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Physiother Theory Pract. 2016;32(2):92-7. doi: 10.3109/09593985.2015.1110739. Epub 2016 Feb 10.

Comparison of manual therapy and exercise therapy for postural hyperkyphosis: A randomized clinical trial.

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a Center for Human Motion Science Research, Department of Physiotherapy , School of Rehabilitation Sciences, Shiraz University of Medical Sciences , Shiraz , Iran.
b Student Research Committee , Shiraz University of Medical Sciences , Shiraz , Iran.



To compare the efficacy of a manual therapy and an exercise therapy program in improving postural hyperkyphosis among young adults.


Forty-six women between the ages of 18 to 30 years with thoracic kyphosis diagnosed by flexicurve ruler were randomly assigned to either an exercise therapy or a manual therapy group. The exercise therapy program focused on stretching and strengthening exercises in 15 sessions over 5 weeks. The manual therapy group received 15 sessions of manual techniques including massage, mobilization, muscle energy and myofascial release. Kyphosis angle and back extensor muscle strength were measured with a motion analysis system and a dynamometer at the baseline and after treatment. The data were analyzed with paired and independent t-tests.


After treatment, the angle of thoracic kyphosis was smaller and back extensor muscle strength was significantly greater in both the exercise and manual therapy groups (p < 0.001). We found no significant differences between groups in the changes in kyphosis angle or muscle strength after treatment (p > 0.05).


Manual therapy was as effective as exercise therapy in reducing kyphosis angle and increasing back extensor muscle strength in young women with postural hyperkyphosis.


Exercise therapy; hyperkyphosis; manual therapy; motion analysis system

[Indexed for MEDLINE]

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