Abstract
The objective of this review was to investigate the effects of exercise in older adults with hyperkyphosis. Medline and Google Scholar databases were searched from June to August 2022 for studies related to exercise interventions in older adults above 60 years of age. All types of exercise interventions (such as strengthening, stretching, Yoga, and/or any other exercise with a focus on treatment or prevention of postural malalignment) were included. The keywords used were “hyperkyphosis,” “exercise,” and “older adults.” Ten studies were included involving 625 older adults with hyperkyphotic posture. The exercise interventions included spine strengthening (strengthening of back and abdominal muscles), poses of Yoga and postural alignment, and flexibility and respiratory muscle exercises. Duration of exercise programs varied from 6 weeks (1 study) to 8 weeks (3 studies), 12 weeks (4 studies), and 6 months (3 studies). Exercise adherence was generally good in studies. In summary, low to moderate evidence suggest that exercises in age-related hyperkyphosis have a role in the management of this group of patients. It can be beneficial in order to improve postural control, spinal stability, and kyphosis outcomes. The adherence reported across studies suggests that exercise is an acceptable treatment option for people with age-related hyperkyphosis. Types of exercise and dose–response parameters of exercise eliciting improvement warrant further investigation. Due to heterogeneity in clinical trials, future research is needed with the goal of improving the health of our growing geriatric population.
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References
Katzman WB, Wanek L, Shepherd JA et al (2010) Age-related hyperkyphosis: its causes, consequences, and management. J Orthop Sports Phys Ther 40:352–360. https://doi.org/10.2519/jospt.2010.3099
Kado DM (2009) The rehabilitation of hyperkyphotic posture in the elderly. Eur J Phys Rehabil Med 45:583–593
Huang MH, Barrett-Connor E, Greendale GA et al (2006) Hyperkyphotic posture and risk of future osteoporotic fractures: the rancho Bernardo study. J Bone Miner Res 21:419–423
Kado DM, Huang MH, Karlamangla AS et al (2004) Hyperkyphotic posture predicts mortality in older community-dwelling men and women: a prospective study. J Am Geriatr Soc 52:1662–1667
Eum R, Leveille SG, Kiely DK et al (2013) Is kyphosis related to mobility, balance, and disability? Am J Phys Med Rehabil 92:980–989. https://doi.org/10.1097/PHM.0b013e31829233ee
Katzman WB, Sellmeyer DE, Stewart AL et al (2007) Changes in flexed posture, musculoskeletal impairments, and physical performance after group exercise in community-dwelling older women. Arch Phys Med Rehabil 2007(88):192–199
Bansal S, Katzman WB, Giangregorio LM (2014) Exercise for improving age-related hyperkyphotic posture: a systematic review. Arch Phys Med Rehabil 95:129–140
Kim YY, Rhyu KW (2010) Recompression of vertebral body after balloon kyphoplasty for osteoporotic vertebral compression fracture. Eur Spine J 19:1907–1912
Vogt L, Hübscher M, Brettmann K et al (2008) Postural correction by osteoporosis orthosis (osteo-med): a randomized, placebo-controlled trial. Prosthetics Orthot Int 32:103–110
Greendale GA, McDivit A, Carpenter A et al (2002) Yoga for women with hyperkyphosis: results of a pilot study. Am J Public Health 92:1611–1614
Greendale GA, Huang MH, Karlamangia AS et al (2009) Yoga decreases kyphosis in senior women and men with adult-onset Hyperkyphosis: results of a randomized controlled trial. J Am Geriatr Soc 57:1569–1579
Morey MC, Schenkman M, Studenski SA et al (1999) Spinal-flexibility-plus-aerobic versus aerobic-only training: effect of a randomized clinical trial on function in at-risk older adults. J Gerontol A Biol Sci Med Sci 54:M335–M342
Katzman WB, Sellmeyer DE, Stewart AL et al (2007) Changes in flexed posture, musculoskeletal impairments, and physical performance after group exercise in community-dwelling older women. Arch Phys Med Rehabil 88:192–199
Katzman WB, Vittinghof E, Lin F et al (2017) 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 Int 28:2831–2841
Katzman WB, Gladin A, Lane NE et al (2019) Feasibility and acceptability of technology-based exercise and posture training in older adults with age-related Hyperkyphosis: pre-post study JMIR. Aging 2019(2):e12199
Benedetti MG, Berti L, Presti C et al (2008) Effects of an adapted physical activity program in a group of elderly subjects with flexed posture: clinical and instrumental assessment. J Neuroeng Rehabil 5:32
Kuo YL, Tully EA, Galea MP (2009) Sagittal spinal posture after Pilates-based exercise in healthy older adults. Spine 34:1046–1051
Sedaghati P, Ahmadabadi S, Goudarzian M (2022) Evaluation of the durable effects of corrective exercises on the postural alignment and stability in hyperkyphotic elderly with a history of falls. BMC Geriatr 22:545
Jang HJ, Hughes LC, Oh DW, Kim SY (2019) 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 42:E17–E27
Jenkins HJ, Downie AS, Fernandez M et al (2021) Decreasing thoracic hyperkyphosis - which treatments are most effective? A systematic literature review and meta-analysis. Musculoskelet Sci Pract 56:102438
Roussouly P, Nnadi C (2010) Sagittal plane deformity: an overview of interpretation and management. Eur Spine J 19(11):1824–1836
Ryan SD, Fried LP (1997) The impact of kyphosis on daily functioning. J Am Geriatr Soc 45:1479–1486
Ball JM, Cagle P, Johnson BE, Lucasey C, Lukert BP (2009) Spinal extension exercises prevent natural progression of kyphosis. Osteoporos Int 20:481–489
Duangkaew R, Bettany-Saltikov J, Schaik P, Kandasamy G, Hogg J (2020) PROTOCOL: exercise interventions to improve back shape/posture, balance, falls and fear of falling in older adults with hyperkyphosis: a systematic review. Campbell Systematic Reviews, vol 16. Wiley, p e1101
Araújo F, Lucas R, Alegrete N et al (2014) Individual and contextual characteristics as determinants of sagittal standing posture: a population-based study of adults. Spine Journal 14:2373–2383
Grabara M (2021) Spinal curvatures of yoga practitioners compared to control participants—a cross-sectional study. PeerJ 9:e12185
Gold D, McClung B (2006) Approaches to patient education: emphasizing the long-term value of compliance and persistence. Am J Med 119(4 Suppl 1):S32–S37
Oh-Park M, Lew HL, Raghavan P (2021) Telerehabilitation for geriatrics. Phys Med Rehabil Clin N Am 32:291–305
Picorelli AMA, Pereira LSM, Pereira DS et al (2014) Adherence to exercise programs for older people is influenced by program characteristics and personal factors: a systematic review. J Physiother 60:151–156
Collado-Mateo D, Lavín-Pérez AM, Peñacoba C et al (2021) Key factors associated with adherence to physical exercise in patients with chronic diseases and older adults: an umbrella review. Int J Environ Res Public Health 18:2023
Vina J, Sanchis-Gomar F, Martinez-Bello V et al (2012) Exercise acts as a drug; the pharmacological benefits of exercise. Br J Pharmacol 167:1–12
Katzman WB, Parimi N, Gladin A et al (2021) Long-term efficacy of treatment effects after a kyphosis exercise and posture training intervention in older community-dwelling adults: a cohort study. J Geriatr Phys Ther 44:127–138
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Tsekoura, M. et al. (2023). The Effects of Exercise in Older Adults with Hyperkyphotic Posture. In: Vlamos, P. (eds) GeNeDis 2022. GeNeDis 2022. Advances in Experimental Medicine and Biology, vol 1425. Springer, Cham. https://doi.org/10.1007/978-3-031-31986-0_49
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