Adding corrective exercises along with bracing for postural hyperkyphosis among adolescents: A randomized controlled trial.
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OrthoEvidence Journal (OE Journal) - ACE Report
OE Journal. 2023;11(21):15 PM R. 2023 Jul;15(7):872-880.What this means for my practice?
The results of this study suggest that adding corrective exercises to a bracing protocol can provide significantly greater improvements in thoracic kyphosis compared to bracing alone or no treatment. This study was limited by the lack of measurement of muscle and balance-related outcomes.
Study Summary
180 adolescents with postural hyperkyphosis were randomized to receive a corrective exercise program + bracing (n=60), bracing only (n=60) or no treatment (n=60). The outcome of interest was the change in thoracic kyphosis at 6 months follow-up, measured with standing lateral spine radiographs. The results showed significantly greater improvement in thoracic kyphosis in the corrective exercise + bracing group compared to both the bracing-only and control group (p<0.001 for both). The bracing-only group demonstrated significantly greater improvement in thoracic kyphosis compared to the control group (p<0.001).
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