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Hyperkyphosis and Rehabilitation
(Marmara Üniversitesi, 2025) Çolak, Tuğba Kuru; Aptı, Adnan; Dereli, Elif Elçin; Akçay, Burçin
The term kyphosis is used to describe the physiologic convex curvature in the sagittal plane in the thoracic region of the spine. Physiologic thoracic kyphosis is considered to be between 20 and 50 degrees of curvature measured by the Cobb method at the T4-T12 level on a standing sagittal spine radiograph in individuals with normal spine. When the kyphosis angle exceeds 50 degrees, it is considered hyperkyphosis or increased kyphosis. The type of rehabilitation for hyperkyphosis varies depending on the degree of kyphotic curvature, the underlying cause and the age of the patient. While rehabilitation usually initiated with conservative approaches, exercise interventions specifically targeting the back extensor muscles play an important role. The rehabilitation process aims to reduce pain, stop the progression of the curvature, decrease the curvature degree, help the individual to maintain activities of daily living, improve cosmetic appearance and improve quality of life. Current evidence indicates that different exercise treatments are effective in adolescents and geriatric individuals and that bracing plays an important role in the treatment of Scheuermann kyphosis. However, rehabilitation programs should be determined according to the results of individualized assessment and clinical needs.