The Effect of an 8-Week Corrective Exercise Programme on the Tone and Viscoelastic Properties of Back Muscles in Thoracic Kyphosis
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 44
- 试验地点
- 1
- 主要终点
- The MyotonPro
研究概览
简要总结
The thoracic curvature of the spinal column occurs in the sagittal plane. While the normal thoracic kyphosis angle of the spine is 20-40°, an angle of 45-50° is referred to as postural kyphosis, increased kyphosis, or hyperkyphosis. The strength of the central and deep back muscles of the trunk controls spinal stability and intervertebral movements in dynamic situations. This ensures that thoracic curvature is maintained within normal physiological limits.
Increased kyphosis can result from poor postural habits, prolonged computer use, trunk asymmetry, and muscle weakness. Studies have reported an increase in thoracic kyphosis, postural deviations in the trunk, and changes in shoulder and head positions as a result of weakening of the back muscles. Corrective exercise programmes aimed at strengthening the back muscles are frequently used in the treatment of thoracic kyphosis. The effects of exercise programmes on muscle strength, endurance, and kyphosis angle have been investigated. However, there are few studies examining the effects of corrective exercise programmes on muscle tone and viscoelastic properties in the back muscles. In our study, we aim to investigate the effects of an 8-week corrective exercise programme on the tone and viscoelastic properties of the back muscles in individuals with thoracic kyphosis and to propose its inclusion as a contemporary approach in clinical treatment protocols.
详细描述
The thoracic curvature of the spinal column occurs in the sagittal plane. While the normal thoracic kyphosis angle of the spine is 20-40°, an angle of 45-50° is referred to as postural kyphosis, increased kyphosis, or hyperkyphosis. The strength of the central and deep back muscles of the trunk controls spinal stability and intervertebral movements in dynamic situations. This ensures that thoracic curvature is maintained within normal physiological limits.
Increased kyphosis can result from poor postural habits, prolonged computer use, trunk asymmetry, and muscle weakness. Studies have reported an increase in thoracic kyphosis, postural deviations in the trunk, and changes in shoulder and head positions as a result of weakening of the back muscles. Corrective exercise programmes aimed at strengthening the back muscles are frequently used in the treatment of thoracic kyphosis. The effects of exercise programmes on muscle strength, endurance, and kyphosis angle have been investigated. However, there are few studies examining the effects of corrective exercise programmes on muscle tone and viscoelastic properties in the back muscles. In our study, we aim to investigate the effects of an 8-week corrective exercise programme on the tone and viscoelastic properties of the back muscles in individuals with thoracic kyphosis and to propose its inclusion as a contemporary approach in clinical treatment protocols.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Participant)
入排标准
- 年龄范围
- 18 Years 至 65 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •having a kyphosis degree of ≥50° in individuals with thoracic kyphosis and voluntarily participating in the study.
排除标准
- •individuals with scoliosis, Scheuermann's kyphosis, and other congenital spinal problems.
研究组 & 干预措施
corrective exercise group
8 weeks, 3 days a week, 45 minutes shoulder, neck and back exercises postur exercises
干预措施: exercises (Other)
control group
Shoulder and neck posture exercises Home exercises 8 weeks 3 days a week
干预措施: exercises (Other)
结局指标
主要结局
The MyotonPro
时间窗: 8 weeks
device can determine the stiffness, tone, and elasticity properties of muscles. This previously calibrated device creates a mechanical stimulus that induces the damped natural oscillations of the tissues using a 3 mm diameter probe placed perpendicular to the muscle with a non-invasive handheld feature. The resulting oscillations are recorded by an accelerometer. MyotonPro® is a valid and reliable method for determining muscle tone, stiffness, and elasticity, and it also offers high test-retest reliability and reproducibility .
Flexible Ruler:
时间窗: 8 weeks
The flexible ruler method is a reliable method used to measure cervical, thoracic, and lumbar spine curvature. The measurement is taken using a 40 cm long flexible ruler while standing with arms relaxed at the sides, head upright, and eyes looking straight ahead. The C2 and C7 vertebrae are palpated and marked using removable adhesive skin markers. The flexible ruler is then placed over the cervical lordosis between these two points, and markers indicating the location of the C2 and C7 spinous processes are placed on it. The flexible ruler is placed on millimeter paper, and the resulting curve is reflected. A vertical angle is drawn from the peak of the curve to the baseline, and the cervical lordosis deviation angle is determined using an angle-to-angle connection
Kyphosis-Specific Spine Appearance Questionnaire
时间窗: 8 weeks
The Kyphosis-Specific Spine Appearance Questionnaire consisted of 10 items on a Likert scale (1 to 5) regarding patients' perceptions of appearance; higher scores indicated worsening deformity and increased concern about kyphosis-specific appearance. The first item is based on drawings showing varying degrees of severity of hyperkyphosis deformity in the sagittal plane. Questions two through ten are based on textual questions that rate concerns about other aspects of spinal deformity appearance. The total score of the questionnaire is calculated as the average of the ten responses
The MyotonPro
时间窗: 8 weeks
device can determine the stiffness, tone, and elasticity properties of muscles. This previously calibrated device creates a mechanical stimulus that induces the damped natural oscillations of the tissues using a 3 mm diameter probe placed perpendicular to the muscle with a non-invasive handheld feature. The resulting oscillations are recorded by an accelerometer. MyotonPro® is a valid and reliable method for determining muscle tone, stiffness, and elasticity, and it also offers high test-retest reliability and reproducibility .
Flexible Ruler:
时间窗: 8 weeks
The flexible ruler method is a reliable method used to measure cervical, thoracic, and lumbar spine curvature. The measurement is taken using a 40 cm long flexible ruler while standing with arms relaxed at the sides, head upright, and eyes looking straight ahead. The C2 and C7 vertebrae are palpated and marked using removable adhesive skin markers. The flexible ruler is then placed over the cervical lordosis between these two points, and markers indicating the location of the C2 and C7 spinous processes are placed on it. The flexible ruler is placed on millimeter paper, and the resulting curve is reflected. A vertical angle is drawn from the peak of the curve to the baseline, and the cervical lordosis deviation angle is determined using an angle-to-angle connection
Kyphosis-Specific Spine Appearance Questionnaire
时间窗: 8 weeks
The Kyphosis-Specific Spine Appearance Questionnaire consisted of 10 items on a Likert scale (1 to 5) regarding patients' perceptions of appearance; higher scores indicated worsening deformity and increased concern about kyphosis-specific appearance. The first item is based on drawings showing varying degrees of severity of hyperkyphosis deformity in the sagittal plane. Questions two through ten are based on textual questions that rate concerns about other aspects of spinal deformity appearance. The total score of the questionnaire is calculated as the average of the ten responses
次要结局
未报告次要终点
研究者
Hakan Polat
director
Sanko University