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“Introduction Age-related hyperkyphosis is an exaggerated anterior curvature of the thoracic spine. Older adults with hyperkyphosis are at increased risk for impaired physical function [1–6], falls [7], and fractures [8]. While multiple studies have demonstrated a negative effect of hyperkyphosis www.selleckchem.com/products/GDC-0449.html on physical function [1, 3, 5, 6, 9, 10], none have been able to disentangle whether the impaired function might be explained by another associated predictor underlying spinal osteoporosis [11]. Furthermore, these studies have been limited by small sample sizes [3], qualitative measures of kyphosis [1, 5], or lack of control of confounding variables

[1, 3, 9, 10]. As impaired physical function itself is associated with fall risk and fractures, further examination of the relationship between kyphosis and measured physical function might inform other Glutamate dehydrogenase treatment strategies to forestall or even prevent functional decline. Currently, physicians often will refer patients to physical therapy for problems with balance and gait, but there are few referrals for hyperkyphosis. The association between hyperkyphosis and advanced age, decreased grip strength, low bone mineral density, and vertebral compression fractures [1, 5, 12–16], that themselves can impact on physical function, may serve to downplay the importance of age-related postural change. As an example, even though only 36-37% of older persons with the worst degrees of kyphosis have underlying vertebral fractures [13, 17], most clinicians assume vertebral fractures are the cause of hyperkyphosis, and may therefore consider it an incidental finding rather than an important clinical condition worthy of treatment itself [18, 19]. Establishing hyperkyphosis as a significant predictor of impaired mobility, independent of other significant predictors likely to impair mobility, could help justify intervention to reduce or delay progression of hyperkyphosis.