Manual Therapy, Posturology & Rehabilitation Journal
Manual Therapy, Posturology & Rehabilitation Journal

Association between sagittal plane posture and quality of life in older people: a systematic review

Gasparotto, Lívia Pimenta Renó; Falsarella, Gláucia Regina; Coimbra, Arlete Maria Valente

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Introduction: Changes in postural pattern during aging establish the body structural modifications that can compromise quality of life. The relationship between postural change and quality of life seems hardly mentioned among researches. Objective: The purpose of the article is to check on the subject’s analyses, what are the possible associations should be highlighted in the preventive scope of the elderly with postural dysfunctions. Method: We used systematic review based on Pubmed and Lilacs by descriptors related to posture words and quality of life. The search was focused on articles published between 2005-2015. To analyze the quality and combination of data applied the STROBE checklist. Results: It identified 11 studies from which hyperkyphosis posture and lumbar adjustment were negatively associated with quality of life components. Conclusion: There was divergence in the direction of the association between lumbar concavity and quality of life. Although these observations contribute to the direction of preventive and corrective practices posture in aging, there is a need for more studies using mainly similar methodologies and homogeneous groups.


posture, elderly, quality of life


1- Takahashi T, Ishida K, Hirose D. Trunk deformity is associated with a reduction in outdoor activities of daily living and life satisfaction in community-dwelling older people. Osteoporos Int 2005;16:273-279.

2- Imagama S, MatsuyamaY, Hasegawa Y, Sakai Y, Ito Z, Ishiguro N, et al. Back muscle strength and spinal mobility are predictors of quality of life in middle-aged and elderly males. Eur Spine J 2011;20:954-961.

3- Imagama S, MatsuyamaY, Hasegawa Y, Sakai Y, Ito Z, Ishiguro N, et al. Influence of sagittal balance and physical ability associated with exercise on quality of life in middle-aged and elderly people. Arch Osteoporos 2011;6:13-20.

4- Katzman WB, Wanek L, Shepherd JA, Sellmeyer DE. Age-related with hyperkyphosis: Its causes, consequences and management. J Orthop Sports Phys Ther 2011;40(6):352-360.

5- Smith J, Lafage V, Schwab F, Protocasats T, Keneberg E, Gupta M, et al. Prevalence and type of cervical deformity among 470 adults with thoracolumbar deformity. Spine 2014;39(17):1001-9.

6- Protopsaltis T, Schwab F, Bromsand K, Smith J, Klineburg E, Mundis G, et al. The T1 pelvic angle, a novel radiography measure of global sagittal deformity, accounts for both spinal inclination and pelvic tilt and correlates with health-related quality of life. J Bone Joint Surg Am. 2014;96(19):1631-40.

7- Wang H, Giambini H, Zhang W, Ye G, Zhao C, Na K, et al. A modified sagittal spine postural classification and its relatioship to deformities and spinal mobility in a chinese osteoporotic population. Plos One 2012;7(6):1-8.

8- Furuto J, Yuki M. Health-releated quality of life and self-efficacy for activities of daily living in elderly residents of mountainous areas with kyphosis: a one-year longitudinal study. Japanese Journal of Geriatrics 2014;(1):60-68.

9- Malta M, Cardoso LO, Bastos FI, Magnanini MMF, da Silva CMFP. Iniciativa STROBE: subsídios para a comunicação de estudos observacionais. Rev. Saúde Pública 2010;44(3):559-565.

10- Roux C, Fechtenbaum J, Kolta S, Said-Nahal R, Briot K, Benhamou CL. Prospective Assessment of thoracic kyphosis in postmenopausal women with osteoporosis. J of Bone and Mineral Res. 2010;25(2):362-368.

11- Pelisse F, Vila-Casadement A, Ferrer M, Domingo-Sabat M, Bago J, PirezGuieso F, et al. Impact on health related quality of life of adult spinal deformity (ASD) compared with other chronic conditions. Eur Spine J 2015;24(1):3-11.

12- Madureira MM, Ciconelli RM, Pereira RMR. Quality of life measurements in patients with osteoporosis and fractures. Clinics 2012;67(11):1315- 1320.

13- Kumamoto K, Nakamura T, Suzuki T, Gorai I, Fujinawa O, Ohta H, et al. Validation of the Japanese Osteoporosis Quality of Lie Questionnaire. J Bone Miner Metab. 2010;28(1):1-7.

14- Macintyre Lorberos A, Adachi J. Inclinometer-based measures of standing posture in older adults with low bone mass are realible and associated with self-reported, but not performance-based, physical function. Osteoporos Int. 2014;25(2):721-8.

15- Suaide ALAP. Desenvolvimento e validação de uma ferramenta computacional para mensuração das curvaturas da coluna vertebral. Dissertação [Mestrado em Neurociências e comportamento], Instituto de Psicologia da Universidade Estadual de São Paulo, 2008.

16- Araujo F, Lucas R, Alegrete N, Azevedo A, Barros H. Individual and contextual characteristics as determinants of sagittal standing posture: a population-based study of adults. Spine J 2014;14(10):2373-83.

17- Araujo F, Lucas R, Alegrete N, Azevedo A, Barros H. Sagittal standing posture, back pain, and quality of life among adults from the general population: a sex-specific association. Spine 2014;39(13):E782-94.

18- Schwab F, Blondel B, Bess S, Hostin F, Shaffrey CL, Smith JS, et al. Radiographical spinopelvic parameters and disability in the setting of adult spinal deformity: a prospective multicenter analysis. Spine 2013;38(13):E803-12.

19- Greendale G, Huang M, Karlamangala A, Seeger L, Crawford S. Yoga decreases kyphosis in senior women and men with or without adult onset hyperkyphosis: results of a randomised controlled trial. J. Am. Geriatric Soc 2009;57(9):1569-1579;

20- Teixeira FA, Carvalho GA. Confiabilidade e validade das medidas da cifose torácica através do método flexicurva. Rev. Bras. Fisioter. 2007;11(3):199-204;

21- Muszalik M, Kornatowski T, Wieczkowska HZ, Dijkstra KK. Functional assessment of geriatrics patients in regard to health-related quality of life (HRQOL). Clinical Interventions in Aging 2015;10:61-67;

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