APE FACT SHEET POSTURAL DISORDERS Kyphosis DEFINITION: An exaggerated arch in the normal thoracic curve of the spine. COMMON CHARACTERISTICS OF KYPHOSIS: Rounded shoulder appearance Forward head posture MEDICAL CONDITION ASSOCIATED WITH KYPHOSIS: Scheuermann's Disease or Scheuermann’s Kyphosis: kyphosis (rounding of the spine) occurs when the front of the upper spine grows at a slower rate than the back of the spine. The slow growth forms a wedge-shape in the vertebrae causing the thoracic spine to round forward. Kyphosis is found most commonly between the T7 and T9 vertebrae. The condition commonly occurs in adolescent males during the later stages of growth. Pain is generally not an issue during the early stages but can progress as the aging process continues. Although pain is often not great enough to limit movement, students should be protected from all movements by wearing a hyperextension brace. an excess kyphotic thoracic spine resulting from inflammation of bone and/or cartilage. Two or more vertebral bodies may fragment due to the inflammation in vertebrae. Pain is often not great enough to limit movement but students should be protected from all movements by wearing a hyperextension brace. TEACHING TIPS: Provide exercises to increase flexibility of the chest muscles and to strengthen muscles in the upper back region, such as pull-downs, prone chest raises, rows, etc. Encourage increase flexibility of neck musculature by simple neck range of motion exercises done actively by the student. Encourage abdominal strengthening exercises. Inform the student that all stretching exercises should be done pain-free. Reviewed by Sean Busse, 2012 Collaborate with the adapted physical educator/physical therapist/occupational therapist to assist with the student’s physical and motor development. SUGGESTED TREATMENT AND EXERCISES: Physiotherapy activities can aid in correction and limit progression of the condition. Shoulder blade squeezes Extension over chair Hamstring stretches Modified upper back strength and flexibility exercises Information on this sheet contains only suggested guidelines. Each student must be considered individually, and in many cases, a physician’s written consent should be obtained. Reviewed by Sean Busse, 2012