Thoracic hyperkyphosis is described as an excessive anteroposterior curvature of the thoracic spine of greater than 40°.
Normal kyphosis angles vary between
Clinically Relevant Anatomy
The thoracic part of the spine natural kyphosis. This thoracic curvature is the result of a slight wedging of the vertebrae.
Line of Gravity
There is no widely accepted definition of hyperkyphosis therefore the prevalence of hyperkyphosis is not precisely known.
Biomechanical Factors in thoracic hyperkyphosis
Physical management should be considered as a first-line approach.
In terms of medications, antiresorptive or bone-building medications are taken by patients with thoracic hyperkyphosis due to their low bone density or spine fractures. Osteoporosis treatment helps to prevent incident spine fractures, however, no medications have been shown to improve hyperkyphosis.
Physiotherapy for thoracic hyperkyphosis, including manual therapy, taping and bracing, should be implemented in an early stage and is regularly a first-line treatment. The main goal of any therapy for patients with thoracic hyperkyphosis is to reduce the excessive antero-posterior curvature as well as improve the physical function and decrease the pain. Recognition and treatment of hyperkyphosis could contribute to a reduced risk of falls, fractures, and functional limitations.
ANRC PHASES OF REHABILITATION