Effects of Hatha Yoga and Reformer Pilates on Hyperkyphosis
ConditionHyperkyphosis
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-65
SponsorIzmir Democracy University
About this trial
The vertebral column is an S-shaped structure that carries the body weight and transmits it to the feet. Kyphosis, a natural curvature of the spine, can increase with poor posture and muscle weakness, leading to postural kyphosis. This condition results in forward head positioning, rounded shoulders, and scapular winging, causing back pain, poor posture, balance issues, and respiratory difficulties. With technological advances, poor posture habits have become more common, especially in adolescents. Kyphosis can also affect balance, walking speed, and increase the risk of falls in older adults. Exercises like Hatha yoga and reformer Pilates are effective methods for improving posture, muscle strength, and quality of life. The aim of this study is to compare the effects of Hatha yoga and reformer Pilates exercises on posture, pain, balance, quality of life, body image, and respiratory function in individuals with hyperkyphosis.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Postural hyperkyphosis
Not receiving physiotherapy in the last 6 months
Disqualifiers
Exercise is not indicated
Communication problems
Having a concomitant orthopaedic disorder
The presence of a concomitant neurological disorder
Trial design
Design model
Parallel
Treatments tested in this trial
Home-based Exercise
Other interventionThe subjects in this group will be given the exercises included in the Physical Activity guideline of the Ministry of Health as a home programme.
Hatha Yoga Group
Other interventionThe sessions will begin with the classic sun salutation series (Suryanamaskar) consisting of 12 basic poses of yoga. The sun salutation series will be used as a warm-up for 10 minutes. After warming up, postures aimed at stretching the front group muscles of the body and strengthening the back group muscles will be preferred. In the cooling phase, the session will be ended by relaxing with Savasana pose for 10 minutes.
Reformer Pilates Group
Other interventionExercise sessions will start with the foot series and the starting position on the back will be preferred. This series, which is progressed by maintaining the body composition, is considered as a warm-up exercise of the body. Then, the body is continued with exercise series targeting the thoracic region and core region.
Treatment groups
30 Participants
are divided into 3 treatment groupsGroup A: Control groupOther 1 intervention
Group B: Hatha Yoga GroupExperimental treatment 2 interventions
Group C: Reformer Pilates GroupExperimental treatment 2 interventions
Trial outcomes
Primary outcomes
1
New York Posture Evaluation Scale
The New York Posture Evaluation Scale was first published in 1958. It evaluates the body in 13 different parts in terms of posture changes that may occur. If the posture is correct, 5 points are given, 3 points if it is moderately impaired, and 1 point if it is severely impaired. The total score obtained as a result of the test varies between 13-65 points. A high score means that the posture is good.
Time frame
At baseline and after 8 weeks2
Measurement of the degree of kyphosis with Flexicurve
Flexicurve will be used to determine the degree of hyperkyphosis. Flexicurve, a noninvasive method, is recommended as a practical and affordable tool for monitoring age-related spinal degenerative processes and curvature changes. One end of the Flexicurve is placed on the bony prominence of the cervical seventh (C7) vertebra and caudally along the spine to the thoracic twelfth vertebra. The mould is then removed from the spine and the shape transferred to paper. Showing the relationship between the length and width of the thorax; Values are obtained according to the formula (width / length) x 100
Time frame
At baseline and after 8 weeks3
Determination of the distance between the occiput and the wall
It is a practical method widely used for screening and monitoring hyperkyphosis. The individual's back and heels should be as close to the wall as possible and the head should remain in a natural position. Hyperkyphosis is considered to be present if the occiput does not touch the wall when the back and heels are against the wall and the head is facing forwards. The degree of hyperkyphosis is assessed by measuring the distance between the occiput and the wall. The severity of hyperkyphosis is classified as mild (≤5 cm), moderate (5.1-8 cm) and severe (\>8 cm).
Time frame
At baseline and after 8 weeks4
Determination of the distance between wall C7
There are also studies suggesting that it would be more appropriate to use C7 in the measurement because it is closer and adjacent to the thoracic vertebrae than the occiput. Due to the close location of C7 to the thoracic vertebrae, errors that may be encountered when the participant moves his/her head will be prevented. The measurement is performed with the back, heels and sacrum against the wall, in as upright a posture as possible and looking forwards. The distance of the spinous process of C7 perpendicular to the wall is measured using two rulers. According to the test results, the severity of hyperkyphosis is expressed in three different levels: mild (≤ 5 cm), moderate (5.1- 8 cm) and severe (\> 8 cm).
Time frame
At baseline and after 8 weeksSponsors and contacts
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Source ClinicalTrials.gov