The effect of elderly-specific spinal orthoses on muscle function and kyphosis angle in elderly subjects: systematic review and meta-analysis.
Purpose: Age-related postural hyper-kyphosis is an exaggerated anterior curvature of the thoracic spine, that impairs balance and increases the risk of falls and fractures in elderly subjects. Our objectives are to review the effect of elderly-specific spinal orthoses on muscle function and kyphosis...
| Publicado en: | Disability & Rehabilitation Vol. 47; no. 6; pp. 1353 - 1368 |
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| Autores principales: | , , , , |
| Formato: | research systematic review tables/charts Journal Article |
| Publicado: |
Taylor & Francis Ltd
Mar2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=183684683&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 183684683 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09638288 B73 jtl: Disability & Rehabilitation issn: 09638288 maglogo: Y pubinfo: dt: Mar2025 vid: 47 iid: 6 pid: 377 pub: Taylor & Francis Ltd place: Philadelphia, Pennsylvania artinfo: ui: 183684683 178371148 183684683 183684683 10.1080/09638288.2024.2374495 183684683 ppf: 1353 ppct: 15 formats: tig: atl: The effect of elderly-specific spinal orthoses on muscle function and kyphosis angle in elderly subjects: systematic review and meta-analysis. aug: au: Veiskarami, Masoumeh Aboutorabi, Atefeh Mohammadi, Rasool Gholami, Mehrdad Khamesi, Ebrahim affil: Department of Physiotherapy, School of Allied Medical Sciences, Lorestan University of Medical Sciences, Khorramabad, Iran sug: subj: Orthoses Muscle, Skeletal Physiology Kyphosis Therapy Spine Anatomy and Histology Human Systematic Review Meta Analysis Aged PubMed Cochrane Library Questionnaires Descriptive Statistics Back Physiology Muscle Strength Evaluation Pain Prevention and Control Medline Models, Statistical Data Analysis Software Male Female Narratives Evaluation After Care Publication Bias Aged: 65+ years Male Female ab: Purpose: Age-related postural hyper-kyphosis is an exaggerated anterior curvature of the thoracic spine, that impairs balance and increases the risk of falls and fractures in elderly subjects. Our objectives are to review the effect of elderly-specific spinal orthoses on muscle function and kyphosis angle in this subjects. Materials and Methods: We searched PubMed, Scopus, ISI web of Knowledge, ProQuest and Cochrane library to identify relevant studies that assessed efficacy of spinal orthoses on muscle function and kyphosis angle of elderly subjects with elderly with hyper-kyphosis. Quality assessment was implemented using the Downs and Black scale. Results: Results for 709 individuals were described in 18 articles which 12 studies involved RCT. There was significant difference for kyphosis angle after use of orthosis of 148 participants (SMD: −3.79, 95% CI −7.02 to −0.56, p < 0.01). Except one study, all of studies showed significantly increased on the back muscle strength when the participants wore the spinal orthosis and this effect was significantly better in long-term follow up (MD: 84.73; 95% CIs, 23.24 to 146.23; p < 0.01). In the outcome of pain, the efficacy brought by orthosis was large and significant (SMD: −1.66; 95% CIs, −2.39 to 0.94; p < 0.01). Conclusions: Spinal orthosis may be an effective treatment for elderly hyper-kyphosis. However, the small number, and heterogeneity of the included studies, indicate that higher-quality studies should be conducted to verify the effectiveness and orthosis in hyper-kyphosis. IMPLICATIONS FOR REHABILITATION: Age-related postural hyper kyphosis is an exaggerated anterior curvature of the thoracic spine, that impairs balance and increases the risk of falls and fractures in elderly subjects. Based on the findings of this review, elderly specific spinal orthoses may be recommended as effective device for elderly hyper kyphotic subjects. Spinal orthoses prescription is important for health practitioners to consider when planning treatment. pubtype: Academic Journal doctype: meta analysis research systematic review tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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