Evaluation and Comparison of Different Approaches to Improve Posture and Balance in Older Adults with Hyperkyphosis

Comparison of the effects of Spinomed orthosis, posture training support and exercise therapy on kyphosis angle, back pain, balance, back extensor muscle strength, quality of life and walking parameters in the older adult with hyperkyphosis: a clinical trial

Status

Active, not recruiting

Phases

Unknown

Study type

Interventional

Source

IRCT

Registry ID

IRCT20250606066092N1

Enrollment

Registered

2025-06-10

Start date

2025-06-22

Completion date

Unknown

Last updated

2026-06-01

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

Conditions

Hyperkyphosis. Hyperkyphosis

Interventions

Intervention 1: Use of Spinomed orthosis for 6 hours daily over 12 weeks, combined with an exercise therapy program including back extensor strengthening, balance training, and gait correction, three

Eligibility

Sex/Gender

All

Age

60 Years to 80 Years

Inclusion criteria

Inclusion criteria: Age between 60 and 80 yearsPresence of hyperkyphosis with a Cobb angle between 50 and 65 degreesAbility to walk independently without assistive devicesAbility to stand for at least 2 minutes without assistanceScore of 7 or higher on the Abbreviated Mental Test (AMT)No history of orthosis use in the past 6 months

Exclusion criteria

Exclusion criteria: Any neurological or myopathic disorderAny neuromuscular dysfunctionPresence of scoliosisHistory of lower limb joint replacementHearing or visual impairmentsHistory of spinal or lower limb fracture or surgery within the past 12 monthsBack or neck pain greater than 3 on the Visual Analog Scale (VAS) at the time of assessment

Design outcomes

Primary

Measure	Time frame
Kyphosis angle. Timepoint: Kyphosis angle will be measured at two time points:At baseline (before the start of intervention)After completion of the intervention (end of week twelve). Method of measurement: Kyphosis angle will be assessed using lateral thoracic spine radiography and calculated using the Cobb angle method.	—

Secondary

Measure	Time frame
Low back pain intensity, Static and dynamic balance, Back extensor muscle strength, Quality of life. Timepoint: At baseline (before the start of the intervention),At the end of the intervention (after 12 weeks). Method of measurement: Low back pain intensity: Measured using the ten-centimeter Visual Analogue ScaleStatic and dynamic balance: Assessed by Force Plate analysis and the Timed Up and Go TestBack extensor muscle strength: Measured using a handheld dynamometerQuality of life: Assessed by the Short Form 36-Item Health Survey QuestionnaireGait parameters: Evaluated using a three-dimensional motion analysis system.	—

Measure

Time frame

Low back pain intensity, Static and dynamic balance, Back extensor muscle strength, Quality of life. Timepoint: At baseline (before the start of the intervention),At the end of the intervention (after 12 weeks). Method of measurement: Low back pain intensity: Measured using the ten-centimeter Visual Analogue ScaleStatic and dynamic balance: Assessed by Force Plate analysis and the Timed Up and Go TestBack extensor muscle strength: Measured using a handheld dynamometerQuality of life: Assessed by the Short Form 36-Item Health Survey QuestionnaireGait parameters: Evaluated using a three-dimensional motion analysis system.

—

Countries

Iran (Islamic Republic of)

Contacts

Public ContactZeinab Gasavi Nezhad

University of social welfare and rehabilitation sciences

gasavizeinab@gmail.com+98 21 2218 0010

Outcome results

None listed

Source: IRCT (via WHO ICTRP) · Data processed: Jun 11, 2026