Effects of shoulder retraction orthosis and posture exercises on kyphosis, cervical tilt, and scapular protraction in adolescent girls with kyphotic posture

Öz

Purpose: This study was aimed to investigate the effectiveness of posture exercise training and shoulder retraction orthosis on kyphosis, cervical tilt and scapular protraction in adolescent girls with kyphotic posture. Methods: Thirty adolescent girls with postural kyphosis participated in the study. The participants were randomly divided into exercise (n=15, mean age: 13.73±0.46 years, BMI: 20.61±1.98 kg/m2) and orthosis (n=15, mean age: 13.73±0.46 years, BMI: 20.19±1.72 kg/m2) groups. The exercise group performed posture exercise training (30-40 min/day/week) for 8 weeks that included spinal extensor and scapular strengthening, scapular stabilization, and stretching of the pectoralis muscles. The orthosis group used shoulder retraction orthosis (8 hours/day/week) for 8 weeks. Kyphosis was assessed with the kyphosis index obtained by the flex ruler measurement method. Anterior cervical tilt was evaluated with tragus wall distance, and shoulders protraction was assessed with the distance between the inferior of the two scapulae. Results: The pre and post-test comparison in the groups showed improvements in kyphosis index, cervical tilt and scapula protraction (p<0.05). The comparison of pre and post-test values between group, no differences were found in all parameters (p>0.05). Conclusion: Exercise training and shoulder retraction orthosis are affective methods in reducing postural kyphosis in adolescent girls. There is a need for randomized controlled studies which both methods are used in combination and with long-term follow-up.

Anahtar Kelimeler

• Adolescent
• Posture
• Kyphosis
• Exercise
• Orthosis.

Kifotik postürlü adölesan kızlarda omuz retraksiyon ortezi ile postür egzersizlerinin kifoza, servikal tilte ve skapular protraksiyona etkileri

Öz

Amaç: Bu çalışma, kifotik postüre sahip adölesan kızlarda postür egzersiz eğitimi ve omuz retraksiyon ortezinin kifoza, servikal tilte ve skapular protraksiyona olan etkisini araştırmak amacı ile yapıldı. Yöntem: Çalışmaya postüral kifozu olan 30 adölesan kız dahil edildi. Bireyler basit rastgele yöntem ile egzersiz (n=15, yaş ortalaması:13,73±0,46 yıl, VKİ: 20,61±1,98 kg/m2) ve ortez (n=15, yaş ortalaması: 13,73±0,46 yıl, VKİ: 20,19±1,72 kg/m2) grubuna ayrıldı. 8 hafta boyunca egzersiz grubuna (30-40 dk/gün/hafta) spinal ekstansörleri ve skapula kaslarını kuvvetlendirme, skapula stabilizasyonu, pektoral germe içeren postür egzersiz eğitimi verildi. Ortez grubu 8 hafta boyunca omuz retraksiyon ortezini (8 saat/gün/hafta) kullandı. Kifoz, esnek cetvel ölçüm yöntemiyle elde edilen kifoz indeksi ile değerlendirildi. Anterior servikal tilti değerlendirmek için tragus-duvar mesafesi, skapula protraksiyonu değerlendirmek için iki skapulanın inferior ucu arasındaki mesafe ölçüldü. Bulgular: Gruplar kendi içerisinde eğitim öncesi ve sonrası verileri karşılaştırıldığında kifoz indeksi, servikal tilt ve skapula protraksiyonunda iyileşme (p<0,05) gösterdi. Gruplar eğitim öncesi ve sonrası birbiriyle karşılaştırıldığında değerlendirilen parametreler açısından fark bulunmadı (p>0,05). Sonuç: Postür egzersiz eğitimi ve omuz retraksiyon ortezi adölesan kızlarda postüral kifozun azaltılmasında etkilidir. Her iki yöntemin kombine kullanıldığı, uzun dönemli takiplerin yapıldığı randomize kontrollü çalışmalara ihtiyaç vardır.

Anahtar Kelimeler

• Adölesan
• Postür
• Kifoz
• Egzersiz
• Ortez

Kaynakça

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