Effect of Diaphragmatic Myofascial Release on Pulmonary Function in Kyphotic Adolescents

Adolescents kyphotic girls will participated in this study. they will divided into two groups. Group A: control group will received therapeutic exercise program with pulmonary training by incentive mechanical respiratory training spirometer. Group B: study group will received the same intervention in group A in addition to diaphragmatic myofascial release. They will assessed at the baseline time and after successive two months of interventions for the following outcomes: Cobb angle by x-ray and pulmonary functions (vital capacity, forced vital capacity and maximum ventilatory volume) by computerized spirometer

Inclusion Criteria:Adolescents girls with thoracic kyphosis with cobb angle ranged from 45 to 55 degree.Age ranged from 13 to 16 years old.selected from preparatory and secondary schools.Exclusion Criteria:free from any associated deformities other than the thoracic kyphotic deformity.