Tsekoura M, Katsoulaki M, Kastrinis A, Nomikou E, Fousekis K, Tsepis E, Billis E
Department of Physiotherapy, School of Health Rehabilitation Sciences, University of Patras, Rio, Greece.
"Physiodrasis," Physio and Rehab Clinic, Athens, Greece.
Adv Exp Med Biol. 2023;1425:501-506. doi: 10.1007/978-3-031-31986-0_49.
The objective of this review was to investigate the effects of exercise in older adults with hyperkyphosis. Medline and Google Scholar databases were searched from June to August 2022 for studies related to exercise interventions in older adults above 60 years of age. All types of exercise interventions (such as strengthening, stretching, Yoga, and/or any other exercise with a focus on treatment or prevention of postural malalignment) were included. The keywords used were "hyperkyphosis," "exercise," and "older adults." Ten studies were included involving 625 older adults with hyperkyphotic posture. The exercise interventions included spine strengthening (strengthening of back and abdominal muscles), poses of Yoga and postural alignment, and flexibility and respiratory muscle exercises. Duration of exercise programs varied from 6 weeks (1 study) to 8 weeks (3 studies), 12 weeks (4 studies), and 6 months (3 studies). Exercise adherence was generally good in studies. In summary, low to moderate evidence suggest that exercises in age-related hyperkyphosis have a role in the management of this group of patients. It can be beneficial in order to improve postural control, spinal stability, and kyphosis outcomes. The adherence reported across studies suggests that exercise is an acceptable treatment option for people with age-related hyperkyphosis. Types of exercise and dose-response parameters of exercise eliciting improvement warrant further investigation. Due to heterogeneity in clinical trials, future research is needed with the goal of improving the health of our growing geriatric population.
本综述的目的是研究运动对老年脊柱后凸患者的影响。2022年6月至8月，检索了Medline和谷歌学术数据库，以查找与60岁以上老年人运动干预相关的研究。纳入了所有类型的运动干预（如强化运动、伸展运动、瑜伽和/或任何其他侧重于治疗或预防姿势不正的运动）。使用的关键词为“脊柱后凸”“运动”和“老年人”。共纳入10项研究，涉及625名有脊柱后凸姿势的老年人。运动干预包括脊柱强化（背部和腹部肌肉强化）、瑜伽姿势和姿势矫正，以及柔韧性和呼吸肌锻炼。运动计划的持续时间从6周（1项研究）到8周（3项研究）、12周（4项研究）和6个月（3项研究）不等。在这些研究中，运动依从性总体良好。总之，低到中等强度的证据表明，与年龄相关的脊柱后凸运动在这类患者的管理中具有一定作用。它有助于改善姿势控制、脊柱稳定性和脊柱后凸结果。各项研究报告的依从性表明，运动是与年龄相关的脊柱后凸患者可接受的治疗选择。引发改善效果的运动类型和剂量反应参数值得进一步研究。由于临床试验存在异质性，需要开展未来研究以改善不断增长的老年人口的健康状况。
