Yoga Decreases Kyphosis in Senior Women and Men with Adult‐Onset Hyperkyphosis: Results of a Randomized Controlled Trial
- 28 August 2009
- journal article
- research article
- Published by Wiley in Journal of the American Geriatrics Society
- Vol. 57 (9), 1569-1579
- https://doi.org/10.1111/j.1532-5415.2009.02391.x
Abstract
OBJECTIVES: To assess whether a specifically designed yoga intervention can reduce hyperkyphosis. DESIGN: A 6‐month, two‐group, randomized, controlled, single‐masked trial. SETTING: Community research unit. PARTICIPANTS: One hundred eighteen women and men aged 60 and older with a kyphosis angle of 40° or greater. Major exclusions were serious medical comorbidity, use of assistive device, inability to hear or see adequately for participation, and inability to pass a physical safety screen. INTERVENTION: The active treatment group attended hour‐long yoga classes 3 days per week for 24 weeks. The control group attended a monthly luncheon and seminar and received mailings. MEASUREMENTS: Primary outcomes were change (baseline to 6 months) in Debrunner kyphometer‐assessed kyphosis angle, standing height, timed chair stands, functional reach, and walking speed. Secondary outcomes were change in kyphosis index, flexicurve kyphosis angle, Rancho Bernardo Blocks posture assessment, and health‐related quality of life (HRQOL). RESULTS: Compared with control participants, participants randomized to yoga experienced a 4.4% improvement in flexicurve kyphosis angle (P =.006) and a 5% improvement in kyphosis index (P =.004). The intervention did not result in statistically significant improvement in Debrunner kyphometer angle, measured physical performance, or self‐assessed HRQOL (each P >.1). CONCLUSION: The decrease in flexicurve kyphosis angle in the yoga treatment group shows that hyperkyphosis is remediable, a critical first step in the pathway to treating or preventing this condition. Larger, more‐definitive studies of yoga or other interventions for hyperkyphosis should be considered. Targeting individuals with more‐malleable spines and using longitudinally precise measures of kyphosis could strengthen the treatment effect.Keywords
This publication has 53 references indexed in Scilit:
- Hyperkyphotic Posture and Risk of Future Osteoporotic Fractures: The Rancho Bernardo StudyJournal of Bone and Mineral Research, 2006
- The Activities-specific Balance Confidence (ABC) ScaleThe Journals of Gerontology: Series A, 1995
- Effect of Back-Strengthening Exercise on Posture in Healthy Women 49 to 65 Years of AgeMayo Clinic Proceedings, 1994
- Correlates of bone mineral density in the postmenopausal estrogen/progestin interventions trialJournal of Bone and Mineral Research, 1994
- The rand 36‐item health survey 1.0Health Economics, 1993
- Prevalence of vertebral fracture in women and the relationship with bone density and symptoms: The chingford studyJournal of Bone and Mineral Research, 1993
- Sagittal Profiles of the SpinePublished by Ovid Technologies (Wolters Kluwer Health) ,1986
- The relationship of kyphosis to the shape of vertebral bodiesAnnals of Human Biology, 1976
- Age effects in kyphosis and lordosis in adultsAnnals of Human Biology, 1974