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Study aim
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To evaluate the effect of adding a local vibration system to an orthosis with approved efficacy, on thoracic kyphosis angle, back extensor muscle strength, pain, walking speed and Physical function in hyperkyphotic older adults.
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Design
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The parallel group randomized controlled clinical trial with blinded group recruitment.
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Settings and conduct
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Assessments, interventions, and data collection will be performed at university of social welfare and rehabilitation sciences. in the present study thoracic kyphosis angle as the primary outcome and back extensor muscle strength, pain, walking speed, Physical function, Health condition and orthosis comfort as the secoundry outcome will be measure.
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Participants/Inclusion and exclusion criteria
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Age more than 59 years.
kyphosis angle of more than 50 degrees and less than 80 degrees
Body mass index between 25 and 33
ability to independent walking without any assistive devices
ability to wear orthosis independently
for patients who aren't in the acute phase of osteoporosis and had no new osteoporotic vertebral fractures in recent 6 months.
patients that don't use muscle recovery drugs.
patients that had not had any spinal surgery before.
patients that their Hyperkyphosis isn't due to trauma or other diseases like metastasis, Scheuerman kyphosis, scoliosis or any other inborn spinal malalignments like hemivertebra.
Patients with no severe spinal pathologies like infection, tumour, spondylolysis, spondylolisthesis or any spinal degenerative disease like osteoarthritis.
patients that had no severe or referral pain related to the spine or spinal stenosis, unstable cardiovascular, mental or neurologic disease or use of a pacemaker.
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Intervention groups
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The intervention group wears orthosis with a local vibration system and the control group wears orthosis without a local vibration system.
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Main outcome variables
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correction of spinal alighnment