Article

OBJECTIVE: To evaluate previous research to determine if exercise can improve
preexisting hyperkyphosis by decreasing the angle of thoracic kyphosis in adults
aged >/=45 years. DATA SOURCES: PubMed, Embase, and the Cumulative Index to
Nursing and Allied Health Literature databases were searched for studies related
to posture, exercise, and
age >/=45 years. Online conference proceedings of the
American Society for Bone and Mineral Research, American Physical Therapy
Association, and Gerontological Society of America were also searched. STUDY
SELECTION: Two independent reviewers screened the titles and abstracts and
selected studies that tested the effect of exercise on measures of kyphosis, or
forward head posture, in individuals with hyperkyphosis at baseline (defined as
angle of kyphosis >/=40 degrees ). Reviews, letters, notes, and non-English
language studies were excluded. DATA EXTRACTION: A pilot-tested abstraction form
was used by each reviewer to extract data from each study regarding details of
exercise intervention, participant characteristics, safety, adherence, and
results. The Cochrane Collaboration's tool for assessing risk of bias was used to
assess methodologic quality. Discrepancies on the abstraction forms between the 2
reviewers were resolved by a third reviewer. A formal meta-analysis was not
performed. DATA SYNTHESIS: Thirteen studies were abstracted and included in the
review; of these, 8 studies saw improvements in >/=1 measure of posture. The main
sources of bias were related to blinding participants and incomplete outcome
data. The adherence reported across studies suggests that exercise is an
acceptable intervention for individuals with age-related hyperkyphosis.
CONCLUSIONS: The scarcity and quality of available data did not permit a pooled
estimate of the effect of exercise on hyperkyphotic posture; however, the
positive effects observed in high-quality studies suggest some benefit and
support the need for an adequately designed randomized controlled trial examining
the effect of exercise on hyperkyphosis.
CI - Copyright (c) 2014 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS