The Effect of Holistic Corrective Exercise Program

The Effect of Holistic Corrective Exercise Program on Kyphosis Degree, Balance and Quality of Life in Kyphotic Adolescent

This study was planned to investigate the effect of holistic approach corrective exercise program on the degree of kyphosis, balance and quality of life in kyphotic adolescents. A holistic approach corrective exercise program including corrective exercises and postural perception training was applied to one group. Thoracic region focused exercise program was applied to the other group. The programs of the exercise groups were applied three days a week, for 12 weeks. The kyphosis angle of all individuals participating in the study was evaluated using the flexible ruler, the Romberg index measured with balance pedobarography, and the quality of life using the Scoliosis Research Society-22 Questionnaire (SRS-22). In our study, a decrease in the degree of kyphosis was detected in the holistic approach corrective exercise and thoracic region-focused exercise group after 12 weeks of exercise training (p<0.001), while no change was observed in the control group (p>0.05). Balance improved after exercise training in the holistic corrective exercise group (p=0.006). The quality of life increased in the holistic approach corrective exercise and thoracic region focused exercise groups after the training (p<0.001). The use of postural perception training together with corrective exercise programs in applications for thoracic kyphosis reveals a holistic approach and may increase the effect of the intervention.

Study Overview

• Status: Completed
• Conditions: Kyphosis Thoracic
• Intervention / Treatment: Behavioral: Holistic Corrective Exercise Program; Other: Thoracic exercise program

• Study Type: Interventional
• Enrollment (Actual): 62
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Turkey (Türkiye)
  • Gazi̇antep
    • Şehitkamil, Gazi̇antep, Turkey (Türkiye)
      • Hasan Kalyoncu Üniversitesi

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 10 years to 18 years (Child, Adult)
• Accepts Healthy Volunteers: Yes

Description

Inclusion Criteria:

• Male individual between the ages of 10-18,
• Kyphosis degree ≥50°,

Exclusion Criteria:

• Rrigid thoracic kyphosis
• Scoliosis with a Cobb angle >10°
• Congenital spine problem,
• Shoulder, pelvis and other spinal injuries

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Treatment
• Allocation: Randomized
• Interventional Model: Factorial Assignment
• Masking: None (Open Label)

Number of Arms

3

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Holistic Corrective Exercise Program; A holistic approach corrective exercise program including corrective exercises and postural perception training	Behavioral: Holistic Corrective Exercise Program; A holistic approach corrective exercise program including corrective exercises and postural perception training,
Experimental: Thoracic exercise program; Thoracic region focused exercise program	Other: Thoracic exercise program; Thoracic region focused exercise program
No Intervention: control group; Individuals in the control group were asked to continue their activities of daily living.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
The Kyphosis angle by using flexible ruler	Flexible ruler	12 weeks

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Balance assesment by using the romberg index	the Romberg index, Pedobarography	12 weeks

Other Outcome Measures

Outcome Measure	Measure Description	Time Frame
Quality of Life by using SRS-22	Scoliosis Research Society-22 Questionnaire (SRS-22)	12 weeks

Collaborators and Investigators

• Sponsor: Gaziantep Islam Science and Technology University
• Investigators: Principal Investigator: GÖNÜL ELPEZE, HKU

Study record dates

Study Major Dates

• Study Start (Actual): February 15, 2022
• Primary Completion (Actual): May 15, 2022
• Study Completion (Actual): June 21, 2022

Study Registration Dates

• First Submitted: September 2, 2022
• First Submitted That Met QC Criteria: September 2, 2022
• First Posted (Actual): September 7, 2022

Study Record Updates

• Last Update Posted (Estimated): September 2, 2025
• Last Update Submitted That Met QC Criteria: August 29, 2025
• Last Verified: August 1, 2025

More Information

Terms related to this study

• Additional Relevant MeSH Terms: Musculoskeletal Diseases; Spinal Diseases; Bone Diseases; Spinal Curvatures; Kyphosis
• Other Study ID Numbers: HKU-GE-KYPHOSİS

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No