Feasibility of a Physical Therapy Intervention on Older Adults With Hyperkyphosis or Forward Head Posture

Inclusion Criteria: * at least 50 years of age * hyperkyphosis, forward head posture, pneumonia, or chronic obstructive pulmonary disease (COPD) * community dwelling * self report of ability to walk 10 feet or greater with or without an assistive device * ability to perform informed consent * ability to transport to research facility * ability to read and write in English or Spanish Exclusion Criteria: * Inability to perform informed consent * Inability to follow directions * Inability to perform transfers, sit, and stand independently * Inability to ambulate 10 feet or more with or without an assistive device * Inability to perform pulmonary function testing * Inability to fully participate in testing and measures * Inability to fully participate in the intervention * Severe claustrophobia * Unable to tolerate physical touch * Morbid obesity (BMI greater than 40) * History of prior lung disease such as cancer or transplant * History of comorbidity that would affect lung function such as neuromuscular disease (ALS, MS), collagen disease (SLE), cardiovascular disease (CHF), or musculoskeletal disease with an autoimmune component (Ankylosing Spondylosis, RA). * A prior discharge within 30 days of hospitalization for pneumonia or COPD * Discharge against medical advice