46 women with postural hyperkyphosis were randomized to either manual therapy or exercise therapy to determine whether there are significant differences in kyphosis angle and muscle strength following treatment with these interventions. The results of this trial indicated that both therapies improved kyphosis angles and muscle strength from based line; however, outcomes were comparable between the two treatments at final follow-up. Future studies should investigate the effects of these treatments on patient-important outcomes, such as health-related quality of life.