Evidence map›Paper›PMID 23850611›Full record

SynthesisArchives of physical medicine and rehabilitation2014

Exercise for improving age-related hyperkyphotic posture: a systematic review.

Symron Bansal, Wendy B Katzman, Lora M Giangregorio

2 registry-linked trialsOpen access · bronzeAbstract readSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in Archives of physical medicine and rehabilitation, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 64 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
64citing papers in PubMed, 6 pooled it
4.1field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06835608 narecruitingnot on this mapstarted 2025, after this paper: background citation

Effects of Schroth-Based Three-Dimensional Exercise Program on Angle of Kyphosis, Muscle Strength, Balance, Pain, and Quality of Life in Patients With Postural Hyperkyphosis With Chronic Neck Pain

TypeinterventionalSponsorBaskent UniversityRan2025 to 2026Enrolled52ConditionsPostural Kyphosis, Chronic Neck PainArmsSchroth Exercise Group, Postural Exercises Group
NCT07282951 naactive not recruitingnot on this mapstarted 2025, after this paper: background citation

Strong Evidence: Randomized Digitally Delivered Fall-Prevention Exercise Trial in Older Adults

TypeinterventionalSponsorUniversity of California, San DiegoRan2025 to 2027Enrolled60ConditionsFall Prevention, Fall Prevention in Healthy AgingArmsDigitally Delivered Exercise
3 · Its place in the literature

Who cites it

64 citing papers in PubMed, 6 syntheses or guidelines pooled it, 123 citations in OpenAlex.

  1. Effect of Therapeutic Exercise on the Management of Hyperkyphosis in Adolescence and Young Adulthood: A Systematic Review.Physiotherapy research international : the journal for researchers and clinicians in physical therapy · 2025
    Pooled it
  2. The impact of exercise on spinal posture in adolescents: a systematic review.Revista paulista de pediatria : orgao oficial da Sociedade de Pediatria de Sao Paulo · 2025
    Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Pooled it
  7. Trial
  8. Trial
  9. Trial
  10. Trial
  11. High-intensity exercise did not cause vertebral fractures and improves thoracic kyphosis in postmenopausal women with low to very low bone mass: the LIFTMOR trial.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2019
    Trial
  12. Trial
  13. Trial
  14. Targeted spine strengthening exercise and posture training program to reduce hyperkyphosis in older adults: results from the study of hyperkyphosis, exercise, and function (SHEAF) randomized controlled trial.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2017
    Trial
  15. Trial
  16. Article
  17. Review
  18. Article
  19. Who benefits from home-based exercise for adult spinal deformity? A prospective multicenter study on clinical and radiographic predictors.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2025
    Article
  20. Article

4 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 2 institutions in 2 countries.

Symron BansalDepartment of Kinesiology, University of Waterloo, Waterloo, ON, Canada.
Wendy B KatzmanDepartment of Physical Therapy and Rehabilitation Science, University of California, San Francisco, San Francisco, CA.
Lora M GiangregorioDepartment of Kinesiology, University of Waterloo, Waterloo, ON, Canada. Electronic address: Lora.giangregorio@uwaterloo.ca.
University of California, San Francisco · USUniversity of Waterloo · CA

Funding

Sex Differences in response to an exercise for hyperkyphosisP50AR063043 · NIAMS · UNIVERSITY OF CALIFORNIA AT DAVIS · PI GOLD, ELLEN B. · 2012 to 2017
$5.7M
Study of Hyperkyphosis, Exercise and Function - SHEAFR01AG041921 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI KATZMAN, WENDY BETH · 2012 to 2016
$2.4M
CIHRNIAMS NIH HHS P50 AR063043NIA NIH HHS R01 AG041921
6 · The paper itself

Abstract

objectiveTo evaluate previous research to determine if exercise can improve preexisting hyperkyphosis by decreasing the angle of thoracic kyphosis in adults aged ≥45 years. DATA SOURCES: PubMed, Embase, and the Cumulative Index to Nursing and Allied Health Literature databases were searched for studies related to posture, exercise, and age ≥45 years. Online conference proceedings of the American Society for Bone and Mineral Research, American Physical Therapy Association, and Gerontological Society of America were also searched. STUDY SELECTION: Two independent reviewers screened the titles and abstracts and selected studies that tested the effect of exercise on measures of kyphosis, or forward head posture, in individuals with hyperkyphosis at baseline (defined as angle of kyphosis ≥40°). Reviews, letters, notes, and non-English language studies were excluded. DATA EXTRACTION: A pilot-tested abstraction form was used by each reviewer to extract data from each study regarding details of exercise intervention, participant characteristics, safety, adherence, and results. The Cochrane Collaboration's tool for assessing risk of bias was used to assess methodologic quality. Discrepancies on the abstraction forms between the 2 reviewers were resolved by a third reviewer. A formal meta-analysis was not performed. DATA SYNTHESIS: Thirteen studies were abstracted and included in the review; of these, 8 studies saw improvements in ≥1 measure of posture. The main sources of bias were related to blinding participants and incomplete outcome data. The adherence reported across studies suggests that exercise is an acceptable intervention for individuals with age-related hyperkyphosis.

conclusionsThe scarcity and quality of available data did not permit a pooled estimate of the effect of exercise on hyperkyphotic posture; however, the positive effects observed in high-quality studies suggest some benefit and support the need for an adequately designed randomized controlled trial examining the effect of exercise on hyperkyphosis.

Indexed as

AgedAgingClinical Trials as TopicExerciseFemaleHumansKyphosisMaleMiddle AgedPostureAgedback extensor muscle strengthBESExerciseintention-to-treat analysisITTKyphosisrandomized controlled trialRCTRehabilitationVCFvertebral compression fracture

Identifiers

PMID23850611
PMCPMC3997126
OpenAlexW2021705789

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.