Does thoracic kyphosis severity predict response to physiotherapy rehabilitation in patients with osteoporotic vertebral fracture? A secondary analysis of the PROVE RCT

Hannink, Erin; Newman, Meredith A.; Barker, Karen

doi:10.1016/j.physio.2022.02.003

Cited by 4 publications

(4 citation statements)

References 39 publications

(61 reference statements)

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“…Oliveira et al67 examined 54 “robust” community-dwelling females and reported significant Spearman correlations between the thoracic Cobb angle and gait speed (−0.341) as well as the Cobb angle and the TUG (+0.341). Hannink et al,68 in a mixed sex study, and Koelé et al,69 with separate data in females, both reported significant correlations between greater kyphosis angles and poorer function. Limitations also include heterogeneity in the position in which kyphosis was measured; some kyphosis measures were conducted in the supine position and others in the standing position, which could have affected our results.…”

Section: Discussionmentioning

confidence: 91%

The Association Between Physical Function and Hyperkyphosis in Older Females: A Systematic Review and Meta-analysis

Roghani

Allen

Gladin

et al. 2024

Journal of Geriatric Physical Therapy

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studies. Studies have assessed various physical function categories, including strength, gait, and balance. Future studies could determine the categories of function most affected so that preventive interventions could target hyperkyphosis appropriately. Conclusions: Hyperkyphosis was associated with lower physical function in older females. Three cohort studies suggest that greater kyphosis angles may predict greater loss of physical function over time. These results imply that therapies that help to minimize hyperkyphosis may help preserve function in older females.

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Section: Discussionmentioning

confidence: 91%

The Association Between Physical Function and Hyperkyphosis in Older Females: A Systematic Review and Meta-analysis

Roghani

Allen

Gladin

et al. 2024

Journal of Geriatric Physical Therapy

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“…Mark correlation coefficient he obtained value is 0.207, which means that the strength of the relationship between the variable degree of kyphosis and body mass index is 0.207 or a very weak correlation. The correlation coefficient is positive, so the relationship between the two variables is unidirectional, thus meaning that it can be interpreted that the higher the body mass index in the subject, the degree of kyphosis in the subject will also increase (Miranda et al, 2022;Hannink et al, 2022;Setchell et al, 2014). 3 shows that the value Sig.…”

Section: Resultsmentioning

confidence: 99%

relationship between body mass index (BMI) & physical activity with cyphhosis in physiotherapy students at the faculty of medicine, Udayana University

Yiwa

Andayani

Negara

et al. 2023

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Introduction: Kyphosis is generally defined as a disease that occurs in the area of the vertebrae or the human spine which causes a hunched posture. As for some musculoskeletal complaints caused by kyphosis, including changes in body posture that bends forward so that it affects appearance, pain is felt in the spinal area, muscles get tired easily, and tightness in the back area, which in the most severe conditions kyphosis can cause problems in the respiratory tract and other organs. The cause of kyphosis is caused by several factors, namely body mass index, workload, disease scheurman,and birth defects. This study aims to determine whether there is a relationship between Body Mass Index and Physical Activity with the Incidence of Kyphosis in Physiotherapy Students at the Faculty of Medicine, Udayana University. Method: This research is a type of descriptive analytic research approach cross-sectional, using the total sampling technique, the number of subjects was 64 physiotherapy students who met the exclusion and inclusion criteria. Data was taken by measuring body mass index using the BMI formula, using global physical activity questionnaire (GPAQ) to measure physical activity, flexicurve as a measure of the degree of kyphosis.

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“…In addition, since previous work suggests that change in thoracic kyphosis at follow-up is closely related to baseline values, a subgroup analysis of thoracic kyphosis at follow-up will be completed dependent on whether the participant was kyphotic at baseline. 33 …”

Section: Discussionmentioning

confidence: 99%

Physiotherapy exercise rehabilitation with tailored exercise adherence support for people with osteoporosis and vertebral fractures: protocol for a randomised controlled trial – the OsteoPorosis Tailored exercise adherence INtervention (OPTIN) study

et al. 2022

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Introduction Vertebral fragility fractures affect at least 20% of the older population in the UK. Best practice guidelines recommend the use of exercise to slow the rate of bone loss, to maintain muscle strength and physical function, and to prevent falls and further fractures. However, treatment effects are often small and difficult to sustain and adherence, or the extent to which patients engage in treatment, has been identified as an important issue by many studies. Our hypothesis is that integrating adherence intervention strategies with an exercise intervention will be beneficial. We will compare physiotherapy exercise rehabilitation with adherence support versus physiotherapy exercise rehabilitation alone in terms of effects on (A) physical function, quality of life and fear of falling and (B) exercise self-efficacy and adherence. Methods and analysis A multicentre, two-arm, parallel group, superiority randomised controlled trial with blinded assessments at baseline (0) and 4, 8 and 12 months, with a nested qualitative study and health economic analysis. 116 participants will be allocated to either (1) outpatient physiotherapy which will include a musculoskeletal assessment and treatment including balance, posture, strength training and low impact weight-bearing exercises over 16 weeks or (2) OsteoPorosis Tailored exercise adherence INtervention intervention. This includes standard physiotherapy as above plus an additional, integrated assessment interview (30 min) and 60 min of adherence support spread over the subsequent 16 weeks. Ethics and dissemination The study protocol was approved by West of Scotland Research Ethics Committee 4 (21/WS/0071). Trial registration numberNCT14465704. The paper is based on Protocol V.4. Trial registration number NCT 14465704.

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Does thoracic kyphosis severity predict response to physiotherapy rehabilitation in patients with osteoporotic vertebral fracture? A secondary analysis of the PROVE RCT

Cited by 4 publications

References 39 publications

The Association Between Physical Function and Hyperkyphosis in Older Females: A Systematic Review and Meta-analysis

The Association Between Physical Function and Hyperkyphosis in Older Females: A Systematic Review and Meta-analysis

relationship between body mass index (BMI) & physical activity with cyphhosis in physiotherapy students at the faculty of medicine, Udayana University

Physiotherapy exercise rehabilitation with tailored exercise adherence support for people with osteoporosis and vertebral fractures: protocol for a randomised controlled trial – the OsteoPorosis Tailored exercise adherence INtervention (OPTIN) study

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