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Can thoracic kyphosis be reduced in stroke and non stroke adults through postural re-education or strengthening?

The effect of postural re-education and/or progressive resisted strengthening on dynamic thoracic kyphosis measurements in people with and without stroke.

Status
Completed
Phases
Unknown
Study type
Interventional
Source
ANZCTR
Registry ID
ACTRN12611000447954
Enrollment
160
Registered
2011-05-03
Start date
2008-07-07
Completion date
Unknown
Last updated
2020-01-13

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

None listed

Brief summary

The aim of this study is to determine whether thoracic kyphosis (stooped posture)can be reduced using two commonly used treatment modalities. The first, postural re-education, was found in a recent survey to be the most commonly used treatment modality amongst Australian Physiotherapists. The second, progressive resisted strengthening is supported by level 1 evidence in terms of strengthening but not reduction of kyphosis. The study involves the assessment of these strategies seperately, together and not at all in both a stroke and a non stroke poulation.

Interventions

The interventions included postural re-education (arm 1), progressive resisted back extension exercise (arm 2), both (arm 3) and control (arm 4). The intervention period lasted for 12 weeks Arm 1 - Postural assessment and treatment by a physiotherapist including a home exercise programme. Three 20 - 30 minute sessions over the 12 week period. Arm 2 - Gym based strengthening programme with one initial instruction and two review sessions by the researcher lasting 20 - 30 minutes. The participants

The interventions included postural re-education (arm 1), progressive resisted back extension exercise (arm 2), both (arm 3) and control (arm 4). The intervention period lasted for 12 weeks Arm 1 - Postural assessment and treatment by a physiotherapist including a home exercise programme. Three 20 - 30 minute sessions over the 12 week period. Arm 2 - Gym based strengthening programme with one initial instruction and two review sessions by the researcher lasting 20 - 30 minutes. The participants were asked to do their exercise programme of 4 sets of 10 repetitions, 3 times a week for 12 weeks. Each session took approximately 15 minutes. Arm 3 - Attended the gym and received postural re-education from a physiotherapist as above. Arm 4 - Received no treatment intervention and were instructed to continue their normal daily routine. Both normal and stroke groups were randomised to the four intervention groups.

Sponsors

The ANU Medical School
Lead SponsorUniversity

Study design

Allocation
Randomised controlled trial
Intervention model
Factorial
Primary purpose
Treatment
Masking
Blinded (masking used)

Eligibility

Sex/Gender
All
Age
40 Years to No maximum
Healthy volunteers
Yes

Inclusion criteria

Over 40 Stroke Non stroke

Exclusion criteria

Under 40 Osteoporosis Serious spinal problems Unable to walk 10 metres Pregnancy Uncontrolled cardiac disease Neuropathy Myopathy

Outcome results

None listed

Source: ANZCTR · Data processed: Feb 4, 2026