Evidence map›Paper›PMID 42051085›Full record

SynthesisBioMed research international2026

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

Reza Rajabi, Hooman Minoonejad, Fateme Khorramroo, Mostafa Jalili Bafrouei

Abstract readSystematic Review
In one paragraph

Synthesis in BioMed research international, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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

4 authors.

Reza RajabiDepartment of Sport Injuries and Biomechanics, Faculty of Sport Sciences and Health, University of Tehran, Tehran, Iran, ut.ac.ir.ORCID https://orcid.org/0000-0002-0464-5688
Hooman MinoonejadDepartment of Sport Injuries and Biomechanics, Faculty of Sport Sciences and Health, University of Tehran, Tehran, Iran, ut.ac.ir.ORCID https://orcid.org/0000-0002-5983-8102
Fateme KhorramrooDepartment of Sport Injuries and Biomechanics, Faculty of Sport Sciences and Health, University of Tehran, Tehran, Iran, ut.ac.ir.ORCID https://orcid.org/0000-0001-8018-7650
Mostafa Jalili BafroueiDepartment of Sport Injuries and Biomechanics, Faculty of Sport Sciences and Health, University of Tehran, Tehran, Iran, ut.ac.ir.ORCID https://orcid.org/0009-0004-8728-8293

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPostural 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.

methodsA 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.

resultsFourteen 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.

conclusionBiofeedback 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.

Indexed as

Biofeedback, PsychologyKyphosisLordosisAdultHumansPostureVibrationalignmentdeformityEMGfeedbackIMUsagittalsensorspinetrunk

Identifiers

PMID42051085
PMCPMC13125864

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.