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ORIGINAL PAPER
Effects of concave thoracoplasty on chest circumference and ventilatory function in adolescence with idiopathic scoliosis
1
Department of Physical Therapy for Cardiopulmonary Disorders and Geriatrics, Faculty of Physical Therapy, Misr University for Science and Technology, Giza, Egypt
2
Department of Orthopaedic Surgery, Faculty of Medicine, Cairo University, Cairo, Egypt
3
Department of Physical Therapy for Cardiopulmonary Disorders and Geriatrics. Faculty of Physical Therapy, Cairo University, Egypt
4
College of Medical Rehabilitation, Qassim University, Qassim, Saudi Arabia
5
Department of Basic Sciences, Faculty of Physical Therapy, Misr University for Science and Technology, Giza, Egypt
Submission date: 2023-03-26
Acceptance date: 2023-09-15
Publication date: 2024-12-06
Corresponding author
Khaled Takey Ahmed
Department of Physical Therapy for Cardiopulmonary Disorders and Geriatrics, Faculty of Physical Therapy, Misr University for Science and Technology, 26th of July Corridor, first 6th of October, Giza Governorate, Egypt
Department of Physical Therapy for Cardiopulmonary Disorders and Geriatrics, Faculty of Physical Therapy, Misr University for Science and Technology, 26th of July Corridor, first 6th of October, Giza Governorate, Egypt
Physiother Quart. 2024;32(4):29-34
KEYWORDS
TOPICS
ABSTRACT
Introduction:
Adolescent idiopathic scoliosis (AIS) can reduce rib cage volume, which mechanically overloads the respiratory musculature. A current study examines the influences of concave thoracoplasty on pulmonary function and chest circumference.
Methods:
This study included thirty AIS patients of both genders, aged 12 to 18 years, who had a concave thoracoplasty with posterior correction. Pulmonary function, Cobb angles, and chest circumferences were measured before surgery, on the fifth day following surgery, and at three months.
Results:
A paired t-test was used to compare Cobb angles and chest expansion before and after intervention in the AIS-studied group. The statistical analysis stated that there was a significant decrease in Cobb angles and chest expansion (p < 0.05) at post-intervention follow-ups compared to pre-intervention measurements with a change percentage of 56.13% and 18.90%, respectively. Bonferroni correction test was employed to evaluate a pairwise intervention for outcome variables that revealed there were insignificantly increases in vital capacity (VC), forced vital capacity (FVC), and maximal voluntary breathing (MVV) after the intervention compared to before intervention (p > 0.05). In contrast, the pairwise comparison test between pre-intervention versus follow-up revealed time effect had significantly increased VC, FVC, and MVV at post-intervention compared to 3 months after the intervention with improvement percentages of 16.51%, 16.11%, and 22.16%, respectively.
Conclusions:
Patients with AIS who underwent concave thoracoplasty showed greater improvements in Cobb angles and pulmonary function tests 3 months after surgical intervention. Future research activities should emphasize elucidating areas of confusion to improve care in the AIS.
Adolescent idiopathic scoliosis (AIS) can reduce rib cage volume, which mechanically overloads the respiratory musculature. A current study examines the influences of concave thoracoplasty on pulmonary function and chest circumference.
Methods:
This study included thirty AIS patients of both genders, aged 12 to 18 years, who had a concave thoracoplasty with posterior correction. Pulmonary function, Cobb angles, and chest circumferences were measured before surgery, on the fifth day following surgery, and at three months.
Results:
A paired t-test was used to compare Cobb angles and chest expansion before and after intervention in the AIS-studied group. The statistical analysis stated that there was a significant decrease in Cobb angles and chest expansion (p < 0.05) at post-intervention follow-ups compared to pre-intervention measurements with a change percentage of 56.13% and 18.90%, respectively. Bonferroni correction test was employed to evaluate a pairwise intervention for outcome variables that revealed there were insignificantly increases in vital capacity (VC), forced vital capacity (FVC), and maximal voluntary breathing (MVV) after the intervention compared to before intervention (p > 0.05). In contrast, the pairwise comparison test between pre-intervention versus follow-up revealed time effect had significantly increased VC, FVC, and MVV at post-intervention compared to 3 months after the intervention with improvement percentages of 16.51%, 16.11%, and 22.16%, respectively.
Conclusions:
Patients with AIS who underwent concave thoracoplasty showed greater improvements in Cobb angles and pulmonary function tests 3 months after surgical intervention. Future research activities should emphasize elucidating areas of confusion to improve care in the AIS.
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