Managing Kyphosis With Exercise

Study Overview
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Brief Summary
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The primary objective of this study is to determine if stretching exercises as a conservative treatment option will correct kyphosis in postural and Scheuermann's kyphosis.

Detailed Description
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Despite comprehensive documentation of surgical interventions in existing literature, the investigation into non-operative approaches for addressing hyperkyphosis or Scheuermann's kyphosis in the pediatric population has been investigated with inconsistent findings. Various outcomes have been observed with regard to the effectiveness of multiple brace treatment options, alongside recommendations for various physiotherapeutic approaches, either in conjunction with brace treatment or as standalone interventions. However, there is no universally accepted consensus regarding the conservative management of kyphosis that simultaneously ensures substantial patient satisfaction and heightened bodily awareness. Notably, there have been no studies investigating the efficacy of stretching in the treatment of individuals with kyphosis.

Official Title
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Effectiveness of Various Exercises in Managing Kyphosis

Conditions
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Kyphosis

Intervention / Treatment
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* Other: Exercises


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Patients ages 8-21 with postural or Scheuermann's kyphosis with >45° of kyphosis or >10° of thoracolumbar kyphosis from T11-L1 or other cases which seem to have excessive kyphosis. Parents of the patient ages 18 and older who are cognitively able to complete a survey will be included in the study as well. Exclusion Criteria: Patients with congenital kyphosis or scoliosis. Parents who are less than 18 years of age or cognitively unable to complete a survey will be excluded from the study. Any records flagged break the glass or research opt out.

Ages Eligible for Study
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Minimum Age: 8 Years
Maximum Age: 21 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Exercise group<br>Patients perform stretching exercises daily. | Other: Exercises<br>* Stretching exercises with and without a bolster, ball, or foam roller.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Kyphosis angle | Change in severity of kyphosis angle evaluated using radiographs | Enrollment, 6-month follow-up, 2-year follow-up | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Patient Satisfaction and Perception | Patient Satisfaction and Perception measured via questionnaires | Enrollment, 6-month follow-up, 2-year follow-up | 
| Parental Perception | Parental Perception of kyphosis measured via questionnaires | Enrollment, 6-month follow-up, 2-year follow-up | 
| Exercise Adherence | Exercise Adherence measured via questionnaires | Enrollment, 6-month follow-up, 2-year follow-up | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Scheuermann's, thoracolumbar, postural, stretching, back