Managing Kyphosis With Exercise

Not Applicable

Recruiting

• Conditions: Kyphosis
• Interventions: Other: Exercises

• Registration Number: NCT06082739
• Lead Sponsor: Cedars-Sinai Medical Center

Brief Summary

The primary objective of this study is to determine if stretching exercises as a conservative treatment option will correct kyphosis in postural and Scheuermann's kyphosis.

Detailed Description

Despite comprehensive documentation of surgical interventions in existing literature, the investigation into non-operative approaches for addressing hyperkyphosis or Scheuermann's kyphosis in the pediatric population has been investigated with inconsistent findings. Various outcomes have been observed with regard to the effectiveness of multiple brace treatment options, alongside recommendations for various physiotherapeutic approaches, either in conjunction with brace treatment or as standalone interventions.

However, there is no universally accepted consensus regarding the conservative management of kyphosis that simultaneously ensures substantial patient satisfaction and heightened bodily awareness. Notably, there have been no studies investigating the efficacy of stretching in the treatment of individuals with kyphosis.

Study Timeline

• Study First Submitted: 2023-10-09
• Study First Submitted QC: 2023-10-09
• Study First Posted: 2023-10-13
• Study Start: 2023-11-06
• Status Verified: 2025-01
• Last Update Submitted: 2025-01-15
• Last Update Posted: 2025-01-17
• Primary Completion: 2028-10
• Study Completion: 2029-10

Recruitment & Eligibility

• Status: RECRUITING
• Sex: All
• Target Recruitment: 120

Inclusion Criteria

• Patients ages 8 and older with postural or Scheuermann's kyphosis with >45° of kyphosis or >10° of thoracolumbar kyphosis from T11-L1 or other cases which seem to have excessive kyphosis.
• Parents of patients aged 17 and younger who are 18 and older and cognitively able to complete a survey will be included in the study as well.

Exclusion Criteria

• Patients with congenital kyphosis or scoliosis greater than 30°.
• Parents of patients aged 17 and younger who are less than 18 years of age or cognitively unable to complete a survey will be excluded from the study.
• Any records flagged "break the glass" or "research opt out."

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
Exercise group	Exercises	Patients perform stretching exercises daily.

Primary Outcome Measures

Name	Time	Method
Kyphosis angle	Enrollment, 6-month follow-up, 2-year follow-up	Change in severity of kyphosis angle evaluated using radiographs

Secondary Outcome Measures

Name	Time	Method
Parental Perception	Enrollment, 6-month follow-up, 2-year follow-up	Parental Perception of kyphosis measured via questionnaires
Exercise Adherence	Enrollment, 6-month follow-up, 2-year follow-up	Exercise Adherence measured via questionnaires
Patient Satisfaction and Perception	Enrollment, 6-month follow-up, 2-year follow-up	Patient Satisfaction and Perception measured via questionnaires

Trial Locations

Locations (1)

Cedars-Sinai Medical Center; 🇺🇸 Los Angeles, California, United States