Prevalence of Kyphosis in a Healthy Sample of Pre- And Postmenopausal Women

Cutler, Winnifred B.; Friedmann, Erika; Genovese-Stone, Elizabeth

doi:10.1097/00002060-199308000-00009

Cited by 53 publications

(20 citation statements)

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“…3 Seventy-seven percent of this sample were classified as kyphotic in a relaxed standing posture, according to a criterion index of kyphosis value of 11% in healthy premenopausal and postmenopausal women, as suggested by Cutler et al 13 Sixty-two percent were using a bisphosphonate medication for treatment of osteoporosis, 22% reported use of hormonal replacement therapy, 17% had a history of joint surgery, 58% reported back pain, and 63% reported joint pain.…”

Section: Resultsmentioning

confidence: 99%

The Relationship of Intrinsic Fall Risk Factors to a Recent History of Falling in Older Women With Osteoporosis

Arnold

Busch²,

Schachter³

et al. 2005

J Orthop Sports Phys Ther

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Study Design: Cross-sectional descriptive analysis investigating intrinsic fall risk factors in postmenopausal women with osteoporosis. Objective: To examine the relationships between history of recent falls and balance, pain, quality of life, function, posture, strength, and mobility. Background: Women with osteoporosis who fall are at a high risk of fracture due to decreased bone strength. Identifying fall risk factors for older women with osteoporosis is a crucial step in decreasing the incidence of falls and fracture. Method and Measures: Seventy-three women over 60 years of age with established osteoporosis participated in comprehensive testing of fall history, physical function, and quality of life. Results: Significant correlations were found between a recent history of falls and degree of kyphosis (r = 0.29), fear of falls/emotional status (r = -0.27), and balance (r = -0.27). Degree of kyphosis and fear of falls/emotional status explained 20% of the variance of recent fall history using binary logistic regression. Women with an increased kyphosis were more likely to have had a recent fall (odds ratio [OR], 1.17; 95% CI, 1.03-1.34) and those with better emotional status and less fear of falling were less likely to have had a recent fall (OR, 0.61; 95% CI, 0.38-0.97). Conclusion: Increased thoracic kyphosis and fear of falling are 2 intrinsic factors associated with recent falls in women with osteoporosis. To design more effective interventions to decrease fall risk in this population, future prospective, longitudinal studies should monitor kyphosis, fear of falling, balance reactions, and other potential risk factors not identified in this study . J Orthop Sports Phys Ther 2005;35:452-460.

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Section: Resultsmentioning

confidence: 99%

The Relationship of Intrinsic Fall Risk Factors to a Recent History of Falling in Older Women With Osteoporosis

Arnold

Busch²,

Schachter³

et al. 2005

J Orthop Sports Phys Ther

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“…As this and other studies show, thoracic kyphosis is observed with increasing frequency in late life. In a sample of healthy pre‐ and postmenopausal women, the prevalence of kyphosis was 35%, and an association with aging was seen only in postmenopausal participants 24 . Vertebral deformities and fractures, a frequently unrecognized cause of kyphosis, 25 were found in 36% and 46% of men and women aged 80 and older 26 .…”

Section: Discussionmentioning

confidence: 97%

“…In a sample of healthy pre-and postmenopausal women, the prevalence of kyphosis was 35%, and an association with aging was seen only in postmenopausal participants. 24 Vertebral deformities and fractures, a frequently unrecognized cause of kyphosis, 25 were found in 36% and 46% of men and women aged 80 and older. 26 In addition to vertebral fractures, other age-related changes of the musculoskeletal system and of the spine may be responsible for kyphosis.…”

Section: Discussionmentioning

confidence: 99%

Thoracic Kyphosis and Ventilatory Dysfunction in Unselected Older Persons: An Epidemiological Study in Dicomano, Italy

Bari

Chiarlone

Matteuzzi

et al. 2004

J American Geriatrics Society

101

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OBJECTIVES:To assess whether kyphosis is associated with ventilatory dysfunction in older community dwellers. DESIGN: Cross-sectional study. SETTING: The unselected population of Dicomano, Italy aged !65 years. PARTICIPANTS: A total of 323 nonheart failure participants underwent clinical evaluation for the presence of kyphosis and spirometry. The severity of kyphosis was estimated from the difference between standing stature and knee-height-derived stature and from the occiput-wall distance. MEASUREMENTS: Forced vital capacity (FVC), forced expiratory volume in 1 second (FEV1), and prevalence of obstructive and restrictive ventilatory pattern. RESULTS: The 130 kyphotic participants (40.2%) had an adjusted 2.5 prevalence odds ratio (POR) for dyspnea (95% confidence interval (CI) 5 1.1-5.8). FVC% and FEV1% were lower in the presence of kyphosis (Po.01); their deficit was proportional to kyphosis severity. The ventilatory dysfunction was underestimated when reference spirometric parameters were calculated based on standing stature, compared with knee-height derived stature. Of the kyphotic participants, 56.2%, 26.9%, and 16.9% had spirometric normal, obstructive, and restrictive patterns, respectively. Kyphosis was associated with a restrictive (adjusted POR 5 2.3, 95% CI 5 1.1-4.8; P 5.021) and an obstructive ventilatory pattern (adjusted POR 5 3.3, 95% CI 5 1.7-6.5; Po.001). CONCLUSION: In unselected older persons, kyphosis is associated with dyspnea and ventilatory dysfunction of a restrictive and an obstructive type. Kyphosis should be included in the differential diagnosis of dyspnea and ventilatory dysfunction in the elderly. J Am Geriatr Soc 52: 909-915, 2004.

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“…Thoracic hyperkyphosis is associated with the incidence of compression fractures1, 2 ) , reduced mobility1, 2 ) , reduced quality of life3, 4 ) , as well as decreased longevity5,6,7,8,9,10 ) . In younger adolescent patients it has been determined the greater the kyphosis curvature, the stronger the negative association to total pain, general self-image, general function, and overall level of activity11 ) .…”

Section: Introductionmentioning

confidence: 99%

Reversing thoracic hyperkyphosis: a case report featuring mirror image<sup>®</sup> thoracic extension rehabilitation

Miller

Oakley²,

Levin

et al. 2017

J Phys Ther Sci

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[Purpose] To present a case of non-surgical reduction of thoracic hyperkyphosis utilizing a multimodal rehabilitation program emphasizing the mirror image® concept. [Subject and Methods] A 15-year-old female presented to a rehabilitation office suffering from back and neck pains and headaches. The patient was treated sporadically over a period of 13-months. Treatment consisted of anterior thoracic translation and thoracic extension exercises, spinal traction and spinal manipulation. [Results] After 13-months of treatment the patient displayed a significant reduction in hyperkyphosis and a dramatic correction of her overall posture and spine alignment corresponding to the reduction in back/neck pains, headaches and the simultaneous improvement of various other health issues. [Conclusion] Thoracic hyperkyphosis can be reduced through a multimodal rehabilitation program emphasizing mirror image thoracic extension procedures.

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Prevalence of Kyphosis in a Healthy Sample of Pre- And Postmenopausal Women

Cited by 53 publications

References 0 publications

The Relationship of Intrinsic Fall Risk Factors to a Recent History of Falling in Older Women With Osteoporosis

The Relationship of Intrinsic Fall Risk Factors to a Recent History of Falling in Older Women With Osteoporosis

Thoracic Kyphosis and Ventilatory Dysfunction in Unselected Older Persons: An Epidemiological Study in Dicomano, Italy

Reversing thoracic hyperkyphosis: a case report featuring mirror image<sup>®</sup> thoracic extension rehabilitation

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