Relationship of thoracic kyphosis to functional reach and lower-extremity joint range of motion and muscle length in women with osteoporosis or osteopenia: a pilot study.

The purpose of the study was to determine whether a relationship existed between the magnitude of thoracic kyphosis in women with osteoporosis or osteopenia and their Functional Reach (FR) test scores, lower-extremity active joint ranges of motion (AROM), and lower-extremity muscle length. Sixteen w...

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Publicado en:Topics in Geriatric Rehabilitation Vol. 20; no. 4; pp. 297 - 307
Autores principales: Chow SB, Moffat M
Formato: pictorial research tables/charts Journal Article
Publicado: Lippincott Williams & Wilkins Oct-Dec2004
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Oct-Dec2004
      vid: 20
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      pub: Lippincott Williams & Wilkins
      place: Baltimore, Maryland
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        atl: Relationship of thoracic kyphosis to functional reach and lower-extremity joint range of motion and muscle length in women with osteoporosis or osteopenia: a pilot study.
      aug:
        au:
          Chow SB
          Moffat M
        affil: Rehabilitation Department, Hospital for Special Surgery, 535 E 70th St, New York, NY 10021; SPBCPT@AOL.com
      sug:
        subj:
          Kyphosis Complications
          Muscle, Skeletal
          Osteoporosis Complications
          Osteoporosis Rehabilitation
          Physical Therapy
          Range of Motion
          Aged
          Aged, 80 and Over
          Ankle Joint
          Balance, Postural
          Clinical Assessment Tools
          Concurrent Validity
          Construct Validity
          Convenience Sample
          Criterion-Related Validity
          Data Analysis Software
          Descriptive Statistics
          Female
          Goniometry
          Hip Joint
          Interrater Reliability
          Intraclass Correlation Coefficient
          Knee Joint
          Kyphosis Etiology
          Middle Age
          Muscle Strength
          Outpatients
          P-Value
          Physical Therapy Assessment
          Pilot Studies
          Predictive Validity
          Rehabilitation Patients
          Spearman's Rank Correlation Coefficient
          Test-Retest Reliability
          Thoracic Vertebrae
          Human
          Aged: 65+ years
          Aged, 80 & over
          Middle Aged: 45-64 years
          Female
      ab: The purpose of the study was to determine whether a relationship existed between the magnitude of thoracic kyphosis in women with osteoporosis or osteopenia and their Functional Reach (FR) test scores, lower-extremity active joint ranges of motion (AROM), and lower-extremity muscle length. Sixteen women with diagnoses of osteoporosis or osteopenia between the ages of 49 and 81 referred to outpatient physical therapy volunteered for the study. Tests were performed and measurements obtained during the initial physical therapy examination. The magnitude of thoracic kyphosis was measured with a flexicurve and expressed as the kyphosis index (KI). Lower-extremity AROM and muscle length were measured with a universal goniometer. The Spearman rank correlation coefficients were computed between KI and FR scores, KI and AROM of the lower extremities, and KI and muscle length of the lower extremities. Statistically significant negative correlations existed between KI and FR (r = -0.60, P < .01); KI and left plantar flexion AROM (r = -0.52, P < .05); KI and right knee flexion AROM (r = -0.44, P < .05); KI and left rectus femoris length (r = -0.55, P < .05); KI and right hamstring length (r = -0.62, P < .01); and KI and right gastrocnemius length (r = -0.66, P < .01). There were statistically significant relationships between the magnitude of thoracic kyphosis in women with osteoporosis or osteopenia and their FR test scores, and lower-extremity AROM and muscle length. Physical therapists treating women diagnosed with osteoporosis and osteopenia with the postural impairment of increased thoracic kyphosis should incorporate interventions to improve lower-extremity AROM and muscle length.
      pubtype: Academic Journal
      doctype:
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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