Kowsar Middle East J Rehabil Health Stud 2423-4451 5 3 2018 7 3 10.5812/mejrh.74186 Mukadas O. Akindele Aminu Ibrahim Case Report 2018 6 27 2018 5 1 2018 7 3 2018 07 31 Introduction : Sagittal spine malalignment has been linked with a number of health consequences including pain, disability, and suboptimal quality of life. Case Presentation : We present a 19-year-old male with 3 years history of chronic back pain associated with kypholordotic posture. Upon examination, lumbar hyperlordosis and thoracic hyperkyphosis were mainly associated with muscular imbalance around the chest, upper back, and lumbopelvic-hip region. The patient received treatment comprising postural education (PE), therapeutic massage (TM), segmental stretching exercise (SSE), and motor control exercise (MCE) twice a week for 8 weeks. The patient demonstrated a significant improvement in lumbar lordotic (83.8 ⁰to 76.3 ⁰) and thoracic kyphotic (65.2 ⁰to 60.6 ⁰) curves as measured by flexible ruler, back pain (7.0 cm to 1.0 cm) as measured by visual analogue scale, spine ranges of motion (flexion: 5.2cm to 7.5cm; extension: 3.5cm to 4.7cm) as measured by modified Schober’s test, and functional disability (46.7% to 20.0%) as measured by modified Oswestry disability index. Conclusions : The results showed that the combination of PE, TM, SSE, and MCE was effective in improving sagittal spine alignment, back pain, spine range of movement, and function. http://jrehabilhealth.com/en/articles/74186.html https://cdn.neoscriber.org/cdn/dl/47b74aca-8d79-11e8-8eb0-8f8a78279d61