Postural Management of Hyperkyphosis in Cardiac Rehab Patients

Hadassah Medical Center

Status: Enrolling

Conditions: Hyperkyphosis

Treatments: Other: No intervention; Other: Home-based exercise program

Study type: Interventional

Funder types: Other

Identifiers

NCT06563882

0172-23HMO

Details and patient eligibility

About

The goal of this clinical trial is to evaluate the efficacy of a home-based exercise program in managing hyperkyphosis, and its impact on physical performance and pulmonary function among cardiac rehabilitation patients.

The primary research question is: Can a home-based kyphosis-specific exercise program reduce thoracic hyperkyphosis and improve physical ability in cardiac patients undergoing cardiac rehabilitation? The study will consist of three groups: 1) Hyperkyphotic participants undergoing a 12-week exercise program at home, alongside a cardiac rehabilitation exercise program, 2) Hyperkyphotic participants solely undergoing cardiac rehabilitation exercise program, and 3) Participants without hyperkyphosis solely undergoing cardiac rehabilitation exercise program.

The groups will be evaluated based on measurements of kyphosis index, physical performance and spirometry at the beginning, after 6 weeks, and upon completion of the 12-week program.

Enrollment: 60 estimated patients

Sex: All

Ages: 40 to 80 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Heart patients who will be admitted for cardiac rehabilitation at Hadassah - Mount Scopus Hospital
• Normal stress test results.
• Independent mobility.
• Stable hemodynamic and respiratory status.
• Ability to speak and read basic Hebrewץ
• Ability to watch videos on a mobile phone or computer.
• Not receiving any other forms of physical therapy or physical treatment.

Exclusion criteria

• Presence of unstable angina.
• Neurological disorders or mental illnesses that interfere with communication.
• Movement disorders due to neurological disease.
• Severe orthopedic limitations hindering the execution of motor exercises.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

---

60 participants in 3 patient groups

Home-based exercise program

Experimental group

Description:

Intervention Group: Hyperkyphotic participants will participate in a home exercise program designed to improve thoracic spine and shoulder mobility and flexibility, while also strengthening spine extensor muscles, alongside a cardiac rehabilitation exercise program. The home-based program will include six exercises to be performed three times a week over a period of 12 weeks.

Treatment:

Other: Home-based exercise program

Cardiac rehabilitation exercise program - Hyperkyphosis

Other group

Description:

Control Group: Hyperkyphotic participants will participate in a 12-week cardiac rehabilitation exercise program, consisting of two one-hour sessions per week at the cardiac rehabilitation center. These sessions will include aerobic activity along with a variety of resistance, flexibility, and balance exercises.

Treatment:

Other: No intervention

cardiac rehabilitation exercise program - without hyperkyphosis

Other group

Description:

Control Group: Participants without hyperkyphosis will participate in a 12-week cardiac rehabilitation exercise program, consisting of two one-hour sessions per week at the cardiac rehabilitation center. These sessions will include aerobic activity along with a variety of resistance, flexibility, and balance exercises.

Treatment:

Other: No intervention