The effect of an 8-week corrective exercise program on the body image of women with hyper kyphosis

Document Type : Research Paper

Authors

1 Department of Sport Rehabilitation and Health, Faculty of Sport Sciences and Health, Shahid Beheshti University, Tehran, Iran

2 Department of Sport Medicine and Health, Faculty of Sport Sciences and Health, University of Tehran, Iran

Abstract

Background: Hyper kyphosis is a common postural issue that affects many women, often leading to negative body image.
Aim: The purpose of this research was to investigate the impact of an 8-week corrective exercise program on the body image of women with hyper kyphosis.
Materials and Methods: The research method used in this study was quasi-experimental. The study population consisted of female students aged 18 to 26 years with hyper kyphosis at Shahid Rajaee University. Participants were randomly assigned to either the experimental group (n=20) or the control group (n=20). Hyper kyphosis was measured using a flexible ruler, while body image was assessed using the Body-esteem Scale for Adolescents and Adults. The questionnaire had a reliability coefficient of 0.83 as measured by Cronbach's alpha. After 8 weeks of corrective exercise, both the experimental and control groups completed the questionnaire again. The control group did not receive any training during this time. The data were analyzed using the mixed ANOVA method with SPSS-26 software at a significance level of 95%.
Results: The results of the mixed ANOVA analysis showed that the main effect of the training group and the interaction between the group and test stages were significant in the post-test stage for the dependent variable of total body image (F=6.82, P=0.013), appearance (F=6.72, P=0.014), attitude (F=8.81, P=0.005), and kyphosis angle (F=18.91, P=0.000). However, there was no significant effect of training on weight satisfaction.
Conclusion: The results of this study indicate that eight weeks of corrective exercise significantly reduced the hyper kyphosis angle (P=0.01), resulting in an improvement in the subjects' posture and a decrease in deformity. This improvement in appearance led to an increase in satisfaction with their appearance, as demonstrated by improvements in their body image.

Keywords


[1] Cash T. “The body image workbook: An eight-step program for learning to like your looks”. New Harbinger Publications. 2008. https://www.amazon.com/Body-Image-Workbook-Eight-Step-Learning/dp/1572245468

[2] Raggio GA, Naik AD, Moye J. “Body image satisfaction among male military veterans with cancer”. Journal of Health Psychology. 2019; 24(7): 909-17. https://doi.org/10.1177/1359105317690035.

[3] Rumsey N, Harcourt D. “Body image and disfigurement: issues and interventions”. Body Image. 2004; 1(1): 83-97. https://doi.org/10.1016/S1740-1445(03)00005-6.

[4] Soulliard ZA, Kauffman AA, Fitterman-Harris HF, Perry JE, Ross MJ. “Examining positive body image, sport confidence, flow state, and subjective performance among student athletes and non-athletes”. Body Image. 2019; 28: 93-100. https://doi.org/10.1016/j.bodyim.2018.12.009.

[5] Veldhuis J, Alleva JM, Bij de Vaate AJ, Keijer M, Konijn EA. “Me, my selfie, and I: The relations between selfie behaviors, body image, self-objectification, and self-esteem in young women”. Psychology of Popular Media. 2020; 9(1): 3. https://doi.org/10.1037/ppm0000206.

[6] Hosseini SM, Alizadeh MH, Farokhi A. “A Comparison of body image between individuals with idiopathic scoliosis and healthy individuals”. Journal of Exercise Science and Medicine. 2015; 7(2): 163-74. https://doi.org/10.22059/jsmed.2015.56538.

[7] Katzman WB, Parimi N, Gladin A, Wong S, Lane NE. “Long-term efficacy of treatment effects after a kyphosis exercise and posture training intervention in older community-dwelling adults: a cohort study”. Journal of Geriatric Physical Therapy. 2021; 44(3): 127-138. doi: 10.1519/JPT.0000000000000262.

[8] Babekir N, Crawford A, Durrani A. “Does scheuermann's kyphosis have a psychological impact?”. The Spine Journal. 2007; 7(5): 101S. doi: https://doi.org/10.1016/j.spinee.2007.07.255.

[9] Canales JZ, Cordás TA, Fiquer JT, Cavalcante AF, Moreno RA. “Posture and body image in individuals with major depressive disorder: a controlled study”. Braz J Psychiatry. 2010; 32(4): 375-80. doi: 10.1590/s1516-44462010000400010. PMID: 21308258.

[10] Lewis-Smith H, Diedrichs PC, Halliwell E. “Cognitive-behavioral roots of body image therapy and prevention”. Body Image. 2019; 31: 309-320. https://doi.org/10.1016/j.bodyim.2019.08.009.

[11] King JE, Jebeile H, Garnett SP, Baur LA, Paxton SJ, Gow ML. “Physical activity based pediatric obesity treatment, depression, self-esteem and body image: A systematic review with meta-analysis”. Mental Health and Physical Activity. 2020; 19: 100342. https://doi.org/10.1016/j.mhpa.2020.100342.

[12] Vaughn DW, Brown EW. “The influence of an in-home based therapeutic exercise program on thoracic kyphosis angles”. Journal of Back and Musculoskeletal Rehabilitation. 2007; 20(4): 155-65. https://doi.org/10.3233/BMR-2007-20404.

[13] Seidi F, Rajabi R, Ebrahimi E, Alizadeh M, Daneshmandi H. “The efect of a 10-week selected corrective exercise program on postural thoracic kyphosis deformity”. Journal of Exercise Science and Medicine. 2013; 5(1): 5-22. https://doi.org/ 10.22059/jsmed.2013.32159.

[14] Misterska E, Głowacki J, Głowacki M, Okręt A. “Long-term effects of conservative treatment of Milwaukee brace on body image and mental health of patients with idiopathic scoliosis”. PloS one. 2018; 13(2): e0193447. https://doi.org/10.1371/journal.pone.0193447.

[15] Head J, Maude E, Black J, Rolfe T, Dorman R. “Does a four-week intensive scoliosis-specific exercises program improve body-image in subjects with idiopathic scoliosis and is the effect rated equally by patients, physiotherapists and an external rater with scoliosis?”. Scoliosis. 2012; 7(1): 1-1. https://doi.org/10.1186/1748-7161-7-S1-O52.

[16] Bezalel T, Carmeli E, Levi D, Kalichman L. “The effect of Schroth therapy on thoracic kyphotic curve and quality of life in Scheuermann’s patients: a randomized controlled trial”. Asian Spine Journal. 2019;13(3): 490. https://doi/10.31616/asj.2018.0097.

[17] Ouyang Y, Wang K, Zhang T, Peng L, Song G, Luo J. “The influence of sports participation on body image, self-efficacy, and self-esteem in college students”. Frontiers in Psychology. 2020; 10: 3039. https://doi.org/10.3389/fpsyg.2019.03039.

[18] Betz DE, Sabik NJ, Ramsey LR. “Ideal comparisons: Body ideals harm women’s body image through social comparison”. Body Image. 2019; 29: 100-9. https://doi.org/10.1016/j.bodyim.2019.03.004.

[19] Izard CE. The Psychology of Emotions. Springer Science & Business Media; 1991. https://books.google.com/  

[20] Korovessis P, Zacharatos S, Koureas G, Megas P. “Comparative multifactorial analysis of the effects of idiopathic adolescent scoliosis and Scheuermann kyphosis on the self-perceived health status of adolescents treated with brace”. European Spine Journal. 2007; 16(4): 537-46. https://doi.org/10.1007/s00586-006-0214-9.

[21] Thompson A, Kent G. “Adjusting to disfigurement: processes involved in dealing with being visibly different”. Clinical Psychology Review. 2001; 21(5): 663-82. https://doi.org/10.1016/S0272-7358(00)00056-8.

[22] Burke SM, Carron AV, Eys MA. “Physical activity context: Preferences of university students”. Psychology of Sport and Exercise. 2006; 7(1): 1-3. https://doi.org/10.1016/j.psychsport.2005.03.002.

[23] Ginis KA, Eng JJ, Arbour KP, Hartman JW, Phillips SM. “Mind over muscle?: Sex differences in the relationship between body image change and subjective and objective physical changes following a 12-week strength-training program”. Body Image. 2005; 2(4): 363-72. https://doi.org/10.1016/j.bodyim.2005.08.003.

[24] Delinsky SS, Wilson GT. “Mirror exposure for the treatment of body image disturbance”. International Journal of Eating Disorders. 2006; 39(2): 108-16. https://doi.org/10.1002/eat.20207.

[25] Harter S. “Competence as a dimension of self-evaluation: Toward a comprehensive model of self-worth”. The Development of the Self. 1985; 2: 55-121.

[26] Rounsefell K, Gibson S, McLean S, Blair M, Molenaar A, Brennan L, Truby H, McCaffrey TA. “Social media, body image and food choices in healthy young adults: A mixed methods systematic review”. Nutrition & Dietetics. 2020; 77(1): 19-40. https://doi.org/10.1111/1747-0080.12581.

[27] Anderson ML, Foster C, McGuigan MR, Seebach E, Porcari JP. “Training vs. body image: Does training improve subjective appearance ratings?”. The Journal of Strength & Conditioning Research. 2004; 18(2): 255-9. https://doi.org/10.1519/R-13203.1.

[28] Schiller JR, Eberson CP. “Spinal deformity and athletics”. Sports Medicine and Arthroscopy Review. 2008; 16(1): 26-31. https://doi.org/10.1097/JSA.0b013e3181629aa8.

[29] Sheehan DD, Grayhack J. “Pediatric scoliosis and kyphosis: an overview of diagnosis, management, and surgical treatment”. Pediatric Annals. 2017; 46(12): e472-e480. https://doi.org/10.3928/19382359-20171113-01.

[30] Sangtarash F, Manshadi FD, Sadeghi A. “The relationship of thoracic kyphosis to gait performance and quality of life in women with osteoporosis”. Osteoporosis International. 2015; 26(8): 2203-8. https://doi.org/10.1007/s00198-015-3143-9.