Investigation of the Effectiveness of Wall Angels Exercise Combined With Standard Exercises in Young Adults With Kyphotic Posture: A Double-Blind Randomized Controlled Trial
Investigation of the Effectiveness of Wall Angels Exercise Combined With Standard Exercises in Young Adults With Kyphotic Posture: A Double-Blind Randomized Controlled Trial
Kyphosis-oriented exercise programs consist of isolated stretching, strengthening, and breathing exercises. However, the literature emphasizes that the body is a kinetic chain in many musculoskeletal disorders and supports holistic exercise approaches. To our knowledge, the effects of a complex exercise such as the Wall Angels exercise have not been studied in the kyphotic population. The aim of our study is to investigate whether the Wall Angels exercise combined with standard kyphosis exercises performed at home has additional effects and to contribute to the optimization of kyphosis rehabilitation programs.
The study was planned as a randomized controlled double-blind study and will consist of two groups: intervention (Wall angels exercise combined with kyphosis and breathing exercises) and control (Only kyphosis and breathing exercises). The G-Power version-3.1.9 power analysis measurement method was used to determine the sample size. According to the Power Analysis conducted by taking into account the results of the studies of Elpeze and Usgu (15), it was calculated that at least 38 volunteers would be included in the study for a p<0.05 with an effect size of 0.5 and a power of 85%. The outcome measures of the study will be demographic characteristics, pain (Visual Analog Scale), trunk flexibility assessment, thoracic range of motion assessment, kyphosis index, scapula protraction, upper extremity function, respiratory capacity, postural habit and postural awareness level, and quality of life assessment. Statistical analyses will be performed using SPSS version 23.0 (IBM SPSS Statistics; IBM Corporation, Armonk, NY, USA) software. Descriptive statistics of the data will be given using mean and standard deviation for numerical variables; and percentages for qualitative variables. The Kolmogorov-Smirnov test will be used to examine the conformity of the data to normal distribution as a result of descriptive analyses. Intra-group comparisons will be evaluated using the Dependent Groups T test for groups with normal distribution, and the Wilcoxon signed ranks test for those not with normal distribution. In order to compare pre-post training values between groups, the Independent Groups T test for data with normal distribution, and the Mann Whitney-U test for data not with normal distribution will be used. The level of statistical significance will be accepted as p<0.05.
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