Why take a full body approach? Well, here is a study that shows a increased thoracic kyphosis causes pain and decreased shoulder ROM. Many structures may have a direct, or indirect role on other body parts. So why not check our patients fully. Here is what this study concludes "An increased thoracic kyphosis was found associated with marked increased physical costs when performing arm movements. Hence, patients suffering from neck-shoulder pain and disability should be investigated and treated for defective thoracic curvature issues." Here is the paper for you: You either need to log in or a different subscription to view this page.