Lorena Fernández Fernández, Clara Rodríguez-Gude, Iris M de Oliveira
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The aim of this systematic review was to evaluate the scientific evidence on the efficacy of therapeutic exercise for hyperkyphosis in adolescents and young adults.</p><p><strong>Methods: </strong>A search in six databases (PubMed, Medline, PEDro, Scopus, SPORTDiscus and ENFISPO) was performed during January and February 2023, following the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA).</p><p><strong>Results: </strong>Nine randomised clinical trials were analysed. Regarding methodological quality, four studies were of fair quality and five were of good quality. In all studies, a significant improvement in thoracic kyphosis angle was obtained. In addition, improvements were found in different aspects related to hyperkyphosis, such as lumbar lordosis angle, balance, quality of life and pain, among others.</p><p><strong>Conclusions: </strong>Therapeutic exercise appears to be effective in the management of hyperkyphosis in adolescents and young adults. However, many variables related to hyperkyphosis are not subject to primary evaluation and the quality of the evidence found is fair to good.</p>","PeriodicalId":47243,"journal":{"name":"Physiotherapy Research International","volume":"30 3","pages":"e70078"},"PeriodicalIF":1.8000,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12141983/pdf/","citationCount":"0","resultStr":"{\"title\":\"Effect of Therapeutic Exercise on the Management of Hyperkyphosis in Adolescence and Young Adulthood: A Systematic Review.\",\"authors\":\"Lorena Fernández Fernández, Clara Rodríguez-Gude, Iris M de Oliveira\",\"doi\":\"10.1002/pri.70078\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background and purpose: </strong>Thoracic hyperkyphosis is characterised by an increase in the normal angle of the thoracic kyphosis. Several factors make adolescents and young adults a potential risk group for postural hyperkyphosis. Among the treatment options, therapeutic exercise allows patients to take an active role, providing a number of beneficial effects. The aim of this systematic review was to evaluate the scientific evidence on the efficacy of therapeutic exercise for hyperkyphosis in adolescents and young adults.</p><p><strong>Methods: </strong>A search in six databases (PubMed, Medline, PEDro, Scopus, SPORTDiscus and ENFISPO) was performed during January and February 2023, following the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA).</p><p><strong>Results: </strong>Nine randomised clinical trials were analysed. Regarding methodological quality, four studies were of fair quality and five were of good quality. In all studies, a significant improvement in thoracic kyphosis angle was obtained. In addition, improvements were found in different aspects related to hyperkyphosis, such as lumbar lordosis angle, balance, quality of life and pain, among others.</p><p><strong>Conclusions: </strong>Therapeutic exercise appears to be effective in the management of hyperkyphosis in adolescents and young adults. However, many variables related to hyperkyphosis are not subject to primary evaluation and the quality of the evidence found is fair to good.</p>\",\"PeriodicalId\":47243,\"journal\":{\"name\":\"Physiotherapy Research International\",\"volume\":\"30 3\",\"pages\":\"e70078\"},\"PeriodicalIF\":1.8000,\"publicationDate\":\"2025-07-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12141983/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Physiotherapy Research International\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1002/pri.70078\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"REHABILITATION\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Physiotherapy Research International","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1002/pri.70078","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"REHABILITATION","Score":null,"Total":0}
Effect of Therapeutic Exercise on the Management of Hyperkyphosis in Adolescence and Young Adulthood: A Systematic Review.
Background and purpose: Thoracic hyperkyphosis is characterised by an increase in the normal angle of the thoracic kyphosis. Several factors make adolescents and young adults a potential risk group for postural hyperkyphosis. Among the treatment options, therapeutic exercise allows patients to take an active role, providing a number of beneficial effects. The aim of this systematic review was to evaluate the scientific evidence on the efficacy of therapeutic exercise for hyperkyphosis in adolescents and young adults.
Methods: A search in six databases (PubMed, Medline, PEDro, Scopus, SPORTDiscus and ENFISPO) was performed during January and February 2023, following the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA).
Results: Nine randomised clinical trials were analysed. Regarding methodological quality, four studies were of fair quality and five were of good quality. In all studies, a significant improvement in thoracic kyphosis angle was obtained. In addition, improvements were found in different aspects related to hyperkyphosis, such as lumbar lordosis angle, balance, quality of life and pain, among others.
Conclusions: Therapeutic exercise appears to be effective in the management of hyperkyphosis in adolescents and young adults. However, many variables related to hyperkyphosis are not subject to primary evaluation and the quality of the evidence found is fair to good.
期刊介绍：
Physiotherapy Research International is an international peer reviewed journal dedicated to the exchange of knowledge that is directly relevant to specialist areas of physiotherapy theory, practice, and research. Our aim is to promote a high level of scholarship and build on the current evidence base to inform the advancement of the physiotherapy profession. We publish original research on a wide range of topics e.g. Primary research testing new physiotherapy treatments; methodological research; measurement and outcome research and qualitative research of interest to researchers, clinicians and educators. Further, we aim to publish high quality papers that represent the range of cultures and settings where physiotherapy services are delivered. We attract a wide readership from physiotherapists and others working in diverse clinical and academic settings. We aim to promote an international debate amongst the profession about current best evidence based practice. Papers are directed primarily towards the physiotherapy profession, but can be relevant to a wide range of professional groups. The growth of interdisciplinary research is also key to our aims and scope, and we encourage relevant submissions from other professional groups. The journal actively encourages submissions which utilise a breadth of different methodologies and research designs to facilitate addressing key questions related to the physiotherapy practice. PRI seeks to encourage good quality topical debates on a range of relevant issues and promote critical reflection on decision making and implementation of physiotherapy interventions.
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