Investigation of the Effect of Thoracic Kyphosis Proprioception

NCT06420869 | Completed

• 1 other identifier: MedipolFTROPZ
• Study Type: observational
• Target: 62
• Locations: 1 country
• Sites: 1

Brief Summary

Although the negative effect of increased thoracic kyphosis in elderly individuals has been reported in the literature, the effect of the thoracic kyphosis angle on trunk and foot proprioception in young individuals has not been investigated. The aim of this study was to investigate the effect of the thoracic kyphosis on posture, proprioception and perception of postural appearance in young individuals.

Conditions

Kyphosis; Proprioception; Posture

Outcome Measures

Primary Outcomes (1)

• Proprioception evaluation; Evaluation of Trunk Joint Position Sensation

  The BASELINE brand digital goniometer (Baseline 10044E Digital Absolute + Axis Goniometer 10044E SKU: CM10044E) can be employed for the measurement of joint position sense. Prior to commencing the measurement, participants are instructed to assume four different positions in a comfortable standing position. The participants are required to perform 30° flexion, 15° extension, 15° right and left lateral flexion for an active proprioceptive positioning test with their eyes closed. Following each position, the participants are instructed to wait for three seconds and to feel the position. They then return to the upright position and are asked to return to the position they felt and measured in that position. The deviation degrees of the participants are recorded. This process is repeated three times, with the resulting degrees of deviation averaged. During the measurement, it is essential to ensure that flexion in the knees is avoided.

  10 minute

Secondary Outcomes (6)

• The Body Sensation Assessment

  10 minute

• The evaluation of foot sensation

  10 min

• Ankle Joint Position Sensation Evaluation

  10 min

• Cervical Joint Position Sense Assessment

  10 min

• Postural Assessment

  5 min

Study Arms (2)

Group 1

The study group 1, comprised 23 subjects, comprising both males and females, with an age range of between 18 and 25 years. The subjects exhibited a thoracic kyphosis angle of ≥40° and had not undergone treatment for kyphosis in the previous six months.

Diagnostic Test: Assessment

Group 2

The study group 2, comprised 23 subjects, comprising both males and females, with an age range of between 18 and 25 years.The subjects were selected based on the criteria that their thoracic kyphosis angle was less than 40° and that they did not exhibit any spinal deformities.

Diagnostic Test: Assessment

Interventions

Assessment DIAGNOSTIC_TEST

A postural evaluation will be conducted, including the measurement of the thoracic kyphosis angle and the assessment of sagittal head posture.A proprioception evaluation will be conducted, whereby the cervical region, trunk and ankle joint position sense and trunk and foot sensation will be evaluated for the purpose of assessing the proprioception of the spine.Turkish adaptation of the Kyphosis Specific Spine Appearance Questionnaire (KSAQ) will be employed to assess postural appearance perception. The KSAQ is a reliable and valid patient-reported outcome tool for assessing individual perception of various aspects of kyphotic deformity and appearance in young patients with kyphosis. KSAQ is a 10-item questionnaire based on a five-point Likert scale, with responses ranging from 1 to 5. The mean of the responses is used to obtain a total score for the KSAQ. The questionnaire is related to patients' perception of appearance, with higher scores indicating a worsening of the deformity.

Group 1; Group 2

Eligibility Criteria

• Age: 18 Years - 25 Years
• Gender Eligibility Details: The age range of the participants was between 18 and 25 years old.
• Healthy Volunteers: No
• Age Groups: Adult (18-64)
• Sampling Method: Probability Sample

Study Population

The study will include healthy individuals aged 18 to 25 years. A power analysis was conducted to determine the number of individuals to be included in the study. A sample size of 46 individuals was determined, with 23 individuals per group. The power of the test was calculated using the G\*Power 3.1 program. A similar study in the relevant literature by Fatemeh et al. (2022) calculated the effect size to be 0.991. In order to exceed the 95% value in determining the power of the study, 46 people must be included, including 23 people in groups with a significance level of 5% and an effect size of 0.991 (df=44; t=1.711). All participants will be provided with and required to sign an informed consent form, which will be based on the principle of voluntariness.

You may qualify if:

• Between 18 and 25 years of age
• Not being treated for kyphosis in the last 6 months

You may not qualify if:

• Those diagnosed with scoliosis and/or structural spinal deformity
• Those with any neurological deficit
• Those with concomitant disorders such as Scheuermann's disease, genetic diseases such as Beckwith-Wiedemann Syndrome or metabolic diseases that may affect body axis disorders
• Those with lower limb deformities
• Those with a history of spinal fracture and/or surgery and/or shoulder joint injury
• Those with mental disorders and intellectual disabilities.

Sponsors & Collaborators

• Istanbul Medipol University Hospital: lead

Study Sites (1)

Istanbul Medipol University

Istanbul, beykoz, 34810, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Kyphosis

Interventions

Physical Examination

Condition Hierarchy (Ancestors)

Spinal Curvatures; Spinal Diseases; Bone Diseases; Musculoskeletal Diseases

Intervention Hierarchy (Ancestors)

Diagnostic Techniques and Procedures; Diagnosis

Study Officials

• SENA ÖZDEMİR GÖRGÜ, PhD,PT

  Medipol University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: OTHER
• Time Perspective: CROSS SECTIONAL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assist. Prof.

Study Record Dates

• First Submitted: May 15, 2024
• First Posted: May 20, 2024
• Study Start: May 16, 2024
• Primary Completion: August 16, 2024
• Study Completion: December 27, 2024
• Last Updated: May 23, 2025

Record last verified: 2024-05

Locations

TU (1)