The effect and durability of postural education and corrective games on the alignment of the thoracic and cervical spine and the daily habits in children

Purpose: This study aims to compare the effects of posture education and corrective games on the alignment of the thoracic and cervical spine, as well as the daily habits in children. Materials and methods: The statistical population of this study was formed by elementary students with malalignments in the thoracic and cervical spine of Baharestan city (Iran). A total of 60 participants were assigned to this study and using simple and random method with computer-generated random numbers divided into posture education group (PE, n= 20) corrective games group (CG, n= 20) and control group (CON, n= 20) groups. Kyphosis angle, forward head posture and forward shoulder posture measured with a flexible ruler, goniometer, and double square, respectively. Also, daily habits measured with students' daily functional activities questioner. Results: Both the PE and CG showed significant improvements in kyphosis (p = 0.01 for PE, p = 0.02 for CG), forward head posture (p = 0.02 for PE, p = 0.04 for CG), forward shoulder posture (p = 0.001 for PE, p = 0.02 for CG), and daily habits (p = 0.02 for PE, p = 0.03 for CG) after an 8-week training intervention compared to the CON group. However, after a 3-month detraining period, the changes in both the PE and CG were found to be statistically insignificant (p > 0.05). Conclusion: In conclusion, both the EP and CG interventions significantly improved kyphosis, forward head, and shoulder posture, as well as daily activity patterns, without notable differences between them. Additionally, the sustainability of these improvements suggests that participants developed lasting skills and habits that promote ongoing spinal health. Overall, the study reinforces the value of integrating educational and engaging physical activities into curricula to support children's musculoskeletal well-being. Trial Registration IRCT registration number: IRCT20250316065103N1 Registration date: 2025-03-25 (Retrospectively registered) Trial Id: 82539