Effects of concave thoracoplasty on chest circumference and ventilatory function in adolescence with idiopathic scoliosis
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...
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Termedia Publishing House
2024-12-01
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| Series: | Physiotherapy Quarterly |
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| author | Khaled Takey Ahmed Abla Mohamed Hamed Youssry El Hawary Nesreen G. El-Nahas Akram M. Helmy Mohammed Hesham Aboelenien |
| author_facet | Khaled Takey Ahmed Abla Mohamed Hamed Youssry El Hawary Nesreen G. El-Nahas Akram M. Helmy Mohammed Hesham Aboelenien |
| author_sort | Khaled Takey Ahmed |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-7bf6130c024741ec8cc9292806315abe |
| institution | Kabale University |
| issn | 2544-4395 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Termedia Publishing House |
| record_format | Article |
| series | Physiotherapy Quarterly |
| spelling | doaj-art-7bf6130c024741ec8cc9292806315abe2025-01-27T10:42:58ZengTermedia Publishing HousePhysiotherapy Quarterly2544-43952024-12-01324293410.5114/pq/172368172368Effects of concave thoracoplasty on chest circumference and ventilatory function in adolescence with idiopathic scoliosisKhaled Takey Ahmed0https://orcid.org/0000-0001-7731-1630Abla Mohamed Hamed1Youssry El Hawary2Nesreen G. El-Nahas3Akram M. Helmy4https://orcid.org/0000-0001-6759-8199Mohammed Hesham Aboelenien5https://orcid.org/0000-0002-5653-0460Department of Physical Therapy for Cardiopulmonary Disorders and Geriatrics, Faculty of Physical Therapy, Misr University for Science and Technology, Giza, EgyptDepartment of Physical Therapy for Cardiopulmonary Disorders and Geriatrics, Faculty of Physical Therapy, Misr University for Science and Technology, Giza, EgyptDepartment of Orthopaedic Surgery, Faculty of Medicine, Cairo University, Cairo, EgyptDepartment of Physical Therapy for Cardiopulmonary Disorders and Geriatrics. Faculty of Physical Therapy, Cairo University, EgyptCollege of Medical Rehabilitation, Qassim University, Qassim, Saudi ArabiaDepartment of Basic Sciences, Faculty of Physical Therapy, Misr University for Science and Technology, Giza, EgyptIntroduction 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.https://physioquart.awf.wroc.pl/Effects-of-concave-thoracoplasty-on-chest-circumference-and-ventilatory-function,172368,0,2.htmladolescent idiopathic scoliosisconcave thoracoplastypulmonary function testchest circumference |
| spellingShingle | Khaled Takey Ahmed Abla Mohamed Hamed Youssry El Hawary Nesreen G. El-Nahas Akram M. Helmy Mohammed Hesham Aboelenien Effects of concave thoracoplasty on chest circumference and ventilatory function in adolescence with idiopathic scoliosis Physiotherapy Quarterly adolescent idiopathic scoliosis concave thoracoplasty pulmonary function test chest circumference |
| title | Effects of concave thoracoplasty on chest circumference and ventilatory function in adolescence with idiopathic scoliosis |
| title_full | Effects of concave thoracoplasty on chest circumference and ventilatory function in adolescence with idiopathic scoliosis |
| title_fullStr | Effects of concave thoracoplasty on chest circumference and ventilatory function in adolescence with idiopathic scoliosis |
| title_full_unstemmed | Effects of concave thoracoplasty on chest circumference and ventilatory function in adolescence with idiopathic scoliosis |
| title_short | Effects of concave thoracoplasty on chest circumference and ventilatory function in adolescence with idiopathic scoliosis |
| title_sort | effects of concave thoracoplasty on chest circumference and ventilatory function in adolescence with idiopathic scoliosis |
| topic | adolescent idiopathic scoliosis concave thoracoplasty pulmonary function test chest circumference |
| url | https://physioquart.awf.wroc.pl/Effects-of-concave-thoracoplasty-on-chest-circumference-and-ventilatory-function,172368,0,2.html |
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