تازه های تحقیق
عنوان مقاله [English]
Background & Purpose: Sway back posture is one of the most common spinal deformity in the young population. This deformity, due to its passive nature, was more likely to be associated back pain and Scheuermann kyphosis compared with the kyphosis, lordosis and flat back. The aim of the present study was to compare the effects of three corrective exercise methods on the spinal alignment of individuals with sway back posture.
Methodology: the study subjects included 52 sway back students with the average age, 20/61 ± 1/17, weight, 67/47 ± 12/34 and Height, 172/25 ± 6/62 that were purposefully selected and randomly classified into three experimental (each group with n=13) and one control groups(n=13). Pre- and post-exercise spinal postural alignment was measured by; forward head, kyphosis, lordosis, pelvic tilt and the sway angles. Experimental groups 1, 2 and 3 received core, routines and combined exercises for 12 weeks, three sessions per week and 40 to 80 minutes per session and control group participated in their daily routine activities. Data were analyzed by MANCOVA method at the 0.05 significant levels.
Results: The findings showed that each of the three methods of exercise has a significant effect on spinal alignment of sway back people, but a combined exercise has a significant better effectiveness than two other methods (Based on effect size).
Conclusion: So, combined corrective exercise can be recommended to correct spinal alignment of sway back, due to the better efficiency of these exercises.
##Naderi A, Shaabani F, Malki F, Khosravi F. 2017. Kinematic changes of body alignment resulting from backpack weight, location and carrying duration in 10 to 12 years old boy schoolchildren (Persian). Applied Sport Physiology Journal. 13(25):
25-36.##Penha PJ, João SMA, Casarotto RA, Amino CJ, Penteado DC. 2005. Postural assessment of girls between 7 and 10 years of age. Clinics. 60(1):9-16.##Simurgh L, Kheirkhah M, Khalkhali ZM. 2006. The survey of Sway back posture prevalence and changes in different parts of the spine, hip and lower extremity in this postural disorder. Rehabilitation Journal. 7(2):1-6.##Singla D, Veqar Z. 2014. Methods of postural assessment used for sports persons. Journal of clinical and diagnostic research. 8(4): 127-134.##Wassmann K. 1951. Kyphosis Juvenilis Scheuermann—an occupational disorder. Acta Orthopaedica Scandinavica. 21(1):65-74.##O’sullivan PB, Grahamslaw KM, Kendell M, Lapenskie SC, Möller NE, Richards KV. 2002. The effect of different standing and sitting postures on trunk muscle activity in a pain-free population. Spine. 27(11):1238-44.##Reeve A, Dilley A. 2009. Effects of posture on the thickness of transversus abdominis in pain-free subjects. Manual therapy. 14(6):679-84.##Eynollah N. 2017. Does obesity affect the efficacy of therapeutic exercise on pain intensity and disability in patients with chronic non-specific low back pain (Persian). JAP. 7(4):71-83.##Dejanovic A, Cambridge ED, McGill S. 2013. Does Spine Posture Affect Isometric Torso Muscle Endurance Profiles in Adolescent Children? Advances in Physical Education. 3(03):111- 127.##Swaney MR, Hess RA. 2003. The effects of core stabilization on balance and posture in female collegiate swimmers. J Athl Train S. 38:95.##Ball J, Cagle P, Johnson B, Lucasey C, Lukert B. 2009. Spinal extension exercises prevent natural progression of kyphosis. Osteoporosis International. 20(3):481-9.##Vaughn DW, Brown EW. 2007. The influence of an in-home based therapeutic exercise program on thoracic kyphosis angles. J Back Musculoskelet Rehabil. 20(4):155-65.## Lynch SS, Thigpen CA, Mihalik JP, Prentice WE, Padua D. 2010. The effects of an exercise intervention on forward head and rounded shoulder postures in elite swimmers. British journal of sports medicine. 44(5):376-81.##Seidi F ea. 2013. The Effects of a 10-week corrective exercise program on postural abnormal kyphosis. Sports medicine. 1(10):5-22.##Seidi F, Rajabi R, Ebrahimi I, Alizadeh MH, Minoonejad H. 2014. The efficiency of corrective exercise interventions on thoracic hyper-kyphosis angle. Journal of back and musculoskeletal rehabilitation. 27(1):7-16.##Harman K, Hubley-Kozey CL, Butler H. 2005. Effectiveness of an exercise program to improve forward head posture in normal adults: a randomized, controlled 10-week trial. Journal of Manual & Manipulative Therapy. 13(3):163-76.##Ruivo RM, Pezarat-Correia P, Carita AI. 2017. Effects of a Resistance and Stretching Training Program on Forward Head and Protracted Shoulder Posture in Adolescents. Journal of manipulative and physiological therapeutics. 40(1):1-10.## Page P, Frank C, Lardner R. 2010. Assessment and treatment of muscle imbalance: the Janda approach: Human kinetic.p 184-219.##Yalfani A AM, Nikoo R, Naderi A. 2014. Relationship between postural control with Sway- back malalignment in the non-athlete males (Persian). Journal of Ilam University of medical science. 22(5):189-201.##Kendall JC, Bird AR, Azari MF. 2014. Foot posture, leg length discrepancy and low back pain–Their relationship and clinical management using foot orthoses–An overview. The Foot. 24(2):75-80.## Sahrmann S. 2002. Diagnosis and treatment of movement impairment syndromes: Elsevier Health Sciences.p 154-173.##Schwab F, Lafage V, Patel A, Farcy J-P. 2009. Sagittal plane considerations and the pelvis in the adult patient. Spine. 34(17):1828-33.##Vaz G, Roussouly P, Berthonnaud E, Dimnet J. 2002. Sagittal morphology and equilibrium of pelvis and spine. European spine journal. 11(1):80-7.##Evans C, Margison F, Barkham M. 1998. The contribution of reliable and clinically significant change methods to evidence-based mental health. Evidence-Based Mental Health. 1(3):70-2.##Pezolato A, de Vasconcelos EE, Defino HLA, Nogueira-Barbosa MH. 2012. Fat infiltration in the lumbar multifidus and erector spinae muscles in subjects with sway-back posture. European Spine Journal. 21(11):2158-2164.##Raine S, Twomey LT. 1997. Head and shoulder posture variations in 160 asymptomatic women and men. Archives of physical medicine and rehabilitation. 78(11):1215-23.##Coelho Júnior AN, Gazzola JM, Gabilan YPL, Mazzetti KR, Perracini MR, Ganança FF. 2010. Head and shoulder alignment among patients with unilateral vestibular hypofunction. Brazilian Journal of Physical Therapy. 14(4):330-6.##Hoppenfeld S, Hutton R, Hugh T. 1976. Physical examination of the spine and extremities: Appleton-Century-Crofts New York; p 32-43.##Greig AM, Bennell KL, Briggs AM, Hodges PW. 2008. Postural taping decreases thoracic kyphosis but does not influence trunk muscle electromyographic activity or balance in women with osteoporosis. Manual therapy. 13(3):249-57.##Jonson LSR, Gross MT. 1997. Intraexaminer reliability, interexaminer reliability, and mean values for nine lower extremity skeletal measures in healthy naval midshipmen. Journal of Orthopaedic & Sports Physical Therapy. 25(4):253-63.##Vaughn DW, Brown EW. 2007. The influence of an in-home based therapeutic exercise program on thoracic kyphosis angles. Journal of Back and Musculoskeletal Rehabilitation. 20(4):155-65.##Katzman WB, Sellmeyer DE, Stewart AL, Wanek L, Hamel KA. 2007. Changes in flexed posture, musculoskeletal impairments, and physical performance after group exercise in community-dwelling older women. Arch Phys Med Rehabil. 88(2):192-9.##Wang C-C, Chu C-H, Chu I-H, Chan K-H, Chang Y-K. 2013. Executive function during acute exercise: the role of exercise intensity. Journal of Sport and Exercise Psychology. 35(4):358-67.##Falla D, Jull G, Russell T, Vicenzino B, Hodges P. 2007. Effect of neck exercise on sitting posture in patients with chronic neck pain. Physical therapy. 87(4):408-17.## Ekstrom RA, Donatelli RA, Carp KC. 2007. Electromyographic analysis of core trunk, hip, and thigh muscles during 9 rehabilitation exercises. journal of orthopaedic & sports physical therapy. 37(12):754-62.##Sinaki M, Huntoon E. 2011. Back pain in the osteoporotic individual: A physiatric approach. Techniques in Regional Anesthesia and Pain Management. 15(2): 64-8.##Kuo Y-L, Tully EA, Galea MP. 2009. Sagittal spinal posture after Pilates-based exercise in healthy older adults. Spine. 34(10):1046-51.##Cohen J. 1973. Eta-squared and partial eta-squared in fixed factor ANOVA designs. Educational and psychological measurement. 33(1):107-12.##Benedetti MG, Berti L, Presti C, Frizziero A, Giannini S. 2008. Effects of an adapted physical activity program in a group of elderly subjects with flexed posture: clinical and instrumental assessment. Journal of neuroengineering and rehabilitation. 5(1):32-39.##Hanfy HM, Awad MA, Allah A. 2012. Effect of exercise on postural kyphosis in female after puberty. Indian Journal of Physiotherapy and Occupational Therapy. 6(3):190-198.##Renno AC, Granito RN, Driusso P, Costa D, Oishi J. 2005. Effects of an exercise program on respiratory function, posture and on quality of life in osteoporotic women: a pilot study. Physiotherapy. 91(2):113-8.## Bergström I, Bergström K, Kronhed A-CG, Karlsson S, Brinck J. 2011. Back extensor training increases muscle strength in postmenopausal women with osteoporosis, kyphosis and vertebral fractures. Advances in Physiotherapy. 13(3):110-7.## Schuerman S. 1998. Relationships between postural exercise and risk factors for falling in individuals with osteoporosis [dissertation]. Omaha: University of Nebraska, pp.22-35.##Young M. 2002. A review on postural realignment and its muscular and neural components. British Journal of Sports Medicine. 9(12):51-76.##Norris CM. Back stability: integrating science and therapy: Human Kinetics; 2008.##Naderi A, Rezvani MH, Shaabani F, Bagheri Sh. 2018. Effects of Kyphosis Correction Exercise on Physical Function, Balance and Quality of Life, in Older Men with Hyperkyphosis. Iranian Journal of ageing (SALMAND). in Press.##Clément J-L, Geoffray A, Yagoubi F, Chau E, Solla F, Oborocianu I, et al. 2013. Relationship between thoracic hypokyphosis, lumbar lordosis and sagittal pelvic parameters in adolescent idiopathic scoliosis. European Spine Journal. 22(11):2414-20.##Snijders CJ, Ribbers MT, de Bakker HV, Stoeckart R, Stam HJ. 1998. EMG recordings of abdominal and back muscles in various standing postures: validation of a biomechanical model on sacroiliac joint stability. Journal of Electromyography and Kinesiology. 8(4):205-14.##