Dynamic Posture and Head Position in Kyphotic Female and Male (DPHP)

Comparison of Dynamic Posture and Head Position in Kyphotic Individuals According to Gender

This study examined the comparison of dynamic posture and head position in kyphotic ındividuals according to gender.

Methods: A total of 54 female and male adolescents (between the ages of 12 and 18) with a thoracic kyphosis (TK) angle of ≥ 50° were divided into two groups according to gender.

The kyphosis angle, dynamic postural performance, and forward head position were measured using a flexible ruler, Mathiass test, and occiput wall distance.

Study Overview

• Status: Completed
• Conditions: Postural, Thoracic Kyphosis; Postural Kyphosis; Kyphosis Thoracic
• Intervention / Treatment: Diagnostic test: The kyphosis angle; Diagnostic test: dynamic postural performance; Diagnostic test: forward head position

Detailed Description

This study examined the comparison of dynamic posture and head position in kyphotic ındividuals according to gender.

Methods: This observational cross-sectional study was conducted with 54 subjects. Subjects aged 12 to 18 years with a kyphosis angle of ≥50º and the children and their parents who agreed to participate in the study were included. Individuals with Scheurmann kyphosis, scoliosis (Cobb angle >10°), and other congenital spine abnormalities were excluded.

The kyphosis angle was measured using a smartphone inclinometer. Dynamic posture was assessed using the Matthias test. Head position was obtained using occiput-wall distance.

• Study Type: Observational
• Enrollment (Actual): 54

Contacts and Locations

Study Locations

• Turkey
  • Gaziantep, Turkey
    • Gaziantep Islam Science and Technology University

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Child; Adult
• Accepts Healthy Volunteers: No

• Sampling Method: Non-Probability Sample

Study Population

ADOLESCENT

Description

Inclusion Criteria:

• Subjects with a kyphosis angle of ≥50º and the children and their parents who agreed to participate in the study were included.

Exclusion Criteria:

• Individuals with Scheurmann kyphosis, scoliosis (Cobb angle >10°), and other congenital spine abnormalities were excluded.

Study Plan

How is the study designed?

Number of groups / cohorts

2

Cohorts and Interventions

Group / Cohort	Intervention / Treatment
Female; Thoracic kyphosis (TK) angle of ≥ 50° The kyphosis angle, dynamic postural performance, forward head position	Diagnostic test: The kyphosis angle; The subject was positioned in a neutral standing position. the short side of the phone was placed on the T1-3 spinous process and the protractor was set to 0°. Subsequently, the phone was placed on the T12, and the angular value displayed on the screen was recorded as the kyphotic angle.; Other Names: Thorasic kyphosis; Diagnostic test: dynamic postural performance; The test measures spinal alignment deviations during static loading in the 90° shoulder flexion position. The test measurements are made in a standing position with arms 90° flexed, without weight, and after 30 seconds with weight.; Other Names: Matthias Test; Diagnostic test: forward head position; The individual stands with his heels and pelvis in contact with the wall. The severity of kyphosis is interpreted by measuring the distance between the occiput and the wall in cm with the head facing forward. The intensity of kyphosis is classified as mild (≤5 cm), moderate (5.1-8 cm) and severe (>8 cm); Other Names: Occiput-Wall Distance
Male; Thoracic kyphosis (TK) angle of ≥ 50° The kyphosis angle, dynamic postural performance, forward head position	Diagnostic test: The kyphosis angle; The subject was positioned in a neutral standing position. the short side of the phone was placed on the T1-3 spinous process and the protractor was set to 0°. Subsequently, the phone was placed on the T12, and the angular value displayed on the screen was recorded as the kyphotic angle.; Other Names: Thorasic kyphosis; Diagnostic test: dynamic postural performance; The test measures spinal alignment deviations during static loading in the 90° shoulder flexion position. The test measurements are made in a standing position with arms 90° flexed, without weight, and after 30 seconds with weight.; Other Names: Matthias Test; Diagnostic test: forward head position; The individual stands with his heels and pelvis in contact with the wall. The severity of kyphosis is interpreted by measuring the distance between the occiput and the wall in cm with the head facing forward. The intensity of kyphosis is classified as mild (≤5 cm), moderate (5.1-8 cm) and severe (>8 cm); Other Names: Occiput-Wall Distance

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Matthias test	Matthias test assesses dynamic postural performance	1 year

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Occiput wall distance	Occiput wall distance is an assessment method to determine forward head posture in clinical settings.	1 year

Collaborators and Investigators

• Sponsor: Gaziantep Islam Science and Technology University
• Investigators: Principal Investigator: Gonul Elpeze, Asst. Prof., Gaziantep Islam Science and Technology University Physical Therapy and Rehabilitation Department

Study record dates

Study Major Dates

• Study Start (Actual): June 16, 2023
• Primary Completion (Actual): January 20, 2024
• Study Completion (Actual): June 5, 2024

Study Registration Dates

• First Submitted: July 9, 2024
• First Submitted That Met QC Criteria: July 23, 2024
• First Posted (Actual): July 26, 2024

Study Record Updates

• Last Update Posted (Actual): July 26, 2024
• Last Update Submitted That Met QC Criteria: July 23, 2024
• Last Verified: July 1, 2024

More Information

Terms related to this study

• Additional Relevant MeSH Terms: Musculoskeletal Diseases; Spinal Diseases; Bone Diseases; Spinal Curvatures; Kyphosis
• Other Study ID Numbers: GIBSTU

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