THE EFFECT OF THORACIC SPINE MOBILITY EXERCISE INTERVENTION ON POSTURE KYPHOSIS IN WORKING WOMEN

THE EFFECT OF THORACIC SPINE MOBILITY EXERCISE AND CORE STABILITY EXERCISE ON POSTURE IN PREGNANT WOMEN

  • Nur Achirda Poltekkes Kemenkes Jakarta 3
  • Roikhatul Jannah
Keywords: Thoracic Spine Mobility Exercise, Core Stability Exercise, Kyphosis Posture, Pregnant Women

Abstract

Background: Kyphosis is a change in the position of the spine which causes the surface of the back to bend less than normal, especially in pregnant women. (Mclester, J. and Pierre, S.P., 2008). Changes in spinal posture and an increase in abdominal diameter and sagittal diameter which shift the center of mass of the body to the anterior cause lower back load and pressure on the lower back, resulting in lower back pain felt during pregnancy. The lower back, namely the lumbar during pregnancy becomes lordosis and the thoracic becomes Kyphosis. Vertical balance has decreased. These changes in posture are experienced by pregnant women (Betsch, 2015). Changes in posture in pregnant women during pregnancy can cause lower back pain (Michoński, 2016).

The correct way to treat Kyphosis is by doing exercises. Spinal mobility exercises Thoracic Spine Mobiliy Exercise is one that aims to improve the Kyphosis angle after exercise and corrects it significantly. Research by Nicola R et al (2020) showed that good muscle stability can reduce the risk of injury and can improve the Kyphosis angle after training and correct it significantly compared to before training, so that it can produce dynamic and strong dynamics. Apart from the Thoracic Spine Mobility Exercise, Core Stability Exercise can also be given for Kyphosis disorders, because it can make the core muscles work in harmony with complex contractions, so that dozens of muscles in the spine, trunk and surrounding areas will stabilize and reach a neutral position. during body movements and maintains a stable position in the vertebrae (the neutral zone). Core Stability Exercise also aims to improve the Kyphosis angle after exercise and corrects it significantly compared to before exercise. Method: This research is Pre-Experimental with a One Group Pre Test and Post Test design. Objective: This study was to determine the effect of providing Thoracic Spine Mobility Exercise and Core Stability Exercise interventions on Kyphosis Posture in Pregnant Women with a total of 23 respondents. Thoracic Spine Mobility Exercise and Core stability exercise interventions were given for 4 weeks, three times per week. Results and Discussion: The results of the Shapiro-Wilk normality test showed a p value >0.05 in each group of normally distributed data. The results of hypothesis testing after providing intervention in the form of Thoracic Spine Mobility Exercise and Core Stability Exercise, there was a significant difference, namely 0.00 (<0.05). Conclusion: After being given intervention from 23 respondents whose Kyphosis, 17 respondents became normal and 6 respondents started to improve, it was concluded that there was a significant effect on posture correction in Kyphosis patients after being given the Thoracic Spine Mobility Exercise and Core Stability Exercise intervention in pregnant women.

References

Betsch, M., Wehrle, R., Dor, L., Rapp, W., Jungbluth, P., Hakimi, M., & Wild, M. (2015). Spinal posture and pelvic position during pregnancy: a prospective rasterstereographic pilot study. European Spine Journal, 24(6), 1282–1288. https://doi.org/10.1007/s00586-014-3521-6

ÇELENAY, ŞEYDA TOPRAK and KAYA, DERYA ÖZER (2017) "An 8-week thoracic spine stabilization exercise program improves postural back pain,spine alignment, postural sway, and core endurance in university students:a randomized controlled study," Turkish Journal of Medical Sciences: Vol. 47: No. 2, Article 21. https://doi.org/10.3906/sag-1511-155

Hayat, C., & Latuny, A. A. (2020). Rancang Bangun Aplikasi Informasi Awal Penyakit Tulang Belakang dengan Metode Forward Chaining. SATIN - Sains Dan Teknologi Informasi, 6(1), 89–97.

Jeklin, A. (2016) Thoracic Spine Mobility Awarenes For Health.

Kazemi, K., Rahmani, N., Rahimi, F., & Ravanbakhsh, M. (2020). The association between spinal column deformity and breathing function: A systematic review. Journal of Bodywork and Movement Therapies, 24(3), 172–180. https://doi.org/10.1016/j.jbmt.2020.02.022

Kilmartin, L. 2017. Physical Therapy Management of Thoracic Pain, Lumbar Pain, and Vasovagal Response During Pregnancy. Journal of Womenʼs Health Physical Therapy.41(1).pp. 28–41. doi: 10.1097/JWH.0000000000000066.

Kisner, C., Colby, L.A. and Borstad, J. (2017) Therapeutic Exercise: Foundations and Techniques. F.A. Davis Company, Philadelphia, Pennsylvania.

Kouhkan, S., Rahimi, A., Ghasemi, M., Naimi, S., & Baghban, A. (2015). Postural Changes during First Pregnancy. British Journal of Medicine and Medical Research, 7(9), 744–753. https://doi.org/10.9734/bjmmr/2015/16730

Lam, J. C., & Mukhdomi, T. (2021). Kyphosis.

Lichayati, Isma’ul. & Kartikasari, Ratih Indah. (2013). Hubungan senam Hamil dengan Nyeri Punggung Pada Ibu Hamil di Polindes Desa Tlanak Kecamatan Kedungpring Kabupaten Lamongan. Jurnal SURYA. Vol. 01, No. XIV, April 2013.

Lubis, I. D. (2020). Ringkasan Dasar- Dasar Anatomi Umum Tubuh Manusia ( General Anatomy).

McLean C. Core Stability. Anatomical, Biomechanical and Physiological Evidance. 2006;5(1):7.

Mclester J and Pierre SP. Applied Biomechanic Consept and Conection. Canada: Thomson Wadsworth, 2008; h.116-118.

Michoński, J., Walesiak, K., Pakuła, A., Glinkowski, W., & Sitnik, R. (2016). Monitoring of spine curvatures and posture during pregnancy using surface topography - case study and suggestion of method. Scoliosis and Spinal Disorders, 11(Suppl 2). https://doi.org/10.1186/s13013-016-0099-2

Muyor, J. M., López-Miñarro, P. A., & Alacid, F. (2015). Spinal posture of thoracic and lumbar spine and pelvic tilt in highly trained cyclists. Journal of Sports Science and Medicine, 10(2), 355–361.

Mirbagheri, S. S., Rahmani-Rasa, A., Farmani, F., Amini, P., & Nikoo, M. R. (2015). Kyphosis and lordosis in students by using a flexible ruler and their relationship with severity and frequency of thoracic and lumbar pain. Asian Spine Journal, 9(3), 416–422.

Muyor, J. M., López-Miñarro, P. A., & Alacid, F. (2011). Spinal posture of thoracic and lumbar spine and pelvic tilt in highly trained cyclists. Journal of Sports Science and Medicine, 10(2), 355–361.

Paulsen, F., & Waschke, J. (2012). Sobotta : Atlas Anatomi Manusia Anatomi Umum dan Sistem Muskuloskeletal Jilid 1. Penerbit Buku Kedokteran EGC, 406.

Pineda, J. (2015) ‘Low Back Pain and Core Stabilization Exercise Inservice’.

Prince, R. L., Devine, A., & Dick, I. M. (2007). The clinical utility of measured Kyphosis as a predictor of the presence of vertebral deformities. Osteoporosis International, 18(5), 621–627.

Prof. Dr. Eti Nurhayati, M. S. (2014). Psikologi Perempuan dalam Berbagai Perspektif. In Pustaka Pelajar.

Purnama, M. S., Doewes, M., Sapta, D. A. N., & Purnama, K. (2018). Distorsi postural tulang belakang atlet ditinjau dari cabang olahraga. April.

Rajasekaran, S., Reddy Rajoli, S., Aiyer, S. N., Kanna, R., & Prasad Shetty, A. (2018). A classification for Kyphosis based on column deficiency, curve magnitude, and osteotomy requirement. Journal of Bone and Joint Surgery - American Volume, 100(13), 147–156.https://doi.org/10.2106/JBJS.17.01127

Rawls, A. and Fisher, R. E. (2010) ‘Development and Functional Anatomy of the Spine’, Department of Basic Medical Sciences, pp. 21–47. doi: 10.1007/978-1-4419-1406-4

Roghani, T., Zavieh, M. K., Manshadi, F. D., King, N., & Katzman, W. (2017). Age-related hyperKyphosis: update of its potential causes and clinical impacts—narrative review. Aging Clinical and Experimental Research, 29(4), 016-0617–3.

Sebaaly, A., Sylvestre, C., el Quehtani, Y., Riouallon, G., Larrieu, D., Boussiere, L., Steib, J. P., Roussouly, P., Wolff, S., & Obeid, I. (2018). Incidence and Risk Factors for Proximal Junctional Kyphosis. Clinical Spine Surgery: A Spine Publication, 31(3), 178–183.

Sharan, A. D., Errico, T. J., Chan, J. J., & Cho, W. (2018). Operative Management of Scheuermann Kyphosis. Operative Techniques: Spine Surgery, 181–183.

Sugiyono. (2016). Metode Penelitian Kualitatif dan Pembelajaran. Alfabeta, 1(1), 1–99.

Swarup, I., Derman, P., Sheha, E., Nguyen, J., Blanco, J., & Widmann, R. (2018). Relationship between thoracic Kyphosis and neural axis abnormalities in patients with adolescent idiopathic scoliosis. Journal of Children’s Orthopaedics, 12(1), 63–69.

Yagi, M., Nakahira, Y., Watanabe, K., Nakamura, M., Matsumoto, M., & Iwamoto, M. (2020). The effect of posterior tethers on the biomechanics of proximal junctional Kyphosis: The whole human finite element model analysis. Scientific Reports, 10(1), 20–59179.

Yaman, O., & Dalbayrak, S. (2014). Kyphosis and review of the literature. Turkish Neurosurgery, 24(4), 455-465 10 5137 1019 5149 8940-13 0.

Yoo, W. (2018). Effects of thoracic posture correction exercises on scapular position. Journal of Physical Therapy Science, 30(3), 411–412.
Published
2023-10-31
How to Cite
Achirda, N., & Jannah, R. (2023). THE EFFECT OF THORACIC SPINE MOBILITY EXERCISE INTERVENTION ON POSTURE KYPHOSIS IN WORKING WOMEN. Jurnal Fisioterapi Dan Kesehatan Indonesia, 3(2), 158-167. https://doi.org/10.59946/jfki.2023.247