| Title |
Targeted spine strengthening exercise and posture training program to reduce hyperkyphosis in older adults: results from the study of hyperkyphosis, exercise, and function (SHEAF) randomized controlled trial
|
|---|---|
| Published in |
Osteoporosis International, July 2017
|
| DOI | 10.1007/s00198-017-4109-x |
| Pubmed ID | |
| Authors |
W. B. Katzman, E. Vittinghoff, F. Lin, A. Schafer, R. K. Long, S. Wong, A. Gladin, B. Fan, B. Allaire, D. M. Kado, N. E. Lane |
| Abstract |
A 6-month randomized controlled trial of spine-strengthening exercise and posture training reduced both radiographic and clinical measures of kyphosis. Participants receiving the intervention improved self-image and satisfaction with their appearance. Results suggest that spine-strengthening exercise and postural training may be an effective treatment option for older adults with hyperkyphosis. The purpose of the present study is to determine in a randomized controlled trial whether spine-strengthening exercises improve Cobb angle of kyphosis in community-dwelling older adults. We recruited adults ≥60 years with kyphosis ≥40° and enrolled 99 participants (71 women, 28 men), mean age 70.6 ± 0.6 years, range 60-88, with baseline Cobb angle 57.4 ± 12.5°. The intervention included group spine-strengthening exercise and postural training, delivered by a physical therapist, 1-h, three times weekly for 6 months. Controls received four group health education meetings. The primary outcome was change in the gold standard Cobb angle of kyphosis measured from standing lateral spine radiographs. Secondary outcomes included change in kyphometer-measured kyphosis, physical function (modified Physical Performance Test, gait speed, Timed Up and Go, Timed Loaded Standing, 6-Min Walk), and health-related quality of life (HRQoL) (PROMIS global health and physical function indexes, SRS-30 self-image domain). ANCOVA was used to assess treatment effects on change from baseline to 6 months in all outcomes. There was a -3.0° (95% CI -5.2, -0.8) between-group difference in change in Cobb angle, p = 0.009, favoring the intervention and approximating the magnitude of change from an incident vertebral fracture. Kyphometer-measured kyphosis (p = 0.03) and SRS-30 self-esteem (p < 0.001) showed favorable between-group differences in change, with no group differences in physical function or additional HRQoL outcomes, p > 0.05. Spine-strengthening exercise and posture training over 6 months reduced kyphosis compared to control. Our randomized controlled trial results suggest that a targeted kyphosis-specific exercise program may be an effective treatment option for older adults with hyperkyphosis. ClinicalTrials.gov; identifier NCT01751685. |
X Demographics
The data shown below were collected from the profiles of 41 X users who shared this research output. Click here to find out more about how the information was compiled.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Saudi Arabia | 7 | 17% |
| Spain | 3 | 7% |
| Japan | 2 | 5% |
| Canada | 2 | 5% |
| Puerto Rico | 1 | 2% |
| Ecuador | 1 | 2% |
| Peru | 1 | 2% |
| Colombia | 1 | 2% |
| United States | 1 | 2% |
| Other | 1 | 2% |
| Unknown | 21 | 51% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Members of the public | 37 | 90% |
| Scientists | 2 | 5% |
| Practitioners (doctors, other healthcare professionals) | 2 | 5% |
Mendeley readers
The data shown below were compiled from readership statistics for 400 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Unknown | 400 | 100% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Student > Bachelor | 38 | 10% |
| Student > Master | 25 | 6% |
| Other | 20 | 5% |
| Researcher | 19 | 5% |
| Student > Doctoral Student | 19 | 5% |
| Other | 49 | 12% |
| Unknown | 230 | 57% |
| Readers by discipline | Count | As % |
|---|---|---|
| Nursing and Health Professions | 48 | 12% |
| Medicine and Dentistry | 39 | 10% |
| Sports and Recreations | 25 | 6% |
| Engineering | 8 | 2% |
| Psychology | 6 | 2% |
| Other | 26 | 7% |
| Unknown | 248 | 62% |
Attention Score in Context
This research output has an Altmetric Attention Score of 46. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 18 March 2024.
All research outputs
#929,934
of 25,724,500 outputs
Outputs from Osteoporosis International
#107
of 3,876 outputs
Outputs of similar age
#18,578
of 325,735 outputs
Outputs of similar age from Osteoporosis International
#2
of 70 outputs
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So far Altmetric has tracked 3,876 research outputs from this source. They typically receive more attention than average, with a mean Attention Score of 8.2. This one has done particularly well, scoring higher than 97% of its peers.
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We're also able to compare this research output to 70 others from the same source and published within six weeks on either side of this one. This one has done particularly well, scoring higher than 97% of its contemporaries.