Positive Health Online

Abstract

GREENDALE and COLLEAGUES, Division of Geriatrics, Geffen School of Medicine, University of California at Los Angeles, 10945 Le Conte Avenue, Suite 2339, Los Angeles, CA 90095, USA. ggreenda@mednet.ucla.edu  conducted a randomized controlled single-masked trial to asses whether yoga can reduce hyperkyphosis.

Background

The authors wished to assess whether a specifically designed yoga intervention can reduce hyperkyphosis.

Methodology

A 6-month, two-group, randomized, controlled, single-masked trial in a Community research unit. One hundred eighteen women and men aged 60 and older with a kyphosis angle of 40 degrees or greater. Major exclusions were serious medical comorbidity, use of assistive device, inability to hear or see adequately for participation, and inability to pass a physical safety screen. The active treatment group attended hour-long yoga classes 3 days per week for 24 weeks. The control group attended a monthly luncheon and seminar and received mailings. Primary outcomes were change (baseline to 6 months) in Debrunner kyphometer-assessed kyphosis angle, standing height, timed chair stands, functional reach, and walking speed. Secondary outcomes were change in kyphosis index, flexicurve kyphosis angle, Rancho Bernardo Blocks posture asses! sment, and health-related quality of life (HRQOL).

Results

Compared with control participants, participants randomized to yoga experienced a 4.4% improvement in flexicurve kyphosis angle (P=.006) and a 5% improvement in kyphosis index (P=.004). The intervention did not result in statistically significant improvement in Debrunner kyphometer angle, measured physical performance, or self-assessed HRQOL (each P>.1).

Conclusion

The decrease in flexicurve kyphosis angle in the yoga treatment group shows that hyperkyphosis is remediable, a critical first step in the pathway to treating or preventing this condition. Larger, more-definitive studies of yoga or other interventions for hyperkyphosis should be considered. Targeting individuals with more-malleable spines and using longitudinally precise measures of kyphosis could strengthen the treatment effect.

References

Greendale GA, Huang MH, Karlamangla AS, Seeger L and Crawford S. Yoga decreases kyphosis in senior women and men with adult-onset hyperkyphosis: results of a randomized controlled trial. Journal of the American Geriatrics Society.  57 (9): 1569-79, Sep 2009.