Development and Validation of MPF to Prevent and Mitigate Postural Hyperkyphosis in Postmenopausal Women

Development and Validation of a Multimodal Physiotherapy Framework to Prevent and Mitigate Postural Hyperkyphosis in Postmenopausal Women: A Randomized Controlled Trial

Postural hyperkyphosis is common in postmenopausal women and leads to spinal dysfunction, pain, impaired balance, and increased fall risk. This study aims to develop and validate a multimodal physiotherapy framework to prevent and manage hyperkyphosis in this population. A randomized controlled trial will be conducted at Allied Hospital with 72 postmenopausal women aged 40-75 years, divided into intervention (multimodal physiotherapy with conventional care) and control (conventional care only) groups.

The intervention includes strength, flexibility, postural correction, and balance training. The primary outcome is the change in Cobb's angle measured via radiographs; secondary outcomes include functional mobility and balance assessments using the Timed Up and Go Test, Berg Balance Scale, and Functional Reach Test. Data will be analyzed using SPSS v26. The study is expected to show significant improvements in spinal alignment, strength, balance, and reduced fall risk. The framework may offer a cost-effective, evidence-based approach for clinical and community rehabilitation

Inclusion Criteria:

• Postmenopausal women aged 50-70 years.
• Kyphotic angle ≥40°, as measured by a flexicurve ruler or radiographic assessment.
• Postmenopausal for at least one year.
• Able to engage in rehabilitation exercises and follow instructions for physical activity..
• Living independently and capable of attending regular physiotherapy sessions.

Exclusion Criteria:

• Uncontrolled comorbidities such as cardiovascular disease, neurological disorders stroke or Parkinson's), or severe musculoskeletal conditions (e.g., advanced arthritis )
• History of spinal surgery within the last 6 months or spinal surgical implants. Severe osteoporosis (T-score < -2.5) and a history of multiple fractures.
• Pregnant or breastfeeding women. Cognitive impairments or mental health disorders that hinder adherence to the intervention.
• Inability to perform the exercises due to pain or disability.
• Participation in other rehabilitation or physiotherapy interventions for postural hyperkhyposis