Biofeedback Modalities Targeting Kyphosis and Lordosis: A Critical Appraisal Topic.

Background: Postural deviations such as thoracic kyphosis and lumbar lordosis are prevalent consequences of sedentary behavior, contributing to pain and disability. We aim to review the evidence on biofeedback modalities as active, user‐engaged alternatives to passive correction targeting kyphosis a...

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Publicado en:BioMed Research International Vol. 2026; pp. 1 - 16
Autores principales: Rajabi, Reza, Minoonejad, Hooman, Khorramroo, Fateme, Bafrouei, Mostafa Jalili, Banerjee, Baisakhi
Formato: research systematic review tables/charts Journal Article
Publicado: Wiley-Blackwell 4/29/2026
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 4/29/2026
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      pub: Wiley-Blackwell
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        10.1155/bmri/3879174
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        atl: Biofeedback Modalities Targeting Kyphosis and Lordosis: A Critical Appraisal Topic.
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          Rajabi, Reza
          Minoonejad, Hooman
          Khorramroo, Fateme
          Bafrouei, Mostafa Jalili
          Banerjee, Baisakhi
        affil: Department of Sport Injuries and Biomechanics, , Faculty of Sport Sciences and Health, , University of Tehran, , Tehran, Iran, ut.ac.ir
      sug:
        subj:
          Spinal Diseases Rehabilitation
          Biofeedback Methods
          Wearable Sensors Utilization
          Posture
          Kyphosis Prevention and Control
          Lordosis Prevention and Control
          Human
          Male
          Female
          Adult
          Systematic Review
          PubMed
          Accelerometers
          Checklists
          Electromyography
          Spine Physiology
          Pain Measurement
          Visual Analog Scaling
          Functional Assessment
          Clinical Assessment Tools
          Motion Capture
          Muscle, Skeletal Physiology
          Adult: 19-44 years
          Male
          Female
      ab: Background: Postural deviations such as thoracic kyphosis and lumbar lordosis are prevalent consequences of sedentary behavior, contributing to pain and disability. We aim to review the evidence on biofeedback modalities as active, user‐engaged alternatives to passive correction targeting kyphosis and lordosis posture. Methods: A systematic search of PubMed, Web of Science, Scopus, and IEEE Xplore (inception: September 2025) identified studies on adult populations. Primary outcomes were spinal alignment measures; secondary outcomes included muscle activity, pain, usability, and satisfaction. The results of the included studies were synthesized in a qualitative narrative way. Results: Fourteen studies involving 288 participants met inclusion criteria. Most studies used accelerometers or IMUs for posture detection. The most frequently applied modality was vibration feedback (n = 6), followed by auditory (n = 3), visual (n = 3), and multimodal systems (n = 2). Across studies, short‐term improvements were consistent: reduced kyphotic (up to 8°) and lordotic (up to 10°) angles, decreased pain, and improved trunk posture (p < 0.05); enhanced awareness and spinal muscle relaxation (p < 0.05); and actuator‐based systems achieved up to 25° of active correction but lacked long‐term data. Modalities showed usability and user satisfaction and had postural measurement error of 1°–4° across studies. Conclusion: Biofeedback modalities—particularly vibration and auditory systems—demonstrate measurable improvements in spinal alignment and engagement. Evidence is limited by low methodological rigor, small sample sizes, and short‐term focus. Future research should investigate the effectiveness of biofeedback in longitudinal, real‐world trials, with multimodal feedback and ergonomic integration for sustained postural correction.
      pubtype: Academic Journal
      doctype:
        research
        systematic review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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