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The effect of a corrective functional exercise program on postural thoracic kyphosis in teenagers

FENG Q; WANG M; ZHANG Y; ZHOU Y
CLIN REHABIL , 2018, vol. 32, n° 1, p. 48-56
Doc n°: 185947
Localisation : Documentation IRR

D.O.I. : http://dx.doi.org/DOI:10.1177/0269215517714591
Descripteurs : CB33 - TRAITEMENTS / CYPHOSE , KA41 - GYMNASTIQUE MEDICALE

OBJECTIVE: To investigate the effects of a corrective functional exercise program
on postural thoracic kyphosis in teenagers in China.
DESIGN: A single-blind
randomized controlled trial including students with a thoracic kyphosis angle
(TKA) >40 degrees measured using the SpinalMouse. SETTING: China Institute of
Sport Science and three middle schools in Beijing, China. SUBJECTS: A total of
181 subjects were included in this trial; of these, 164 subjects were included in
the analyses (intervention group, n = 81; control group, n = 83). INTERVENTION:
The intervention group received a functional exercise program designed to correct
postural thoracic kyphosis, and the control group received an exercise program
designed in accordance with the state-regulated curriculum. MAIN MEASURES: The
primary outcome variable was TKA. Secondary outcome variables were lumbar
lordosis angle (LLA), sacral angle (SA), and incline angle (INA) measured in the
upright position; thoracic, lumbar, and sacral spine range of motion (ROM) and
INA ROM (change in center of gravity) measured in the forward bending and
extended positions; and changes in TKA, LLA, SA, and INA measured during the
Matthiass test. RESULTS: There were significant differences in pretest and
posttest TKA in both groups (intervention group: pretest 47.09 +/- 5.45, posttest
38.31 +/- 9.18, P < 0.0001; control group: pretest 47.47 +/- 6.06, posttest 43.59
+/- 7.49, P < 0.0001). After adjustment for gender and pretest values, there were
significant differences in posttest TKA, change in SA, and thoracic ROM in the
intervention group compared to the control group ( P < 0.05). CONCLUSION: The
corrective functional exercise program designed for this study improved
exaggerated thoracic kyphosis in teenagers.

Langue : ANGLAIS

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