Petcharaporn, Pawelek, Bastrom, Lonner, Newton 21
GRADE Level: Low
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To evaluate the association between thoracic hyperkyphosis and patient
QOL measures.
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Retrospective comparative study
50 children with scoliosis, thoracic kyphosis > 45°
and 50 children without scoliosis; ages 14 + 4 (8-18) years, 50%
female
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Posture (X-ray)
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QOL (SRS-24)
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Significant negative correlation between kyphotic curve and all domains
of QOL scores (r=-0.601, p<0.001). Self-image showed the
strongest association (r=-0.66, p<0.001).
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Greendale, Huang, Karlamangla, Seeger, Crawford 31
GRADE Level: High
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To assess whether a specific yoga intervention can reduce
hyperkyphosis.
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RCT
118 people, ages 75.5 years (range 59.8–90), 81% women, 88%
caucasian
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Intervention: yoga class 1-hour, 3 days/week for 6 months
Attention Control: monthly luncheon and seminar and mailings
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Posture (Debrunner kyphometer),
QOL (Rand 36-item)
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Yoga group had 0.93° decrease (improvement) in kyphosis angle while
those in control had an increase of 0.82° (4.4% difference) (p = .005)
Yoga group had decrease (improvement) in kyphosis index of 0.006 while
those in control had an increase (worsened) of 0.003 (5% difference)(p
= .004).
Intervention did not result in significant difference in QOL between
groups.
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Lonner, Yoo, Terran, Sponseller, Samdani, Betz, Shuffelbarger, Shah,
Newton 24
GRADE Level: Moderate
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To compare QOL and kyphosis in 3 groups (Scheuermann kyphosis (SK),
adolescent idiopathic scoliosis (AIS), normal population).
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Prospective comparative study
86 patients with SK (40% female, mean age 16.1 years (4–22 years))
184 patients with AIS (78% female, mean age 14.9 (10–21))
31 normal controls (72% female, mean age 14.2 (11–17))
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Posture (xray)
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QOL (Visual Analog Scale and SRS-22)
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Patients with SK had significantly lower scores on SRS-22 (mean 3.61, SE
0.05) than patients with AIS (mean 3.94, SE 0.02), or the control (mean
4.31, SE 0.08, p<0.001).
Negative correlation between kyphosis and SRS-22 scores in the male
subset (r=-0.246, p=0.001).
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Noh, You, Koh, Kim, Kim, Ko, Shin 8
GRADE Level: Low
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To compare therapeutic effects of a corrective spinal exercise technique
(CST) and a conventional exercise (CE) program on altered spine
curvature and QOL in patients with AIS.
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Retrospective comparative study
32 patients with AIS, CST (13.8 + 2.8 years, 75% female) versus
CE (14.9 + 2.3 years, 88% female)
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Intervention: CST
Control: CE
Each group:
60 min/day, 2-3 times/wk. Mean 30 sessions.
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Posture (X-ray),
QOL (SRS-22)
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Greater improvement in posture angle in CST (8.1 ° + 4.5 [SD]
in CST) compared to CE (4.3 ° + 2.1 in CE, 95% CI −6.4 to −1.2,
p=0.003).
The intervention group had improved pre-post QOL (pre: 3.8±1.8 vs. post:
4.5±0.4, p=0.012) while the control group did not.
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Sangtarash, Manshadi, Sadeghi 22
GRADE Level: Low
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To investigate the relationship between magnitude of kyphosis and
quality of life (QOL) and gait performance.
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Descriptive cross-sectional study
34 women with osteoporosis, ages 50-68 years (60.8 ± 4.40).
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Posture (dual digital inclinometer)
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QOL (SF36)
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Significant negative correlation between kyphosis and QOL (r=-0.48,
p<0.005).
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Jang, Hughes, Oh, Kim 32
GRADE Level: High
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To identify effects of corrective exercise for thoracic kyphosis on
posture, balance, and well-being in Korean older women.
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Double-blind, controlled, repeated measures intervention study
Convenience assignment, 50 women, ages 74.6 + 4.6 (experimental
group) and 76.4 + 4.9 (control group)
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Intervention: thoracic corrective program, 1-hour, twice weekly
for 8 weeks
Control: education on exercise and booklet
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Posture (dual digital inclinometer, Flexicurve),
well-being (Geriatric Depression Scale Short Form, SF-36)
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Intervention group showed significant improvements in percent change of
kyphosis angle over time (-3.8±2.2%) vs. control (+1.4±3.8%) (p
< .01).
Time by group interaction showed significantly better QOL on both
measures for the intervention group (p<0.01-0.05).
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Katzman, Parimi, Gladin, Poltavskiy, Schafer, Long, Fan, Wong, Lane
33
GRADE Level: High
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To determine if specific exercise improves kyphosis, if it differs
between men and women, and if physical function and QOL are
affected.
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RCT
60 women, 41 men, 70.0 years (SD = 5.7)
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Intervention: kyphosis exercise program, 1 hour twice weekly
for 3 months
Control: waitlist for 3 months
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Posture (xray), QOL (SRS-30, Global health
index)
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Kyphosis angle degree improved more in the intervention group (-3.8°,
95%CI -5.3 to -2.3) than the control (+1°, 95%CI -0.05 to 2.4;
p<0.0001).
Between group changes in QOL scores were not significantly
different, although both groups had high QOL at baseline.
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Miyakoshi, Kudo, Hongo, Kasukawa, Ishikawa, Shimada 25
GRADE Level: Moderate
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To compare spinal alignment, muscular strength, and QOL between women
with post-menopausal osteoporosis and healthy volunteers.
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Cross-sectional comparative study
236 women patients (ages 69-75 years (SD 6)) at osteoporosis clinic to
93 healthy volunteers
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Posture (X-ray, SpinalMouse surface curvature)
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QOL (SF-36)
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Women with osteoporosis were younger but had worse QOL scores across
SF-36 scales compared to controls (all p<0.05; difference
remained when adjusted for age)
Physical scale QOL significantly lower in the osteoporosis group (39.4,
95% CI 37.0 to 41.9 and 47.5, 95% CI 44.7 to 50.2, p<
0.001);
Kyphosis was correlated with physical QOL (r=0.253,
p<0.05).
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