# The impact of exercise on spinal posture in adolescents: a systematic review

**Authors:** Ercília Oliveira-Costa, Diego Alonso-Fernández, Águeda Gutiérrez-Sánchez

PMC · DOI: 10.1590/1984-0462/2025/43/2025013 · Revista Paulista de Pediatria · 2025-11-14

## TL;DR

This systematic review shows that physical exercise can improve spinal posture in adolescents by reducing kyphosis angles and pain.

## Contribution

The study provides a comprehensive analysis of recent high-quality research on exercise's effects on adolescent spinal posture.

## Key findings

- Physical exercise reduces thoracic and lumbar kyphosis angles in adolescents.
- Exercise increases trunk mobility and decreases pain percentage.
- Improvements were more significant in intervention groups compared to control groups.

## Abstract

The objective of this study was to analyze research evaluating the impact of various physical exercise programs on improving spinal posture in adolescents.

A systematic review covering the last six years (2018–2024) was conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines across nine databases. Methodological quality was assessed using the Physiotherapy Evidence Database (PEDro) scale.

A total of 152 studies were identified, of which ten met the selection criteria and demonstrated high methodological quality and were included in the review. These studies showed a reduction in the thoracic and lumbar kyphosis angles, lumbar lordosis, and the percentage of pain, as well as an increase in trunk mobility and inclination angle following the implementation of physical exercise programs.

In intervention groups physical exercise has an impact on posture, leading to significant improvements in thoracic and lumbar kyphosis angles compared to control groups.

## Full-text entities

- **Diseases:** kyphosis (MESH:D007738), pain (MESH:D010146)

## Full text

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## Figures

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## References

42 references — full list in the complete paper: https://tomesphere.com/paper/PMC12622994/full.md

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Source: https://tomesphere.com/paper/PMC12622994