Hyperkyfose hos eldre
Sist revidert:
Sist revidert av:Terje Johannessen
Definisjon:
Den sagittale konveksiteten, kyfosen, av den normale torakale kolumna tiltar når vi blir eldre, og kan føre til hyperkyfose
Forekomst:
Er en vanlig geriatrisk tilstand som rammer så mange som 20% til 40% av eldre mennesker
Symptomer:
Kan føre til redusert fysisk funksjon, redusert lungefunksjon, brudd og muligens økt risiko for å dø
Funn:
Hyperkyfose og hos noen redusert høyde
Diagnostikk:
Kyfose kan måles ved hjelp av røntgenbilder eller med diverse utstyr
Behandling:
Det finnes ingen standardbehandling for aldersrelatert hyperkyfose
- Kado DM, Prenovost K, Crandall C. Narrative review: hyperkyphosis in older persons. Ann Intern Med 2007; 147: 330-8. PubMed
- Kado DM. Overview of hyperkyphosis in older persons. UpToDate, last updated May 04, 2022. UpToDate
- Koelé MC, Lems WF, Willems HC. The Clinical Relevance of Hyperkyphosis: A Narrative Review. Front Endocrinol (Lausanne). 2020;11:5. Published 2020 Jan 24.
- Katzman WB, Harrison SL, Fink HA, et al. Physical function in older men with hyperkyphosis. J Gerontol A Biol Sci Med Sci 2015; 70:635. PubMed
- Kado DM, Lui LY, Ensrud KE, et al. Hyperkyphosis predicts mortality independent of vertebral osteoporosis in older women. Ann Intern Med. 2009;150(10):681-687. PubMed
- Mika A, Unnithan VB, Mika P. Differences in thoracic kyphosis and in back muscle strength in women with bone loss due to osteoporosis. Spine 2005; 30: 241-6. PubMed
- Bartynski WS, Heller MT, Grahovac SZ, et al. Severe thoracic kyphosis in the older patient in the absence of vertebral fracture: association of extreme curve with age. AJNR Am J Neuroradiol 2005; 26: 2077. PubMed
- Kado DM, Christianson L, Palermo L, Smith-Bindman R, Cummings SR, Greendale GA. Comparing a supine radiologic versus standing clinical measurement of kyphosis in older women: the Fracture Intervention Trial. Spine 2006; 31: 463-7. PubMed
- Troy KL, Mancuso ME, Butler TA, Johnson JE. Exercise Early and Often: Effects of Physical Activity and Exercise on Women's Bone Health. Int J Environ Res Public Health. 2018;15(5):878. Published 2018 Apr 28.
- Karimian MR, Yeowell G, Saberi S, Sadeghi-Demneh E. A comparison of the effectiveness of three types of trunk orthoses on the balance performance of older people with osteoporotic hyperkyphosis: A cross-over study. Musculoskelet Sci Pract. 2021;55:102430. PubMed
- Kaijser Alin C, Uzunel E, Grahn Kronhed AC, Alinaghizadeh H, Salminen H. Effect of treatment on back pain and back extensor strength with a spinal orthosis in older women with osteoporosis: a randomized controlled trial. Arch Osteoporos. 2019;14(1):5. Published 2019 Jan 9. PMID: 30623268 PubMed
- Araújo SG, Martins-Reis VO, Couto EAB, Alves LM. Performance of adolescents in oral narrative discourse and associated factors. Desempenho de adolescentes no discurso narrativo oral e fatores associados. Codas. 2022;34(5):e20210207. Published 2022 Apr 15. PMID: 35442347 PubMed
- Bansal S, Katzman WB, Giangregorio LM. Exercise for improving age-related hyperkyphotic posture: a systematic review. Arch Phys Med Rehabil 2014; 95:129. PubMed
- Alvarez Reyes A, Jack AS, Hurlbert RJ, Ramey WL. Complications in the Elderly Population Undergoing Spinal Deformity Surgery: A Systematic Review and Meta-Analysis. Global Spine J. 2022;12(8):1934-1942. PubMed
- Lindsay R, Silverman SL, Cooper C, et al. Risk of new vertebral fracture in the year following a fracture. JAMA 2001; 285: 320. Journal of the American Medical Association
- Terje Johannessen, professor i allmennmedisin, Trondheim (tilpasning til NEL)