To Compare the Effect and Sustainability of a Course Corrective Games with Selected ‎Corrective Exercise on 10-12 Aged Boys with Hyper Thoracic Kyphosis

Document Type : Original Article

Authors

1 Department of Sports Injuries and Corrective Exercises, Alborz Campus of Tehran University, Tehran, Iran

2 Department of Health and Sports Medicine, Faculty of Physical Education, University of Tehran, Tehran, Iran

Abstract

Purpose:
Thoracic hyperkyphosis is one of the common anomalies in children in recent years. In addition to corrective exercise, corrective games are one of the correctional methods which have been used to prevent and correct functional anomalies among children. Unlike corrective exercise, in corrective games method, correctional goals apply with prevention and correction purpose in the game shape and format The present study aimed to compare the effect and sustainability of a course corrective games with selected corrective exercise on 10-12 aged boys with thoracic hyperkyphosis.
Methods:
Ninety boys with age average (11.20±0.80 years), height average (140.78±5.91 cm), and weight average (39.69±4.75 kg) were randomly divided into corrective games, selected corrective exercise and control group. Subject in experimental groups performed their related corrective games and corrective exercises for 8 weeks and 3 sessions every week. Each session lasted for 30-60 minutes. During this time the control group did their normal daily activity. The kyphosis angle required to enter to the study was considered greater than 40 degrees. This angle was measured by a flexible ruler. Data were recorded at the beginning of the study as a pre-test, at the end of the 8 weeks’ exercises as a post-test and 8 weeks after the completion of the study as a second post-test level.
Results:
The finding of the repeated measure ANOVA test indicated a significant difference in kyphosis angle at the pre-test level (45.62±2.40) versus the post-test level (42.46±2.24), and in follow-up level (42.42±2.09) in the corrective games group, and the pre-test level (45.81±2.59) versus the post-test level (42.26±2.36) and in the follow-up level (42.52±2.27) in the selected corrective exercise group (P≤0.05). Moreover, there was no significant difference in the kyphosis angel in the control group, at the pre-test level (44.93±1.59) versus the post-test level (45.26±1.79) and in the follow-up level (45.26±1.84) (P>0.05). The obtained effect size was 0.85 in the corrective games group, 0.81 in the selected corrective exercise group, and 0.08 in the control group, which shows the high effectiveness of present study protocols in experimental groups. Also, the results of the ANCOVA test indicated a significant difference in thoracic kyphosis angle between 3 groups in the study at the post-test and the follow-up levels (P≤0.05). Therefore, in order to clarify this difference, the Bonferroni post-hoc test was used. The finding of this test indicated a non-significant difference in thoracic kyphosis angle between corrective games and selected corrective exercise groups in the post-test and follow-up levels (P>0.05). The observed difference was related to the corrective games and selected corrective exercise kyphosis angle difference with control groups at mentioned levels (P≤0.05).
Conclusion:
The corrective games and the selected corrective exercise have a positive and similar effect with exercise effects sustainability on thoracic kyphosis reduction. Therefore, performing 8 weeks’ corrective games besides selected corrective exercise has a considerable and sustainable effect on thoracic hyperkyphosis angle in 10-12 aged boys and using corrective games as an autonomous method recommended to thoracic hyperkyphosis correction in 10-12 years old boys.

Keywords

References

  1. Rajabi. Reza. Thoracic Kyphosis.,Tehran: Institutet; the university of tehran printing & publishing center; 2016.
  2. Roghani T, Zavieh MK, Manshadi FD, King N, Katzman W. Age-related hyperkyphosis: update of its potential causes and clinical impacts—narrative review. Aging clinical and experimental research 2017; 29(4): 567-577.]persian[.
  3. Koelé M, Lems W, Willems H. The clinical relevance of hyperkyphosis: A narrative review. Frontiers in endocrinology 2020; 11(5).114-122
  4. Hossien A, Ali Y, Farzaneh G. The Effect of Eight-Week Corrective Exercises Carried out in Water on Pain, Neck Flexors Endurance and Upper Extremity Range of Motion in Patient with Upper Crossed Syndrome. Journal of Shaeed Sdoughi University of Medical Sciences Yazd 2019; 27(3): 1381-1394. ]Persian[.
  5. Doosti M, Seidi F, Akouchkian M. Prevalence of Pain and Musculoskeletal Disorders in Diving Coaches (Recreational Diving) and Their Relationship with Musculoskeletal Disorders. Armaghane danesh 2020; 25(6): 805-824. ]Persian[
  6. Mahboobe Tavana K, Ahmad Ebrahimi A, Nahid Khoshraftar Y. The Effect of Eight Weeks Corrective Exercise on the Functional Kyphosis Curvature in the Teenager Girls.Scientific Journal of Rehabilitation Medicine 2017; 6(1): 161-168. ]Persian[
  7. Herring JA. Tachdjian's Pediatric Orthopaedics: From the Texas Scottish Rite Hospital for Children E-Book: Elsevier; 2020.
  8. Yang L, Lu X, Yan B, Huang Y. Prevalence of incorrect posture among children and adolescents: Finding from a large population-based study in China. Iscience 2020; 23(5): 101-143.
  9. Chandoliya H, Chorsiya V, Kaushik D. Prevalence and Levels of Forward Head Posture among School Going Children. 2021.
  10. Hasan M, Maryam Koushkie J, Aliasghar F, Razieh S. Influence of Structural Corrective and Respiratory Exercises on Cardiorespiratory Indices of  Male Children Afflicted with Kyphosis. Archives of Rehabilitation 2017; 18(1): 51-63. ]Persian]
  11. Reza K, Ehsanollah H, Khosro J-D. the effects of 8 weeks sport selected exercise on angle of kyphos boy students affected by kyphosis. Journal of Health System Research 2018; 14(1): 79-84.
  12. Biševac EM, Mahmutović EH, Mekić RH, Dolićanin ZĆ. Effect of corrective exercises on functional spinal deformities in preschool and school-aged children. Specijalna edukacija i rehabilitacija 2021; 20(1): 51-63.
  13. Ghorbani L, Ghasemi G. Effects of Eight Weeks Corrective Exercises on Lumbar Lordosis. Journal of Research in Rehabilitation Sciences 2007; 3(2): 59-66. ]Persian[
  14. Mohammad M, Gholamali G, Vahid Z. Effect of combined training exercises on the thoracic kyphosis and lumbar lordosis of mentally retarded adolescents. Journal of Research in Rehabilitation Sciences 2012; 8(1): 192-201. ]Persian[
  15. Morningstar MW, D C, Pettibon BR, Remz C, editors. The Pettibon System : A Neurophysiologic Approach to Spine and Posture Correction 2006.
  16. Shokri. behnam, Ghasemi. Behnam, Moradi. Mohammadreza. The effect of 12 weeks of combined exercises (movement therapy and Thai massage) on the rate of dorsal kyphosis's male students with postural hyperkiphosis. Research on Biosciences and Physical Activity 2016; 4(3): 6-11.
  17. Leila A, Ahmad E, Atri, Nahid K, Yazdi, Yahya S. Research Paper: Effect of Eight Weeks Corrective Games on Kyphosis Curve and Strengths of Trunk Muscle in Kyphotic Mentally Retarded Children. Archives of Rehabilitation 2016; 17(2): 178-87. ]Persian[
  18. Grindle DM, Mousavi SJ, Allaire BT, White AP, Anderson DE. Validity of flexicurve and motion capture for measurements of thoracic kyphosis vs standing radiographic measurements. JOR spine 2020; 3(3): e1120.
  19. Rajabi R, Latifi S, Minoonejad H, Rajabi F. The effect of soft tissues in measurement of thoracic kyphosis by flexible ruler. Studies in Sport Medicine journal. 2015; 7(18): 91-104. ]Persian]
  20. Raupp EG, Candotti CT, Marchetti BV, Vieira A, et.al. The validity and reproducibility of the Flexicurve in the evaluation of cervical spine lordosis. Journal of manipulative and physiological therapeutics 2017; 40(7): 501-510.
  21. Narges Taghizadeh M, Reza R, Hooman M, Shahrzad Z. Thoracic Kyphosis and Its Relationship with Hamstring Muscles Flexibility in 12-17 Aged Iranian Students. Scientific Journal of Rehabilitation Medicine 2020; 9(3): 178-186. ]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. Clinical rehabilitation journal 2018; 32(1): 48-56.
  23. Foad S, Reza R, Esmaeel E, Mohammad Hosein A, Hasan D. The Effect of a 10-Week Selected Corrective Exercise Program on Postural Thoracic Kyphosis Deformity. Journal of Exercise Science and Medicine 2013; 5(10): 5-22. ]Persian[
  24. Badegruber B, editor 101 more life skills games for children : learning, growing, getting along (ages 9 to 15) 2006.
  25. Swain DP, Brawner CA, editors. ACSM's Resource Manual for Guidelines for Exercise Testing and Prescription 2014.
  26. Coglianese D. Muscles: Testing and Function With Posture and Pain, ed 5 (with Primal Anatomy CD-ROM). Physical Therapy 2006; 86: 304-315.
  27. Fadia R, Reza R, Shahrzad Z, Foad S. Comparative Effects and Sustainability of Eight Weeks of Corrective Exercises, Postural Reeducation, and Combined Program on Lumbar Hyperlordosis in Young Females. Scientific Journal of Rehabilitation Medicine 2020; 9(1): 88-101. ]Persian[
  28. Rezvankhah N, Mh A, Mr K. The effect and maintenance of 8 weeks corrective exercise on increased lumbar lordosis of pre and post pubertal school girls. Research in Sport Medicine and Technology 2015; 4(8): 9-21. ]Persian[
Journal of Paramedical Sciences & Rehabilitation
Volume 11, Issue 3
December 2022
Pages 29-41

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