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Related Experiment Video

Updated: Sep 13, 2025

Modified Posterior Vertebral Column Resection for Patients with Thoracolumbar Kyphotic Deformity
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Application of Conservative Methods Based on Exercise in Reducing the Kyphotic Angle: A Meta-Analysis.

Vanja Dimitrijević1,2, Bojan Rašković1,3, Miroslav P Popović4

  • 1Faculty of Sports and Physical Education, University of Novi Sad, 21000 Novi Sad, Serbia.

Healthcare (Basel, Switzerland)
|July 29, 2025
PubMed
Summary

Conservative exercise methods effectively reduce the kyphotic angle in individuals with hyperkyphosis, including those with osteoporosis. This meta-analysis confirms positive outcomes for spinal curve correction.

Keywords:
conservative methodskyphosiskyphotic anglemeta-analysis

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Area of Science:

  • Orthopedics
  • Physical Therapy
  • Evidence-Based Medicine

Background:

  • Hyperkyphosis, characterized by an increased kyphotic angle, affects spinal health.
  • Conservative methods, particularly exercise-based interventions, are explored for managing spinal deformities.
  • Evaluating the efficacy of these conservative approaches is crucial for clinical practice.

Purpose of the Study:

  • To conduct a meta-analysis evaluating the effect size of conservative, exercise-based methods on reducing the kyphotic angle.
  • To synthesize evidence from existing studies on the impact of physical exercise on spinal curvature.
  • To assess the effectiveness of conservative treatments for hyperkyphosis.

Main Methods:

  • Systematic literature search following Cochrane and PRISMA guidelines across Scopus, PubMed, Web of Science, and Cochrane Library.
  • Keywords included "Kyphosis", "Hyperkyphosis", "Exercise therapy", and "Conservative treatment".
  • Meta-analysis using R software (4.3.2) with the meta package, employing standardized mean difference (SMD) and 95% confidence intervals (CI) for effect size calculation.

Main Results:

  • Nineteen studies were included in the quantitative meta-analysis.
  • Effect sizes (SMD) ranged from 0.27 to 0.73, indicating a positive effect.
  • Heterogeneity varied from 0% to 58%, with GRADE quality of evidence ranging from very low to moderate.

Conclusions:

  • Conservative methods centered on exercise demonstrate positive effects in reducing the kyphotic angle.
  • These findings apply to individuals with and without osteoporosis who have hyperkyphosis.
  • Exercise therapy represents a viable conservative strategy for managing hyperkyphosis.