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J. Funct. Morphol. Kinesiol. 2016, 1(4), 382-386; doi:10.3390/jfmk1040382

Relationship between Spinal Alignment and Glenohumeral Joint Elevation in Kyphotic Elderly Women

1,†,* , 1,†
and
2,†
1
Department of Rehabilitation, Fukui General Hospital Clinic, Fukui 910-0067, Japan
2
Department of Orthopaedic Surgery, Fukui General Hospital, Fukui 910-8561, Japan
These authors contributed equally to this work.
*
Author to whom correspondence should be addressed.
Academic Editor: Giuseppe Musumeci
Received: 19 August 2016 / Revised: 14 October 2016 / Accepted: 19 October 2016 / Published: 1 November 2016
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Abstract

The purpose of this study was to evaluate the relationship between spine alignment and shoulder elevation in a kyphotic elderly population. Twenty-three consecutive female patients who underwent balloon kyphoplasty for spinal compression fractures without shoulder symptoms were examined (mean age, 76 ± 6.3 years). Thoracic kyphosis angle (TK), lumbar lordosis angle (LL), and pelvic tilt angle (PT) were measured on standing true lateral radiographs of the whole spine. The shoulder active range of motion with or without scapular fixation was measured in the sitting position. The University of California Los Angeles (UCLA) Shoulder Score was recorded as the functional evaluation. The total elevation angle was 128.9° ± 22°, the glenohumeral angle was 80.7° ± 10.9°, and the UCLA Shoulder Score was 32.4 ± 2.1. The TK was 36.7°, the LL was −29.1°, and the PT was 30.5°. The total elevation angle was significantly negatively correlated with LL. TK and PT were not significantly correlated with any parameter. The total shoulder elevation angle was limited in the kyphotic elderly women in this study, and kyphotic change appeared to interfere with spinal extension and reduced the total elevation arc with no glenohumeral motion deficit. A reduction in total shoulder elevation was negatively correlated with LL. View Full-Text
Keywords: kyphosis; elderly; range of motion; shoulder kyphosis; elderly; range of motion; shoulder
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This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).

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MDPI and ACS Style

Yamamoto, M.; Kubo, Y.; Yamakado, K. Relationship between Spinal Alignment and Glenohumeral Joint Elevation in Kyphotic Elderly Women. J. Funct. Morphol. Kinesiol. 2016, 1, 382-386.

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J. Funct. Morphol. Kinesiol. EISSN 2411-5142 Published by MDPI AG, Basel, Switzerland RSS E-Mail Table of Contents Alert
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