Journal of Modern Rehabilitation، جلد ۱۶، شماره ۲، صفحات ۵۶۹-۵۶۹

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عنوان انگلیسی Sagittal Spinal Mobility and Back Extensor Muscle Function in Older Females with Age-Related Hyperkyphosis
چکیده انگلیسی مقاله Background: Spinal range of motion (ROM) is a potential modifiable variable that may contribute to the maintenance of upright sagittal alignment. The purpose of present study was to compare spinal ROM in older females with and without hyperkyphosis and investigate relative associations between thoracic kyphosis and spinal ROM, back extensor strength (BES), and back extensor endurance (BEE). Material and Methods: Sagittal spinal curvature and ROM were measured with the Spinal Mouse, and BES and BEE with a load cell. Variables were compared utilizing an independent sample t-test between older females with and without hyperkyphosis. Pearson’s correlation coefficients calculated associations between variables. Multiple linear regression tested which variable best associated with kyphosis. Results: Lumbar and total spinal ROM were lower in the hyperkyphosis compared to the normal group (p< 0.05). Thoracic kyphosis associated with total lumbar ROM (r=-0.30, P=0.03), total spinal ROM (r=-0.35, P=0.01), BES (r=-0.73, P< 0.001) and BEE (r=-.60, P< 0.001). Multiple linear regression analysis after adjusting for age, weight and BMI showed BES (p < 0.001) and BEE (p=0.01) but not spinal ROM (P=0.16) were significantly associated with thoracic kyphosis. Conclusion: Females with hyperkyphosis had lower spinal ROM compared to those with normal kyphosis. While thoracic kyphosis was significantly associated with total lumbar ROM, total spinal ROM, BES and BEE, ROM was not significant contributor to thoracic kyphosis in multivariate regression. BES and BEE were significant contributors to thoracic kyphosis and should be targeted in rehabilitation of hyperkyphosis.
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نویسندگان مقاله | Tayebeh Roghani
Musculoskeletal Research Center, Department of Physical Therapy, Faculty of Rehabilitation Sciences, Isfahan University of Medical Sciences, Isfahan, Iran.


| Amy Gladin
Chronic Pain Department, San Francisco Kaiser Permanente Medical Center, San Francisco CA, United States.


| Saeed Talebian
Department of Physiotherapy, School of Rehabilitation, Tehran University of Medical Sciences and Health Services, Tehran, Iran.


| Minoo Khalkhali Zavieh
Department of Physiotherapy, School of Rehabilitation, Shahid Beheshti University of Medical Sciences, Tehran, Iran.


| Hoda Niknam
Physiotherapy Research Center, Department of Physiotherapy, School of Rehabilitation, Shahid Beheshti University of Medical Sciences, Tehran, Iran.


| Wendy B. Katzman
Department of Physical Therapy and Rehabilitation Sciences, University of California San Francisco, San Francisco, CA, United States.



نشانی اینترنتی https://jmr.tums.ac.ir/index.php/jmr/article/view/569
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