects participated in a 12-week progressive corrective exercise program with postural training that was performed 3 sessions per week for one hour, while the control group subjects underwent daily activities during the same period. The kyphosis angle was measured with a flexible ruler. Data was analyzed by ANCOVA.
Results: The findings of the study showed that the multimodal spine strengthening exercise (spinal strengthening, spinal alignment and exercises for increased spine mobility) and postural training had a significant effect on the reduction of the thoracic kyphosis angle in the experimental group (P≤0.05).
Conclusion: Corrective exercises along with postural training are recommended for the correction of hyper-kyphosis abnormalities in young adult.

Full-Text [PDF 426 kb]   (555 Downloads) |   |   Full-Text (HTML)  (35 Views)  

✅ Corrective exercises along with postural training are recommended for the correction of hyper-kyphosis abnormalities in young adult.

Type of Study: Original | Subject: Life science
Received: 2018/04/2 | Accepted: 2018/09/17 | Published: 2019/06/22

1. References
2. Hertling D, Kessler RM. Management of Common Musculoskeletal Disorders: Physical Therapy Principles and Methods. Lippincott Williams & Wilkins, 2006.
3. Novak CB, Mackinnon SE. Repetitive use and static postures: a source of nerve compression and pain. J Hand Ther. 1997; 10:151–159.
4. Sobel JS, Winters JC, Groenier K et al. Physical examination of the cervical spine and shoulder girdle in patients with shoulder complaints. J Manipulative. Physiol Ther. 1997; 20:257–262.
5. Kado DM, Browner WS, Palermo L et al. Vertebral fractures and mortality in older women: A prospective study. Arch Intern Med. 1999; 159:1215–20.
6. Liu S, Diebo BG, Henry JK et al. The benefit of non-operative treatment for adult spinal deformity: identifying predictors for reaching a minimal clinically important difference. Spine J. 2016; 16:210–18.
7. Hazebroek-Kampschreur A, Hofman A, van Dijk AP et al. Prevalence of trunk abnormalities in eleven-year-old schoolchildren in Rotterdam, The Netherlands. J Pediatr Orthop. 1992; 12:480–484.
8. Cutler WB, Friedmann E, Genovese-Stone E. Prevalence of kyphosis in a healthy sample of pre-and postmenopausal women. Am J Phys Med Rehab. 1993; 72:219–225.
9. Morris GP, Larson K, Muelter KK, Oatis CA. Incidence of common postural abnormalities in the cervical, shoulder and thoracic regions and their association with pain in two age groups of healthy subjects. Phys Ther. 1992; 431 72:425.
10. Rajabi R, Latifi S. Soft arches of back and lumbar spine in Iranian populations. Journal of Sport management Sciences.2008;2:7-12.[In Persian]
11. Huang M-H, Barrett-Connor E, Greendale GA et al. Hyperkyphotic posture and risk of future osteoporotic fractures: the Rancho Bernardo study. J Bone Miner Res. 2006; 21:419–423.
12. Kado DM, Huang M-H, Karlamangla AS et al. Hyperkyphotic posture predicts mortality in older community-dwelling men and women: a prospective study. J Am Geriatr Soc. 2004; 52:1662–1667.
13. Lewis JS and Valentine RE. Clinical measurement of the thoracic kyphosis. A study of the intra-rater reliabilityin subjects with and without shoulder pain. BMC Musculoskelet Disord. 2010; 11: 39.
14. Page P. Assessment and treatment of muscle imbalance: the Janda approach. 1st ed. Champaign, IL: Human Kinetics, 2010.
15. Barker N, Raghavan A, Buttling P, et al. Thoracic kyphosis is now uncommon amongst children and adolescents with cystic fibrosis. Front Pediatr 2014; 2: 11.
16. Katzman W, Cawthon P, Hicks GE et al. Association of spinal muscle composition and prevalence of hyperkyphosis in healthy community-dwelling older men and women. J Gerontol A Biol Sci Med Sci. 2011; 5:160-168.
17. Ettinger B, Black DM, Palermo L et al. Kyphosis in older women and its relation to back pain, disability and osteopenia: the study of osteoporotic fractures. Osteoporosis Int. 1994; 4:55–60.
18. Kado DM, Huang M-H, Karlamangla AS et al. Factors associated with kyphosis progression in older women: 15 years’ experience in the study of osteoporotic fractures. J Bone Miner Res. 2013; 28:179–187.
19. Katzman WB, Vittinghoff E, Kado DM et al. Thoracic kyphosis and rate of incident vertebral fractures: the Fracture Intervention Trial. Osteoporosis Int. 2016; 27:899–903.
20. Mitova, S., Popova, D., & Gramatikova, M. Postural disorders and spinal deformities to children of primary school age. System for screening examination. Prevention and treatment. Activities in physical education and sport. 2014; 4 (2), 172-177.
21. Mitova, S. Frequency and prevalence of postural disorders and spinal deformities in children of primary school age. Research in Kinesiology.2015; 43(1), 21-24
22. Abolishin AG, & Tsitskishvili, N.I. Engine- rehabilitation of children with impaired posture [Motor rehabilitation of children with impaired posture. In Russian.] Journal of the Russian Association for Sport medicine and rehab.2006; 20 (3), 10-14
23. Bansal S, Katzman WB, Giangregorio LM. Exercise for improving age-related hyperkyphotic posture: a systematic review. Arch Phys Med Rehab. 2014; 95:129–140.
24. Twomey LT. A rationale for the treatment of back pain and joint pain by manual therapy. Phys Ther. 1992; 72:885–892.
25. Bennell K, Khan K, McKay H. The role of physiotherapy in the prevention and treatment of osteoporosis. Man Ther. 2000; 5:198–213.
26. Sinaki M. Critical appraisal of physical rehabilitation measures after osteoporotic vertebral fracture. Osteoporosis Int. 2006; 17:1702–1702.
27. Carter ND, Khan KM, Petit MA et al. Results of a 10 week community based strength and balance training programmed to reduce fall risk factors: a randomized controlled trial in 65–75 year old women with osteoporosis. Br J Sports Med. 2001; 35:348–51.
28. Hrysomallis C, Goodman C. A review of resistance exercise and posture realignment. J Strength Cond Res. 2001; 15:385–390.
29. Seidi F, Rajabi R, Ebrahimi I et al. The efficiency of corrective exercise interventions on thoracic hyper-kyphosis angle. J Back Musculoskeletal Rehab. 2014; 27:7–16.
30. Katzman WB, Vittinghoff E, Kado DM et al. Targeted spine strengthening exercise and posture training program to reduce hyper kyphosis in older adults: results from the study of hyper kyphosis, exercise, and function (SHEAF) randomized controlled trial. Osteoporosis Int .2017, DOI 10.1007/s00198-017-4109-x.
31. Feng Q, Wang M, Zhang Y and Zhou Y. The effect of a corrective functional exercise program on postural thoracic kyphosis in teenagers: a randomized controlled trial, Clinical Rehabilitation.2018; 32(1) 48–56 Jang H, Kim M, Kim S. Effect of Thorax Correction Exercises on Flexed Posture and Chest Function in Older Women with Age-Related Hyper kyphosis. J Phys Ther Sci. 2015; 27:1161.
32. Arnold CM, Beatty B, Harrison EL and Olszynski W. "The reliability of five clinical postural alignment measures for women with osteoporosis”. Physiotherapy Canada.2000; PP: 286-294.
33. Khalkhali M, Parnianpour M, Karimi H, Mobini B, Kazemnejhad A."The validity and reliability of measurement thoracic kyphosis using flexible ruler in postural hyper-kyphotic patients". Spine Kinematics.2006; 47: 60-67.
34. Lundon K, Li A and Bibershtein S. "Interrater and intrarater reliability in the measurement of kyphosis in postmenopausal women with osteoporosis". Spine. 1998; 23(18): 1978-1985.
35. Rajabi R, Seidi F. "Which Method Is Accurate When Using the Flexible Ruler to Measure the Lumbar Curvature Angle"? Deep Point or mid-Point of Arch? World Appli Sci. 2008; 4 (6): 849-852. [In Persian]
36. Hoppenfeld S. Physical examination of the spine and extremities. New York, NY: Appleton Century Croft. 1976.
37. Jang H, Kim M, Kim S. Effect of Thorax Correction Exercises on Flexed Posture and Chest Function in Older Women with Age-Related Hyper kyphosis. J Phys Ther Sci. 2015; 27:1161.
38. Yoo WG. Effect of thoracic stretching, thoracic extension exercise and exercises for cervical and scapular posture on thoracic kyphosis angle and upper thoracic pain. J Phys Ther Sci 2013; 25: 1509–1510.
39. Yelfani A, Naderi E,Anbarian M, Reisy Z, Nikoo M. The Effect of 12-Week correcting exercise on Skeleton Abnormal Injuries in Male Students 18-25 Years, Appli Sport Physio. 2015; 11 (21): 47-62. [In Persian]
40. Bakhtiari A, Haji Hasani A, Hedayati R, Aminiyanfar A. Investigating the effect of stabilizing exercises on improvement of posterior head movement. Army University of Medical Sciences, Islamic Republic of Iran.2011; 10 (2): 111-117. [In Persian]
41. Salehi S, Hedayati R, Bakhtiari A; Sanjari M, Ghorbani R. A comparative study on the effect of stress and tensile strength exercises on balance indices in people with head injuries. Rehab. 2013; 14 (1): 50-60.
42. Granacher U, Gollhofer A, Hortobágyi T, Kressig R.W, Muehlbauer T. The importance of trunk muscle strength for balance, functional performance, and fall prevention in seniors: a systematic review. Sports Med; 2013; 43(7):627-641
43. Shareiatinia N, Letafatkar A, Shojaedin SS, Haddaanezhad M. Evaluation of the Efficacy of a Comprehensive Spinal Muscle Training Protocol with and without Functional Electrical Stimulation in Elderly with Functional Kyphosis. J Res Rehab Sci 2016; 12(6): 341-7. [In Persian]

Add your comments about this article : Your username or Email:

Send email to the article author

© 2020 All Rights Reserved | J Adv Med Biomed Res

Designed & Developed by : Yektaweb  Co-Publisher: Farname Inc.