Efectos comparativos del entrenamiento funcional y tradicional sobre la cifosis torácica en adultos jóvenes de 19 a 22 años

Autores/as

  • Andis Bogdani Department of Sport Management, Faculty of Physical Activity and Recreation, Sports University of Tirana (Albania)
  • Genti Pano Sports University of Tirana
  • Anduela Lile Department of Sport Management, Faculty of Physical Activity and Recreation, Sports University of Tirana (Albania)

DOI:

https://doi.org/10.47197/retos.v77.117741

Palabras clave:

Entrenamiento funcional, Entrenamiento tradicional, Cifosis toracica, Adultos jóvenes

Resumen

Introduccion: La cifosis toracica se refiere a la curvatura natural de la columna superior, influenciada por la estructura vertebral, los discos intervertebrales y la fuerza muscular paraespinal. La curvatura excesiva puede perjudicar la postura, reducir la movilidad y afectar negativamente la calidad de vida.

Objetivo: El objectivo principal de este estudio fue comparar el impacto de los programas de ejercicio funcional versus tradicional en la cifosis toracica postural en adultos jovenes de 19-22 anos.

Metodologia: Cuarenta y cinco participantes (21 mujeres y 24 hombres) fueron asignados aletoriamente a un grupo de entrenamiento funcional (ejercicios de core y multiplanares) o un grupo de entrenamiento tradicional (entrenamiento de furza basico). Ambos grupos siguieron un programa de 12 semanas, tres sesiones por semana. La postura se evaluo utilizando la aplicacion Posture Screen Mobile y la curvatura toracica se cuantifico con el metodo del angulo de Cobb.

Resultados: Despues la intervencion, ambos grupos mostraron mejoras: 3.5 grados en el grupo de entrenamiento funcional y 1.6 grados en el grupo de entrenamiento tradicional.

Discussion: El ANOVA de medidas repetidas (F (1,44) = 21, 624, p < 0,0005) confirmo un efecto significativo a lo largo del tiempo, observandose mayores mejoras en el grupo de entrenamiento funcional.

Conclusiones: Estos hallazgos sugierenque el entrenamiento funcional es mas eficaz que los enfoques tradicionales para reducir la cifosis toracica en adultos jovenes. 

Referencias

Bansal, S., Katzman, W. B., & Giangregorio, L. M. (2014). Exercise for improving age-related hyperkyphotic posture: A systematic review. Archives of Physical Medicine and Rehabilitation, 95(1), 129–140. https://doi.org/10.1016/j.apmr.2013.06.022

Beck, J. A., Machado, J. M., De Souza, A., Sanchotene, C. G., Dominski, F. H., & Ruschel, C. (2025). Training protocol characteristics in studies comparing functional versus traditional training: systematic review of controlled trials. Retos, 70, 136–148. https://doi.org/10.47197/retos.v70.114588

Bennell, K., Khan, K., & McKay, H. (2000). The role of physiotherapy in the prevention and treatment of osteoporosis. Manual Therapy, 5(4), 198–213. https://doi.org/10.1054/math.2000.0369

Boland, D. M., Neufeld, E. V., Ruddell, J., Dolezal, B. A., & Cooper, C. B. (2016). Inter- and intra-rater agreement of static posture analysis using a mobile application. Journal of Physical Therapy Science, 28(12), 3398–3402. https://doi.org/10.1589/jpts.28.3398

Brzęk, A., Dworrak, T., Strauß, M., Sanchís-Gomar, F., Sabbah, I., Dworrak, B., & Leischik, R. (2017). The weight of pupils’ schoolbags in early school age and its influence on body posture. BMC Musculoskeletal Disorders, 18(1), 117. https://doi.org/10.1186/s12891-017-1462-z

Carter, N. D. (2001). Results of a 10-week community-based strength and balance training programme to reduce fall risk factors: A randomized controlled trial in 65–75-year-old women with osteoporosis. British Journal of Sports Medicine, 35(5), 348–351. https://doi.org/10.1136/bjsm.35.5.348

Çelenay, S. T., & Kaya, D. Ö. (2018). An 8-week thoracic spine stabilization exercise program improves postural back pain, spine alignment, postural sway, and core endurance in university students: A randomized controlled study. Turkish Journal of Medical Sciences, 47(2), 504–513. https://doi.org/10.3906/sag-1511-155

Edmondston, S. J., Chan, H. Y., Ngai, G. C. W., Warren, M. L. R., Williams, J. M., Glennon, S., & Netto, K. (2007). Postural neck pain: An investigation of habitual sitting posture, perception of “good” posture and cervicothoracic kinaesthesia. Manual Therapy, 12(4), 363–371. https://doi.org/10.1016/j.math.2006.07.007

Elpeze, G., & Usgu, G. (2022). The effect of a comprehensive corrective exercise program on kyphosis angle and balance in kyphotic adolescents. Healthcare, 10(12), Article 2478. https://doi.org/10.3390/healthcare10122478

Ettinger, B., Black, D. M., Palermo, L., Nevitt, M. C., Melnikoff, S., & Cummings, S. R. (1994). Kyphosis in older women and its relation to back pain, disability and osteopenia: The study of osteoporotic fractures. Osteoporosis International, 4(1), 55–60. https://doi.org/10.1007/bf02352262

Feng, Q., Wang, M., Zhang, Y., & Zhang, Y. (2017). The effect of a corrective functional exercise program on postural thoracic kyphosis in teenagers: A randomized controlled trial. Clinical Rehabilitation, 32(1), 48–56. https://doi.org/10.1177/0269215517714591

Goh, S., Price, R. I., Leedman, P. J., & Singer, K. P. (2000). A comparison of three methods for measuring thoracic kyphosis: Implications for clinical studies. Rheumatology, 39(3), 310–315. https://doi.org/10.1093/rheumatology/39.3.310

Hertling, D., & Kessler, R. M. (2005). Management of common musculoskeletal disorders: Physical therapy principles and methods. Lippincott Williams & Wilkins. http://ci.nii.ac.jp/ncid/BA12042737

Hopkins, B. C. B., Vehrs, P. R., Fellingham, G. W., George, J. D., Hager, R., & Ridge, S. T. (2019). Validity and reliability of standing posture measurements using a mobile application. Journal of Manipulative and Physiological Therapeutics, 42(2), 132–140. https://doi.org/10.1016/j.jmpt.2019.02.003

Hrysomallis, C., & Goodman, A. (2001). Review of resistance exercise and posture realignment. Journal of Strength and Conditioning Research, 15(3), 385–390. https://doi.org/10.1519/00124278-200108000-00022

Huang, M. H., Barrett-Connor, E., Greendale, G. A., & Kado, D. M. (2006). Hyperkyphotic posture and risk of future osteoporotic fractures: The Rancho Bernardo Study. Journal of Bone and Mineral Research, 21(3), 419–423. https://doi.org/10.1359/jbmr.051201

Jang, H. J., Kim, M. J., & Kim, S. Y. (2015). Effect of thorax correction exercises on flexed posture and chest function in older women with age-related hyperkyphosis. Journal of Physical Therapy Science, 27(4), 1161–1164. https://doi.org/10.1589/jpts.27.1161

Kado, D. M., Huang, M. H., Karlamangla, A. S., Cawthon, P., Katzman, W., Hillier, T. A., Ensrud, K., & Cummings, S. R. (2012). Factors associated with kyphosis progression in older women: 15 years’ experience in the study of osteoporotic fractures. Journal of Bone and Mineral Research, 28(1), 179–187. https://doi.org/10.1002/jbmr.1728

Kamali, F., Shirazi, S. A., Ebrahimi, S., Mirshamsi, M., & Ghanbari, A. (2016). Comparison of manual therapy and exercise therapy for postural hyperkyphosis: A randomized clinical trial. Physiotherapy Theory and Practice, 32(2), 92–97. https://doi.org/10.3109/09593985.2015.1110739

Katzman, W. B., Vittinghoff, E., Lin, F., Schafer, A., Long, R. K., Wong, S., Gladin, A., Fan, B., Allaire, B., Kado, D. M., & Lane, N. E. (2017). Targeted spine strengthening exercise and posture training program to reduce hyperkyphosis in older adults: Results from the study of hyperkyphosis, exercise, and function (SHEAF) randomized controlled trial. Osteoporosis International, 28(10), 2831–2841. https://doi.org/10.1007/s00198-017-4109-x

Koelé, M. C., Lems, W. F., & Willems, H. C. (2020). The clinical relevance of hyperkyphosis: A narrative review. Frontiers in Endocrinology, 11, Article 5. https://doi.org/10.3389/fendo.2020.00005

Macagno, A., & O’Brien, M. F. (2006). Thoracic and thoracolumbar kyphosis in adults. Spine, 31(Suppl), S161–S170. https://doi.org/10.1097/01.brs.0000236909.26123.f8

Mokhtaran, S., Piri, H., Sheikhhoseini, R., & Salsali, M. (2025). Comparing two corrective exercise approaches for body image and upper-quadrant posture in schoolgirls with hyperkyphosis. Scientific reports, 15(1), 3882. https://doi.org/10.1038/s41598-025-85665-0

Muñoz, E. G., Rodriguez-Araya, S., Díaz-Vega, M., Méndez-Rebolledo, G., Valdés-Badilla, P., Núñez-Espinosa, C., & Méndez, J. S. (2023). Relación entre composición corporal y somatotipo con equilibrio postural dinámico en jóvenes basquet-bolistas Relación entre composición corporal y somatotipo con equilibrio postural dinámico en jóvenes basquetbolistas (Relationship between body composition and somatotype with dynamic postural balance in young basketball players). Retos, 50, 239–243. https://doi.org/10.47197/retos.v50.98882

Nault, M. L., Allard, P., Hinse, S., Le Blanc, R., Caron, O., Labelle, H., & Sadeghi, H. (2002). Relations between standing stability and body posture parameters in adolescent idiopathic scoliosis. Spine, 27(6), 1911–1917. https://doi.org/10.1097/00007632-200209010-00018

Pedraza-Ricra, D., Basauri-Delgado, M., Santiago, R. J. M., & Saintila, J. (2025). Influence of kinanthropometric characteristics on spinal health among Peruvian university students. Retos, 73, 288–299. https://doi.org/10.47197/retos.v73.115780

Perriman, D., Scarvell, J. M., Hughes, A., Ashman, B., Lueck, C. J., & Smith, P. N. (2010). Validation of the flexible electrogoniometer for measuring thoracic kyphosis. Spine, 35(14), E633–E640. https://doi.org/10.1097/brs.0b013e3181d13039

Quek, J., Pua, Y. H., Clark, R. A., & Bryant, A. L. (2013). Effects of thoracic kyphosis and forward head posture on cervical range of motion in older adults. Manual Therapy, 18(1), 65–71. https://doi.org/10.1016/j.math.2012.07.005

Ruiz. M. J., Perales, J. P., Adelantado, M. T. F., Cerveró, C. G., Grancha, I. T., & Sanchis, L. R. (2024). Efectos de un programa de actividad física de corrección postural y activación muscular para la pre-vención del dolor lumbar en alumnado de Educación Física de 5o y 6o de Educación Secundaria Obligatoria (Effects of a physical activity program of postural correction and muscle activation for the prevention of low back pain in Physical Education students in 5th and 6th grade of Compulsory Secondary Education). Retos, 56, 732–743. https://doi.org/10.47197/retos.v56.102974

Sadiqi, S., Verlaan, J. J., Lehr, A. M., Chapman, J. R., Dvorak, M. F., Kandziora, F., Rajasekaran, S., Schnake, K. J., Vaccaro, A. R., & Öner, F. C. (2016). Measurement of kyphosis and vertebral body height loss in traumatic spine fractures: An international study. European Spine Journal, 26(5), 1483–1491. https://doi.org/10.1007/s00586-016-4716-9

Seidi, F., Rajabi, R., Ebrahimi, I., Alizadeh, M. H., & Minoonejad, H. (2014). The efficiency of corrective exercise interventions on thoracic hyper-kyphosis angle. Journal of Back and Musculoskeletal Rehabilitation, 27(1), 7–16. https://doi.org/10.3233/bmr-130411

Sinaki, M. (2003). Critical appraisal of physical rehabilitation measures after osteoporotic vertebral fracture. Osteoporosis International, 14(9), 773–779. https://doi.org/10.1007/s00198-003-1446-8

Szucs, K. A., & Brown, E. V. D. (2018). Rater reliability and construct validity of a mobile application for posture analysis. Journal of Physical Therapy Science, 30(2), 31–36. https://doi.org/10.1589/jpts.30.31

Twomey, L. T. (1992). A rationale for the treatment of back pain and joint pain by manual therapy. Physical Therapy, 72(12), 885–892. https://doi.org/10.1093/ptj/72.12.885

Ulmar, B., Gühring, M., Schmälzle, T., Weise, K., Badke, A., & Brunner, A. (2010). Inter- and intra-observer reliability of the Cobb angle in the measurement of vertebral, local and segmental kyphosis of traumatic lumbar spine fractures in the lateral X-ray. Archives of Orthopaedic and Trauma Surgery, 130(12), 1533–1538. https://doi.org/10.1007/s00402-010-1104-5

Vásquez-Orellana, K., López-Vásquez, M., Méndez-Rebolledo, G., & Muñoz, E. G. (2022). Efectos de un entrenamiento neuromuscular sobre el equilibrio postural dinámico y propiocepción en basquetbolistas juveniles con inestabilidad funcional de tobillo (Effects of neuromuscular training on dynamic postural balance and proprioception in youth. Retos, 44, 1104–1112. https://doi.org/10.47197/retos.v44i0.91257

Verdugo, S. a. A., Silva, S. P. G., Saavedra, G. D. C., Araya, A. R. M., Sanchez, C. E. Z., Guzman-Muñoz, E. E., Selaive, R. a. S., Alarcón-Rivera, M., & Cabezas, G. R. (2024). Efectos de un entrenamiento muscular de core sobre la postura, funcionalidad y la presencia de dolor en estudiantes universitarias con dolor lumbar (Effects of core muscle training on posture, functionality and pain in university students with low back pain). Retos, 58, 338–343. https://doi.org/10.47197/retos.v58.103964

Yoo, W. G. (2013). Effect of thoracic stretching, thoracic extension exercise and exercises for cervical and scapular posture on thoracic kyphosis angle and upper thoracic pain. Journal of Physical Therapy Science, 25(11), 1509–1510. https://doi.org/10.1589/jpts.25.1509

Yudho, F. H. P., Fachrezzy, F., & Dlis, F. (2025). Unravelling the impact of physical activity on postural stability: an experimental study of university students. Retos, 68, 13–23. https://doi.org/10.47197/retos.v68.113330

Zappalà, M., Lightbourne, S., & Heneghan, N. R. (2021). The relationship between thoracic kyphosis and age, and normative values across age groups: A systematic review of healthy adults. Journal of Orthopaedic Surgery and Research, 16(1), 25. https://doi.org/10.1186/s13018-021-02592-2

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Publicado

22-01-2026

Número

Sección

Artículos de carácter científico: investigaciones básicas y/o aplicadas

Cómo citar

Bogdani, A., Pano, G., & Lile, A. (2026). Efectos comparativos del entrenamiento funcional y tradicional sobre la cifosis torácica en adultos jóvenes de 19 a 22 años. Retos, 77, 164-175. https://doi.org/10.47197/retos.v77.117741