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Study aim
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Evaluation of the effect of orthosis and taping not only in correction of thoracic spine alignment but also pelvic and cervical alignment and also its effect on postural control strategies
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Design
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Randomized clinical trial, with parallel groups and single-blind on 48 patients. Randomizer site will be used for randomization.
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Settings and conduct
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The study will be conducted in the Faculty of Rehabilitation of Iran University of Medical Sciences.
Spinal and pelvis sagittal alignment will be examined by radiography and postural control by a force plate, and the data analyzer will be blind to type of treatment.
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Participants/Inclusion and exclusion criteria
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Inclusion criteria: Age more than 60 years, kyphosis angle more than 50 degree, capability of walking without assistive devices
Exclusion criteria: history of fracture or trauma to the spine and lower extremities, history of spinal surgery, history of inflammatory diseases such as ankylosing spondylosis, rheumatoid arthritis, history of central nervous system diseases, neuromuscular disorders and diabetes neuropathy, bone density with a T-score less than -1, history of vestibular disease and dizziness, history of cardiovascular diseases, history of diseases of the lymphatic and kidney system, visual and auditory disorders that can not be corrected, history of falls more than twice in the last six months, history of knee osteoarthritis, cognitive impairment with AMTS≤6 score, use of drugs affecting the central nervous system or balance, inability to wear orthoses, sensitivity to taping
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Intervention groups
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In group one, orthosis will be worn for 13 weeks for two hours a day, in group two for 13 weeks, postural tape will be received. There will be 2 taping programs per week for up to 13 weeks.
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Main outcome variables
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Spinal and pelvis sagittal alignment; Nonlinear and linear analysis of postural control, balance performance