‎ A Review of Corrective Exercise Protocols in People with Hyperkyphosis Disorders‏ ‏

Document Type : Review Article

Authors

1 Department of Sport injures and Corrective Exercises, Faculty of Sports Sciences, University of Tehran, Kish International Campus, Iran

2 Department of Sport Injuries, and Corrective Exercises,, Faculty of Physical Education and Sports Science, University of Tehran, Tehran, Iran.

Abstract

Purpose:
Hyperkyphosis is one of the most common postural abnormalities. In this anomaly, the anterior chest muscles such as pectoralis minor and major muscles tend to be tight (overactive) and the posterior muscles of this area such as spinal extensors tend to be weak (underactive) which may lead to muscle imbalance in the upper trunk. One way to correct this anomaly is to use sports protocols, which have a special place in correcting this anomaly. Therefore, the aim of the present study is to review the Corrective Exercise Protocols in People with Hyperkyphosis Disorders.
Methods:
Internal and external search engines include Scopus, Semantic Scholar, Google Scholar, Pubmed, ISC, SID, Magiran, Irandoc, Doaj with a time limit of 2013 to 2020 and the keywords of Round Back, Hyperkyphosis, Corrective Exercises, Protocol. The present study is a systematic review method (PRISMA).
Results:
A total of 10 articles were selected based on the criteria. These studies mainly examined the effect of corrective exercise protocols on kyphosis angle, forward head angle, balance, physical function, sacral angle, incline angle, abnormality, well-being and flexibility in people with hyperkyphosis abnormalities.
Conclusion:
Studies that include the patterns of movement and function that people use in their daily activities seem to be more effective in correcting physical disorder.

Keywords


  1. Mashhadi M, Ghasemi G, Zolaktaf V. Effect of combined training exercises on the thoracic kyphosis and lumbar lordosis of mentally retarded adolescents. JRRS 2012; 8(1): 192-201. [Persian]
  2. Larsen BT. Muscles: Testing and function with posture and pain. Medicine and Science in Sports and Exercise 2005; 37(8): 1447-1449.
  3. Zagyapan R, Iyem C, Kurkcuoglu A, Pelin C, Tekindal MA. The relationship between balance, muscles, and anthropomorphic features in young adults. Anatomy research international 2012; 2012: 1-6. Article ID 146063
  4. Rezvankhak Golsefidi N, Alizadeh M.H, Kordi M.R. The effect and maintenance of 8 weeks corrective exercise on increased lumbar lordosis of pre and post pubertal school girls. JSMT 2014; 12(8): 9-21. [Persian]
  5. Perriman D. M, Scarvell J. M, Hughes A. R, Ashman B, et al. Validation of the flexible electrogoniometer for measuring thoracic kyphosis. Spine 2010; 35(14): E633-E640.
  6. Alizadeh MH. Gheitasi M. Fundamental Concepts of Corrective Exercises. 2019 Edition 3. [Persian]
  7. Torabi Nia E, Babakhani F, Baluchi R. Selected Muscles Electromyography Activity in Kyphosis Corrective Exercises with and without Head Retraction. J Rehab Med 2019; 8(3): 188-198. [Persian]
  8. Rajabi R, Doherty P, Goodarzi M, Hemayattalab R. Comparison of thoracic hypnosis in two groups of elite Greco-Roman and freestyle wrestlers and a group of non-athletic participants. Br J Sports 2008; 42 (3): 229-232.
  9. Teramoto S, Suzuki M, Matsuse T, Ohga E, et al. Influence of kyphosis on the age-related decline in pulmonary function. Nihon Ronen Igakkai Zasshi 1998; 35(1): 23-27.
  10. Quek J, Pua YH, Clark RA, Bryant AL. Effects of thoracic kyphosis and forward head posture on cervical range of motion in older adults. Man Ther 2013; 18(1): 65-71.
  11. Norasteh AA, Hosseini R, Daneshmandi H, Shah Heidari S. Balance Assessment in Students with Hyperkyphosis and Hyperlordosis. Journal of Exercise Science and Medicine 2014; 6(1): 57-71. [Persian]
  12. Rajabi R, Alizadeh M, Cheshmi S. The relationship between the curvature of the thoracic kyphosis with the shoulder protraction and posterior muscle strength of shoulder girdle. Journal of Research on Sport Science. 2010; 8: 35-48. [Persian]
  13. Tavana Kermani M, Ebrahimi Atri M, Khoshraftr Yazdi N. The Effect of Eight Weeks Corrective Exercise on the Functional Kyphosis Curvature in the Teenager Girls. J Rehab Med 2017; 6(1):161-168. [Persian]
  14. Tokpınar A, Ulger H, Yılmaz S, Acer N, et al. Examination of ınclinations in spine at childhood and adolescence stage. Folia Morphol (Warsz) 2019; 78(1): 47-53.
  15. Morningstar M, Pettibon BR, Remz CL. the pettibon system: A neurophysiologic approach to spine and posture correction. 2011, http: www.pettibonsystem.com.
  16. kash patel. Corrective Exercise A Practical Approach. 2005.
  17. Ahmadnezhad L, Ebrahimi- Atri A, Khoshraftar-Yazdi N, Sokhangoei Y. Effect of Eight Weeks Corrective Games on Kyphosis Curve and Strengths of Trunk Muscle in Kyphotic Mentally Retarded Children. Journal of Rehabilitation 2016; 17(2): 178-187. [Persian]
  18. Seid F, Rajabi R, Ebrahimi E, Alizadeh MH, Daneshmandi H. The Effect of a 10-Week Selected Corrective Exercise Program on Postural Thoracic Kyphosis Deformity. Journal of Exercise Science and Medicine 2013; 5(1): 5-22. [Persian]
  19. Naderi A, Rezvani MH, Shaabani F, Bagheri Sh. Effect of Kyphosis Exercises on Physical Function, Postural Control and Quality of Life in Elderly Men with Hyperkyphosis. Iranian Journal of Ageing 2019; 13(4): 464-479. [Persian]
  20. Shokri B, Ghasmi B, Moradi MR. The Effect of 12 Weeks of Combined Training (Movement Therapy and Thai Massage) on Complication Rate of Thoracic Kyphosis Students with Postural Hyper-Kyphosis. Iranian journal of Research on Bioscinces and Physical Activity 2016; 3(4), 11-16. [Persian]
  21. Cheshomi S, Alizadeh MH, Barati AH, Akochakian M. The Effect of Six Weeks Corrective Exercise on Upper-Crossed Syndrome of Overhead Athletes. Journal of Applied Exercise Physiology 2018; 14(27): 153-166. [Persian]
  22. Feng Q, Wang M, Zhang Y, Zhou Y. The effect of a corrective functional exercise program on postural thoracic kyphosis in teenagers:  a randomized controlled trial. Journal Clinical Rehabilitation 2018; 32(1): 48 -56.
  23. Katzman WB,  Vittinghoff E, Lin F, Schafer AL. et al. Targeted spine strengthening exercise and posture training program to reduce hyperkyphosis in older adults: results from the study of hyperkyphosis, exercise, and function (SHEAF) randomized controlled trial. Osteoporosis  International 2017; 28(10): 2831-2841.
  24. Bahrekazemi B, Letafatkar A, Hadadnezhad M. The Effect of Eight Weeks of Global Postural Corrective Exercises on Kyphosis and Forward Head Angle in Elderly Women with Age-Related Hyperkyphosis. International Journal of Medical Research & Health Sciences 2017; 6(9): 40-44.
  25. Senthil P, Sudhakar S, Radhakrishnan R, Jeyakumar S. Efficacy of corrective exercise strategy in subjects with hyperkyphosis. Journal of Back and Musculoskeletal Rehabilitation 2017; 30(6): 1285-1289.
  26. Nazarian AB, Daneshjoo AH, Ghorbani L, Ghaedi H. The prevalence of lordotic and kyphotic deformities among different age groups. JRRS 2010; 5(1): 24-32. [Persian]
  27. Asar Sh, Jalalpour Sh, Ayoubi F, Rahmani MR, Rezaeian M. PRISMA; Preferred Reporting Items for Systematic Reviews and Meta-Analyses. J Rafsanjan Univ Med Sci 2016; 15(1): 63-80. [Persian]
  28. Shahrjerdi Sh, Golpayegani M, Mahmoudi F. The effect of corrective exercises on balance in elderly women with hyperkyphosis. Feyz, Journal of Kashan University of Medical Sciences 2015; 19(4): 284-292. [Persian]
  29. Jang HJ, Hughes LC, Oh DW, Kim SY. Effects of Corrective Exercise for Thoracic Hyperkyphosis on Posture, Balance, and Well-Being in Older Women: A Double-Blind, Group-Matched Design. J Geriatr Phys Ther 2019; 42(3): E17-E27.
  30. Alizadeh M.H, Rajabi R, Gheytasi M and Minoonejad H. Movement therapy (Exercise therapy). Tehran university publishers; 2013. [Persian]
  31. Arefinia M, Ghasemi B, Arefinia S, Moradi MR. The Effect of Three Methods of Aromatherapy, Massage and Aromatherapy–Massage on Muscular Pain Rate of Female Athletes in Isfahan (Iran). Journal of Exercise Science and Medicine 2013; 5(1): 55-68. [Persian]
  32. Sinaki M. Critical appraisal of physical rehabilitation measures after osteoporotic vertebral fracture. Osteoporos Internatinal 2003; 14: 774-779.
  33. Bansal S, Katzman WB, Giangregorio LM. Exercise for improving age- related hyperkyphotic posture: a systematic review. Arch Phys Med Rehab 2014; 95(1): 129- 40.
  34. Vasconcelos FM, Trevisan DC, Costa GC, Matos MS, et al. Thoracic kyphosis degree and its interference with static balance and dynamic task in elderly women. Geriatr Gerontol Int 2010; 4(4): 194-202.
  35. Hazebroek-Kampschreur AA, Hofman A, Vandik AP, Vanling B. Prevalence of trunk abnormalities in eleven-year old school children in Rotterdam, the Netherlands. J Paediatric Orthop 1992; 12(4): 480-484.
  36. Hrysomallis C, Goodman G. Review of resistance exercise and posture realignment. J Strength Cond Res 2001; 15(3): 385-390.
  37. Naderi E. Does obesity affect the efficacy of therapeutic exercise on pain intensity and disability in patients with chronic non-specific low back pain. Journal of Applied Physics 2017; 7(4): 71-83. [Persian]
  38. Ensrud KE, Black DM, Harris F, Ettinger B, Cummings SR Correlates of kyphosis in older women. Journal of the American Geriatrics Society 1997; 45(6): 682-687.
  39. Yalfani A, Anbarian M, Nikoo R, Naderi A. Relationship between postural control with Sway-back malalignment in the nonathlete males. Journal of Ilam University of Medical Science 2014; 22 (5):189-201. [Persian]
  40. Hongo M, Itoi E, Sinaki M, Miyakoshi N, et al. Effect of low-intensity back exercise on quality of life and back extensor strength in patients with osteoporosis: A randomized controlled trial. Osteoporosis International 2007; 18(10): 1389-1395.
  41. King MB, Judge JO, Whipple R, Wolfson L. Reliability and responsiveness of two physical performance measures examined in the context of a functional training intervention. Phys Ther 2000; 80(1): 8-16.
  42. Kudo K, Mitobe K, Honda K, Ishikawa K. An attempt to evaluate postural control with a magnetic motion capture system. Nihon Jibiinkoka Gakkai Kaiho 2013; 116(10): 1106-1113.
  43. de Bruin ED, Murer K. Effect of additional functional exercises on balance in elderly people. ClinRehabil 2007; 21(2): 112-121.
  44. Hoffman J, Elements of Exercise Programming. Translated by Hamid Agha Ali Nejad and Rahman Souri. Tehran‌: The world of movement 2003.
  45. Chang T-F, Liou T-H, Chen C-H, Huang Y-C, Chang K-H. Effects of elastic-band exercise on lowerextremity function among female patients with osteoarthritis of the knee. Disability and rehabilitation 2012; 34(20): 1727-35.
  46. Fahlman MMF, Hall HL. Resistance Training and Activities of Daily Living Training Improves Functional Performance in Elderly Women. Medicine & Science in Sports & Exercise: 2009; 41(I5): 365.
  47. Van Dillen LR, Norton BJ, Sahrmann SA, Evanoff BA, et al. Efficacy of classification-specific treatment and adherence on outcomes in people with chronic low back pain. A one-year follow-up, prospective, randomized, controlled clinical trial. Man Ther 2016; 24: 52-64.
  48. Katzman, WB. Vittinghoff E, Kado MD, Schafer AL, et al. Study of Hyperkyphosis, exercise and function (SHEAF) protocol of a randomized controlled trial of multimodal spine-strengthening exercise in older adults with hyperkyphosis. Physical Therapy 2016; 96(3): 371-381.
  49. Allegrncci M, Whitney SL, Irrgang JJ. Clinical implications of secondary impingement of the shoulder in freestyle swimmers. J Orthop Sports Phys Ther. 1994; 20(6): 307-318.
  50. Cook G, Burton L, Kiesel K, Rose, et al. Movement Functional Movement Systems: Screening, Assessment and Corrective Strategies. Translated by Daneshmandi H, Tabatabaeenejad SM, Saki F, Nemati N. Hatmi Publication, edit 2, 2020.