SynthesisArchives of osteoporosis2021
Exercise for improving age-related hyperkyphosis: a systematic review and meta-analysis with GRADE assessment.
Synthesis in Archives of osteoporosis, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 19 papers, 2 of them syntheses that pooled 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.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
19 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- 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 · 2025Pooled it
- Clinical practice guideline for management of osteoporosis and fracture prevention in Canada: 2023 update.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2023Guideline
- Improving spinal alignment through innovative resistance training with outdoor fitness equipment in middle-aged and older adults: a randomized controlled trial.Scientific reports · 2025Trial
- The Effects of Movement-Based Exercises Combined with Respiratory Techniques on the Thoracic Kyphosis Angle in Individuals with Thoracic Hyperkyphosis: A Systematic Review and Meta-Analysis.Healthcare (Basel, Switzerland) · 2026Review
- Accuracy of automated segmentation of gluteus and paraspinal muscles in patients with hip osteoarthritis using TotalSegmentator in 3Dslicer.Arthroplasty (London, England) · 2026Article
- Latent profile analysis of health-related quality of life among older adults with age-related thoracic hyperkyphosis.Scientific reports · 2026Article
- Dynamic neuromuscular stabilization versus traditional training: a randomized controlled trial comparing their effects on balance, posture, and quality of life in adolescents with increased thoracic kyphosis.BMC sports science, medicine & rehabilitation · 2026Article
- The association between hyperkyphosis and physical function in geriatric outpatients with frailty.Archives of osteoporosis · 2026Article
- Application of Conservative Methods Based on Exercise in Reducing the Kyphotic Angle: A Meta-Analysis.Healthcare (Basel, Switzerland) · 2025Review
- Survey of Knowledge, Attitudes, and Levels of Confidence Regarding Age-Related Hyperkyphosis and Its Management among Thai Physiotherapists.Healthcare (Basel, Switzerland) · 2024Article
- The Effectiveness of Exercise Programs in Adolescents with Thoracic Kyphosis: A Narrative Review.Healthcare (Basel, Switzerland) · 2024Review
- Article
- Does stretching of anterior structures alone, or in combination with strengthening of posterior structures, decrease hyperkyphosis and improve posture in adults? A Systematic Review and Meta-analysis.Journal of frailty, sarcopenia and falls · 2023Review
- Don't Throw the 'Bio' out of the Bio-Psycho-Social Model: Editorial for Spine Rehabilitation in 2022 and Beyond.Journal of clinical medicine · 2023Article
- International consensus on the non-pharmacological and non-surgical management of osteoporotic vertebral fractures.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2023Article
- Immediate Effects of Isolated Lumbar Extension Resistance Exercise (ILEX) on Spine Posture and Mobility Measured with the IDIAG Spinal Mouse System.Journal of functional morphology and kinesiology · 2023Article
- The Association Between the Kyphosis Angle and Physical Performance in Community-Dwelling Older Adults.The journals of gerontology. Series A, Biological sciences and medical sciences · 2022Article
- The Rationale and Safety of Routine Imaging in Rehabilitative Spine Care: Delayed Radiographs for Patients Presenting With Spine Disorders is Debatable.Dose-response : a publication of International Hormesis SocietyArticle
- Factors associated with the 6-minute walk test performance in older adults with hyperkyphosis.Geriatric nursing (New York, N.Y.)Article
Corrections and comments
- Erratum issued
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
We reviewed exercise trials in men and women ≥ 45 years with hyperkyphosis at the baseline and performed meta-analyses for kyphosis and health-related outcomes. PURPOSE: To determine the effects of exercise interventions on kyphosis angle, back extensor muscle strength or endurance, physical functioning, quality of life, pain, falls, and adverse events in adults 45 years or older with hyperkyphosis.
methodsMultiple databases were searched to May 2020. Randomized controlled trials (RCTs), non-RCT, and pre-post intervention studies that had at least one group with a mean kyphosis angle of at least 40° at the baseline were included.
resultsTwenty-four studies were included. Exercise or physical therapy improved kyphosis outcomes (SMD - 0.31; 95% confidence intervals [CI] - 0.46, - 0.16; moderate certainty evidence), back extensor muscle strength (MD 10.51 N; 95% CI 6.65, 14.38; very low certainty evidence), and endurance (MD 9.76 s; 95% CI 6.40, 13.13; low certainty evidence). Meta-analyses showed improvements in health-related quality of life (HRQoL) (SMD 0.21; 95% CI 0.06, 0.37; moderate certainty of evidence), general pain (MD - 0.26; 95% CI - 0.39, - 0.13; low certainty of evidence), and performance on the timed up and go (TUG) test (MD - 0.28 s; 95% CI - 0.48, - 0.08; very low certainty of evidence). The effects on the rate of falls (incidence rate ratio [IRR] 1.15; 95% CI 0.64, 2.05; low certainty evidence) or minor adverse events (IRR 1.29; 95% CI 0.95, 1.74; low certainty evidence) are uncertain. No serious adverse events were reported in the included studies.
conclusionsInterventions targeting hyperkyphosis may improve kyphosis outcomes in adults with hyperkyphosis.
Indexed as
Identifiers
34546447What OpenQuestion holds
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.