摘要
Abstract
Objectives:This study aimed to assess the feasibility of the home-based kyphosis-specific exercises among Chinese older adults with different exercise habits and explore its potential effects on reducing the kyphosis angle and improving physical performance.Methods:A single-group,pre-and post-test design was conducted according to CONSORT 2010 state-ment:extension for pilot and feasibility trials.A total of 20 participants aged＞60 with thoracic hyperkyphosis and rehabilitation potential were recruited from four local communities in Wuhan,China.Participants underwent a six-week home-based kyphosis-specific exercises intervention that included warm-up,muscle strengthens,spinal alignment,spinal mobility and flexibility,and cool down five sections(22 exercises).The intervention involved seven 1-h group classes and 35 times daily home practice with identical content.At pre-and post-intervention,the participants'kyphosis angle in two standing postures,static balance,dynamic balance,cardiopulmonary function,dynamic gait assessment,pain,and self-image were assessed and compared.Feasibility was assessed by group class attendance,home practice adherence,and participant evaluations.Results:All participants completed group classes and＞75％home practice.Post-intervention,the par-ticipant's kyphosis angle in relaxed and best-standing postures was changed by-12.0°(-15.5°,-4.0°)(Z=-3.98,P＜0.001)and-10.0°(-14.0°,-5.3°)(Z=-3.79,P＜0.001),respectively.In addition,participants had significantly less pain(P＜0.001),better self-image(P＜0.001),and improved perfor-mance in five physical assessments(P＜0.01).Different pre-intervention hyperkyphosis angle and daily physical activity did not affect intervention effects.Most participants considered the interventional ex-ercise as moderate intensity and satisfactory.Conclusions:Home-based kyphosis-specific exercises showed the possibility of being a feasible inter-vention.And it was advantageous to reducing the kyphosis angle and improving physical performance.关键词
老年/运动疗法/身体机能表现/体态/胸椎Key words
Aged/Exercise/Physical functional performance/Posture/Thoracic vertebrae
