Department of Physical Therapy and Rehabilitation, Institute of Health Sciences, Istanbul Medipol Universty, Istanbul, Turkey.
Department of Orthosis and Prosthetics, School of Health Sciences, Istanbul Medipol University, Istanbul, Turkey.
Disabil Rehabil. 2023 Jun;45(12):1992-2002. doi: 10.1080/09638288.2022.2083244. Epub 2022 Jun 12.
To compare the effects of postural corrective and Schroth-based three-dimensional exercises on thoracic kyphosis angle (TKA), lumbar lordosis angle (LLA), balance and quality of life (QoL) in individuals with postural kyphosis.
This was a single-blind randomized controlled clinical trial with a total of 63 subjects (57 women, 6 men) with TKA of 40°. Subjects were separated into three groups: postural corrective exercise group (PCEG), Schroth-based three-dimensional exercise group (SBEG) and control group (CG). Participants in the exercise groups participated in the exercise program twice a week for eight weeks under the supervision of a physiotherapist: CG performed no exercise but was generally informed. The primary outcome variable was TKA. Secondary outcome variables were LLA, balance and QoL.
After the functional exercise programs, TKA (mean change for PCEG, SBEG: -9.71, -14.76, < 0.001), static postural stability index overall (-0.22, -0.40, < 0.05), and QoL (-0.41, -0.37, < 0.001) significantly improved in both training groups compared with CG. The LLA (-3.95, = 0.003) was significantly lower in the SBEG group than in CG.
This study demonstrated that Schroth-based three-dimensional exercises are an effective treatment for individuals with postural kyphosis and have a large effect size that improves TKA, LLA, balance and QoL. NCT03706495 Implications for rehabilitationEight weeks of postural corrective or Schroth-based three-dimensional functional exercise programs are effective in addressing thoracic kyphosis angle (TKA), balance, and quality of life in individuals with postural kyphosis.An eight-week Schroth-based three-dimensional exercise program was more effective than postural corrective exercises in improving TKA, lumbar lordosis angle, and balance for patients with postural kyphosis.Schroth-based three-dimensional exercise programs could promote balance and spinal health in young adults with thoracic kyphosis.
比较姿势矫正和施罗特三维运动对脊柱后凸角（TKA）、腰椎前凸角（LLA）、平衡和生活质量（QoL）的影响。
这是一项单盲随机对照临床试验，共纳入 63 例 TKA 为 40°的脊柱后凸患者（57 名女性，6 名男性），将其分为姿势矫正运动组（PCEG）、施罗特三维运动组（SBEG）和对照组（CG）。运动组每周在物理治疗师的监督下进行两次运动训练，共八周：CG 组不进行任何运动，但接受一般性告知。主要结局变量为 TKA。次要结局变量为 LLA、平衡和 QoL。
在功能运动训练后，PCEG 和 SBEG 组的 TKA（平均变化分别为-9.71、-14.76，均<0.001）、静态姿势稳定性指数总体（-0.22、-0.40，均<0.05）和 QoL（-0.41、-0.37，均<0.001）均显著改善，与 CG 组相比，SBEG 组的 LLA（-3.95，P=0.003）显著降低。
本研究表明，施罗特三维运动是治疗脊柱后凸的有效方法，对 TKA、LLA、平衡和 QoL 有较大的改善效果。
八周的姿势矫正或施罗特三维功能运动训练方案可有效改善脊柱后凸患者的 TKA、平衡和生活质量。
与姿势矫正运动相比，八周的施罗特三维运动方案更能有效改善脊柱后凸患者的 TKA、腰椎前凸角和平衡。
施罗特三维运动方案可促进青少年脊柱后凸患者的平衡和脊柱健康。
