The diagnosis of postural round back can be made in two ways. When the child bends forward, a smooth gentle curve is seen, as opposed to what is seen in Scheuermann s disease. The second way to diagnosis postural round back is to rule out other causes of kyphosis through radiographs, which will be normal in postural round back. The treatment for postural round back is education in proper sitting and standing. For children who continue to stand in a slouched position, an exercise program is the second line of treatment.
Exercises can strengthen the scapular muscles and spine extensor muscles.
Typically, a physical therapist teaches an exercise regimen to the child and sets up a home program for the patient. The therapist should periodically see the child, to assure that the exercises continue to be done properly. All rights reserved.