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The efficiency of corrective exercise interventions on thoracic hyper-kyphosis angle
Foad Seidi1, Reza Rajabi1, Ismail Ebrahimi2
1Sports Injuries and Corrective Exercises, Department of Health and Sport Medicine, University of Tehran, Tehran, Iran.
Journal of Back and Musculoskeletal Rehabilitation
|August 17, 2013
Summary
Comprehensive corrective exercise programs significantly reduce thoracic hyper-kyphosis. This study found comprehensive programs more effective than local ones for improving kyphosis angle.
Area of Science:
- Biomechanics
- Exercise Science
- Physical Therapy
Background:
- Thoracic hyper-kyphosis management often involves corrective exercise.
- Evidence supporting the efficacy of these interventions is limited.
- This study addresses the need for high-quality evidence on corrective exercise programs.
Purpose of the Study:
- To evaluate the efficacy of local and comprehensive corrective exercise programs (LCEP and CCEP) on thoracic kyphosis angle.
- To compare the effectiveness of LCEP versus CCEP in correcting hyper-kyphosis.
- To provide evidence-based recommendations for hyper-kyphosis management.
Main Methods:
- Prospective, randomized controlled trial.
- Sixty patients with postural hyper-kyphosis (>= 42°) participated for 12 weeks.
- Participants were assigned to LCEP, CCEP, or control groups; kyphosis angle measured using a flexicurve ruler.
Main Results:
- Both LCEP and CCEP groups showed significant reductions in thoracic kyphosis angle compared to the control group (p=0.001).
- Comprehensive corrective exercise programs (CCEP) demonstrated a larger effect size than local corrective exercise programs (LCEP).
Conclusions:
- Comprehensive corrective exercise programs are highly effective in correcting postural hyper-kyphosis.
- The large effect size of CCEP supports its recommendation for clinical use.
- Further research should focus on implementing and optimizing CCEP for hyper-kyphosis treatment.

