Research Article

Effects of Manual Therapy and Mechanical Massage on Spinal Alignment, Extension Range of Motion, Back Extensor Electromyographic Activity, and Thoracic Extension Strength in Individuals with Thoracic Hyperkyphosis: A Randomized Controlled Trial

Table 2

Mixed model analysis of variance results for the outcome measures.

GroupTimeGroup × time
FEffect size95% CIFEffect size95% CIF

Spinal postureThoracic kyphosis(º)2.1810.1490.062−1.152 to 7.25127.657≤0.0010.4562.949 to 6.6710.2960.590
Lumbar lordosis(º)0.0190.8900.001−6.244 to 5.4430.7140.4040.021−1.182 to 2.8601.6080.214

Extension range of motionThoracic extension(º)3.2070.0820.089−0.708 to 11.11341.361≤0.0010.5565.254 to 10.1163.8340.059
Lumbar extension(º)3.5840.0670.098−0.472 to 13.1151.4470.2380.042−1.354 to 5.2742.5690.118

Muscle activityLongissimus thoracis (%MVIC)0.6660.4200.020−0.084 to 0.03610.9120.0020.2480.021 to 0.0860.1050.747
Iliocostalis lumborum pars thoracis (%MVIC)0.7300.3990.022−0.083 to 0.0340.5470.4650.016−0.021 to 0.0450.6620.422
Iliocostalis lumborum pars lumborum (%MVIC)0.3560.5550.011−0.056 to 0.1024.7000.0370.1250.002 to 0.0720.2270.637

Strength (kgf)1.0250.3190.030−6.355 to 18.943105.362≤0.0010.761−22.556 to −15.0930.7280.400

CI, confidence interval; MVIC, maximum voluntary isometric contraction. .