Respiratory function and respiratory muscle strength in adolescent idiopathic scoliosis.
Adolescent idiopathic scoliosis
Pulmonary function
Respiratory function
Respiratory muscle strength
Journal
Spine deformity
ISSN: 2212-1358
Titre abrégé: Spine Deform
Pays: England
ID NLM: 101603979
Informations de publication
Date de publication:
08 Feb 2024
08 Feb 2024
Historique:
received:
02
06
2023
accepted:
30
12
2023
medline:
8
2
2024
pubmed:
8
2
2024
entrez:
8
2
2024
Statut:
aheadofprint
Résumé
It was aimed to analyze the relationship of the respiratory functions, respiratory muscle strength, magnitude of the curvature, angle of trunk rotation (ATR) and brace-wearing duration in patients with adolescent idiopathic scoliosis (AIS). Sixty patients with AIS (43 females), with maximum Cobb angles between 20° and 66° were included in the study. ATR values were measured with a scoliometer. Respiratory function parameters (forced vital capacity [FVC], forced expiratory volume in one second [FEV1], FEV1/FVC ratio, peak expiratory flow [PEF]) and respiratory muscle strengths (maximum inspiratory pressure [MIP] and maximum expiratory pressure [MEP]) were measured by combined spirometry. There was a negative significant correlation between maximum Cobb angle and ATR with respiratory function parameters except for PEF and FEV1/FVC (r = -0.258-0.441; p = <0.001-0.047). There was a moderate negative correlation between ATR with MIP (cmH2O) (r = -0.377; p = 0.003) and MEP (cmH2O) (r = -0.362; p = 0.005). On the other hand, no correlation was found between brace-wearing duration with respiratory functions, maximum Cobb angle and brace-wearing duration with respiratory muscle results. The results of this study showed that, respiratory functions were normal or mildly affected, and respiratory muscle strengths were weak in AIS. Increased Cobb angle and ATR negatively affected respiratory function; increased ATR was associated with decreased inspiratory and expiratory muscle strength. It is extremely important to carefully evaluate the respiratory system and to know the variables that affect respiratory functions and respiratory muscle strength in achieving optimum recovery in the holistic treatment of individuals with scoliosis.
Identifiants
pubmed: 38329601
doi: 10.1007/s43390-024-00819-w
pii: 10.1007/s43390-024-00819-w
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Informations de copyright
© 2024. The Author(s), under exclusive licence to Scoliosis Research Society.
Références
Koumbourlis AC (2006) Scoliosis and the respiratory system. Paediatr Respir Rev 7:152–160. https://doi.org/10.1016/j.prrv.2006.04.009
doi: 10.1016/j.prrv.2006.04.009
pubmed: 16765303
Martínez-Llorens JRM, Colomina MJ, Bagó J, Molina A, Cáceres E, Gea J (2010) Muscle dysfunction and exercise limitation in adolescent idiopathic scoliosis. Eur Respir J 36:393–400. https://doi.org/10.1183/09031936.00025509
doi: 10.1183/09031936.00025509
pubmed: 20032022
Takahashi S, Suzuki N, Asazuma T, Kono K, Ono T, Toyama Y (2007) Factors of thoracic cage deformity that affect pulmonary function in adolescent idiopathic thoracic scoliosis. Spine (Phila Pa 1976) 32:106–112. https://doi.org/10.1097/01.brs.0000251005.31255.25
doi: 10.1097/01.brs.0000251005.31255.25
pubmed: 17202900
Amăricăi E, Suciu O, Onofrei RR, Miclăuș RS, Iacob RE, Caţan L, Popoiu CM, Cerbu S, Boia E (2019) Respiratory function, functional capacity, and physical activity behaviours in children and adolescents with scoliosis. J Int Med Res 48:30006051989509. https://doi.org/10.1177/0300060519895093
doi: 10.1177/0300060519895093
Redding G, Mayer OH, White K, Bompadre V, Emerson J, Krengel W, Campbell R (2017) Maximal respiratory muscle strength and vital capacity in children with early onset scoliosis. Spine (Phila Pa 1976) 42:1799–1804. https://doi.org/10.1097/BRS.0000000000002351
doi: 10.1097/BRS.0000000000002351
pubmed: 28858191
Flores F, Cavaleiro J, Lopes AA, Ribeiro F, Oliveira A (2006) Preoperative pulmonary function and respiratory muscle strength in Portuguese adolescents with idiopathic scoliosis. Rev Port Pneumol 22:52–53. https://doi.org/10.1016/j.rppnen.2015.09.003
doi: 10.1016/j.rppnen.2015.09.003
Saraiva BMA, Araujo G, Sperandio EF, Gotfryd AO, Dourado VZ, Vidotto MC (2018) Impact of scoliosis severity on functional capacity in patients with adolescent ıdiopathic scoliosis. Pediatr Exerc Sci 30:243–250. https://doi.org/10.1123/pes.2017-0080
doi: 10.1123/pes.2017-0080
pubmed: 28872419
dos Santos Alves VL, Stiburov R, Avanzi O (2006) Impact of a physical rehabilitation program on the respiratory function of adolescents with idiopathic scoliosis. Chest 130:500–505. https://doi.org/10.1016/S0012-3692(15)51867-9
doi: 10.1016/S0012-3692(15)51867-9
pubmed: 16899851
Durmala J, Tomalak W, Kotwicki T (2008) Function of the respiratory system in patients with idiopathic scoliosis: reasons for impairment and methods of evaluation. Stud Health Technol Inform 135:237–245
pubmed: 18401094
Pehrsson K, Danielsson A, Nachemson A (2001) Pulmonary function in adolescent idiopathic scoliosis: a 25 year follow up after surgery or start of brace treatment. Thorax 56:388–393. https://doi.org/10.1136/thorax.56.5.388
doi: 10.1136/thorax.56.5.388
pubmed: 11312408
pmcid: 1746049
Yurt Y, Yatar İ, Malkoç M, Yakut Y, Mıhçıoğlu S, Koltak C (2021) The effect of brace treatment on pulmonary functions in adolescent idiopathic scoliosis: An 8-month follow-up study. J Back Musculoskelet Rehabil 34:887–893. https://doi.org/10.3233/BMR-200195
doi: 10.3233/BMR-200195
pubmed: 34151821
Ran B, Fan Y, Yuan F, Guo K, Zhu X (2016) Pulmonary function changes and its influencing factors after preoperative brace treatment in patients with adolescent idiopathic scoliosis. Medicine (Baltimore) 95:e5088. https://doi.org/10.1097/MD.0000000000005088
doi: 10.1097/MD.0000000000005088
pubmed: 27787360
Yagci G, Demirkiran G, Yakut Y (2019) In-brace alterations of pulmonary functions in adolescents wearing a brace for idiopathic scoliosis. Prosthet Orthot Int 43:434–439. https://doi.org/10.1177/0309364619839856
doi: 10.1177/0309364619839856
pubmed: 30945977
Cobb JR (1948) Outline for the study of scoliosis. Am Acad Orthop Surg Instr Course Lect 5:261–275
Brusasco V, Crapo R, Viegi G (2005) Coming together: the ATS/ERS consensus on clinical pulmonary function testing. Eur Respir J 26:1–2. https://doi.org/10.1183/09031936.05.00034205
doi: 10.1183/09031936.05.00034205
pubmed: 15994380
Politarczyk K, Kozinoga M, Stępniak Ł, Panieński P, Kotwicki T (2021) Spirometry examination of adolescents with thoracic ıdiopathic scoliosis: ıs correction for height loss useful? J Clin Med 10:4877. https://doi.org/10.3390/jcm10214877
doi: 10.3390/jcm10214877
pubmed: 34768398
pmcid: 8584555
American Thoracic Society/European Respiratory Society (2002) ATS/ERS Statement on respiratory muscle testing. Am J Respir Crit Care Med 166:518–624. https://doi.org/10.1164/rccm.166.4.518
doi: 10.1164/rccm.166.4.518
Black LF, Hyatt R (1969) Maximal respiratory pressures: normal values and relationship to age and sex. Am Rev Respir Dis 99:696–702. https://doi.org/10.1164/arrd.1969.99.5.696
doi: 10.1164/arrd.1969.99.5.696
pubmed: 5772056
Lanza FC, Santos MLD, Pachi J, Selman R, Silva JC, Marcolin N et al (2015) reference equation for respiratory pressures in pediatric population: a multicenter study. PLoS ONE 10:e0135662. https://doi.org/10.1371/journal.pone.0135662
doi: 10.1371/journal.pone.0135662
pubmed: 26291318
pmcid: 4546350
Johnston CE, Richards BD, Sucato DJ, Bridwell KH, Lenke LG, Erickson M (2011) Correlation of preoperative deformity magnitude and pulmonary function tests in adolescent ıdiopathic scoliosis. Spine (Phila Pa 1976) 36:1096–1102. https://doi.org/10.1097/BRS.0b013e3181f8c931
doi: 10.1097/BRS.0b013e3181f8c931
pubmed: 21270699
Tsiligiannis T, Grivas T (2012) Pulmonary function in children with idiopathic scoliosis. Scoliosis 7:7. https://doi.org/10.1186/1748-7161-7-7
doi: 10.1186/1748-7161-7-7
pubmed: 22445133
pmcid: 3410782
McPhail GL, Ehsan Z, Howells SA, Boesch RP, Fenchel MC et al (2015) Obstructive lung disease in children with idiopathic scoliosis. J Pediatr 166:1018–1021. https://doi.org/10.1016/j.jpeds.2014.12.070
doi: 10.1016/j.jpeds.2014.12.070
pubmed: 25684085
Newton PO, Faro FD, Gollogly S, Betz RR, Lenke LG, Lowe TG (2005) Results of preoperative pulmonary function testing of adolescents with idiopathic scoliosis. A study of six hundred and thirty-one patients. J Bone Joint Surg Am 87:1937–1946. https://doi.org/10.2106/JBJS.D.02209
doi: 10.2106/JBJS.D.02209
pubmed: 16140807
Çimen O, Öner A, Köksal A, Dirvar F, Mert M (2022) Evaluation of the parameters affecting respiratory functions at adolescent ıdiopathic scoliosis patients. Clin Spine Surg 35:E236–E241. https://doi.org/10.1097/BSD.0000000000001206
doi: 10.1097/BSD.0000000000001206
pubmed: 34039890
Kan MMP, Negrini S, Di Felice F, Cheung JPY, Donzelli S, Zaina F, Samartzis D, Cheung ETC, Wong AYL (2023) Is impaired lung function related to spinal deformities in patients with adolescent idiopathic scoliosis? A systematic review and meta-analysis-SOSORT 2019 award paper. Eur Spine J 32:118–139. https://doi.org/10.1007/s00586-022-07371-z
doi: 10.1007/s00586-022-07371-z
pubmed: 36509885
Abdelaal AAM, Abd el Kafy EMAS, Elayat MSEM, Sabbahi M, Badghish MSS (2018) Changes in pulmonary function and functional capacity in adolescents with mild idiopathic scoliosis: observational cohort study. J Int Med Res 46:381–391. https://doi.org/10.1177/0300060517715375
doi: 10.1177/0300060517715375
pubmed: 28661261
Yu B, Wang Y, Qiu G, Shen J, Zhang J, Lao L (2013) The influence of preoperative brace treatment on the pulmonary function test in female adolescent idiopathic scoliosis. J Spinal Disord Tech 26:E254–E258. https://doi.org/10.1097/BSD.0b013e318289be35
doi: 10.1097/BSD.0b013e318289be35
pubmed: 23429322
Sperandio EF, Alexandre A, Yi LC, Poletto PR, Gotfryd AO, Vidotto MC, Dourado VZ (2014) Functional aerobic exercise capacity limitation in adolescent idiopathic scoliosis. Spine J 14:2366–2372. https://doi.org/10.1016/j.spinee.2014.01.041
doi: 10.1016/j.spinee.2014.01.041
pubmed: 24486477
Morillas FL, Oliveira-Sousa SL, Andrade-Ortega JA, Ibáñez-Vera AJ, Lomas-Vega R, Zagalaz-Anula N (2021) The type of conservative management could be related to the strength of the ınspiratory muscles of adolescents with ıdiopathic scoliosis—a case series. Children (Basel) 8:1002. https://doi.org/10.3390/children8111002
doi: 10.3390/children8111002
Mohammadi P, Akbari M, Sarrafzadeh J, Moradi Z (2014) Comparison of respiratory muscles activity and exercise capacity in patients with idiopathic scoliosis and healthy individuals. Physiother Theory Pract 30:552–556. https://doi.org/10.3109/09593985.2014.938382
doi: 10.3109/09593985.2014.938382
pubmed: 25051355
dos Santos Alves VL, Avanzi O (2016) Respiratory muscle strength in ıdiopathic scoliosis after training program. Acta Ortop Bras 24:296–299. https://doi.org/10.1590/1413-785220162406120752
doi: 10.1590/1413-785220162406120752
Romberg K, Olsén MF, Kjellby-Wendt G, Hallerman KL, Danielsson A (2020) Thoracic mobility and its relation to pulmonary function and rib-cage deformity in patients with early onset idiopathic scoliosis: a long-term follow-up. Spine Deform 8:257–268. https://doi.org/10.1007/s43390-019-00018-y
doi: 10.1007/s43390-019-00018-y
pubmed: 32077084