Effect of physical therapy scoliosis specific exercises using breathing pattern on adolescent idiopathic scoliosis

Yoon, Sungyoung; Rhee, Min-Hyung

doi:10.1589/jpts.28.3261

Cited by 2 publications

(1 citation statement)

References 7 publications

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“…Scoliosis is defined as a condition marked by sideways spinal curves that surpass a 10° measurement. Frequently, individuals exhibit an x-ray image revealing an "S" or "C" shape (1). Exceeding the typical spinal curvature in the frontal plane, scoliosis results in a three-dimensional distortion.…”

Section: Introductionmentioning

confidence: 99%

Impact of Computer-Aided Design and Computer-Aided Manufacturing Boston Brace on Level of Dyspnea among Patients with Adolescent Idiopathic Scoliosis

Rizwan,

Saeed,

Sadiq

et al. 2024

JHRR

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Background: Adolescent Idiopathic Scoliosis (AIS) is a prevalent spinal deformity characterized by a lateral curvature exceeding 10°. Bracing, particularly with the Boston brace, is a common conservative treatment aimed at halting the progression of spinal curvature. However, the impact of bracing on pulmonary function and the resultant dyspnea remains a concern, especially in developing countries like Pakistan where larger scoliotic curves are more common. Objective: This study aimed to evaluate the effect of the CAD/CAM Boston brace on dyspnea levels in patients with AIS and to examine the correlation between dyspnea severity, Cobb's angle, and the duration of brace wear. Methods: Necessary approvals were obtained from the institutional ethical review board, and informed consent was secured from all participants. The study included 145 participants (aged 10-19 years) diagnosed with AIS, recruited through non-probability convenient sampling. The sample size was calculated using the WHO sample size calculator, ensuring a minimum of 134 participants. Data collection involved the 6 Minute Walk Test (6MWT) followed by the Modified Borg Scale (MBS) to assess dyspnea. Participants were instructed to walk a distance of 400 to 700 meters within 6 minutes. Post-test, participants rated their dyspnea on a scale of 0 to 10. Demographic data and brace wear duration were also collected. Data were analyzed using SPSS version 25. Means and standard deviations were calculated for continuous variables, and frequency tables were used for categorical variables. Pearson correlation coefficients were computed to determine the relationships between dyspnea levels, Cobb's angle, and brace wear duration. Results: The mean age of participants was 14.71 years (SD = 2.309). The mean Cobb's angle was 52.08° (SD = 5.3729), and the mean duration of brace wear was 26.08 hours per week (SD = 7.0458). Dyspnea severity varied, with 54.5% of participants reporting "somewhat severe" dyspnea, 15.9% reporting "very, very severe" dyspnea, and 9.0% reporting "moderate" dyspnea. Pearson correlation analysis revealed a strong positive correlation between dyspnea severity and Cobb's angle (r = 0.681), and a moderate positive correlation between dyspnea severity and brace wear duration (r = 0.414). Conclusion: The study highlights the significant impact of the CAD/CAM Boston brace on dyspnea levels among AIS patients. Higher Cobb's angles and longer brace wear durations were associated with increased dyspnea severity. These findings underscore the need for careful monitoring of respiratory symptoms in AIS patients undergoing bracing and suggest exploring alternative or adjunctive treatments to minimize pulmonary compromise.

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Section: Introductionmentioning

confidence: 99%

Impact of Computer-Aided Design and Computer-Aided Manufacturing Boston Brace on Level of Dyspnea among Patients with Adolescent Idiopathic Scoliosis

Rizwan,

Saeed,

Sadiq

et al. 2024

JHRR

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Efficacy of Physiotherapy on Spinal Mobility Parameters and Pain in Persons with Adolescent and Adult Idiopathic Structural Scoliosis

Naveen Kumar Balne,

S. Afshan Jabeen,

Neeharika Mathukumalli

2021

IJPOT

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Background: Scoliosis cause changes in spinal alignment, mobility, flexibility rrecruitment of Para spinal muscles and postural reflex mechanism. Ssubjects might have hump on one side of spine, functional difficulties, and pain in multiple regions of body, change in lung function, nerve compression, dysmenorrhea and constipation in severe curves. Some studies shows mood changes, depression, handicap and social involvement. Gradually it is becoming clear that if good non operative treatment is given, only 1 in 25, or 0.1% cases may require surgery. Hence this study is aimed at effectiveness of physiotherapy on spinal mobility parameters. Methods:Study was conducted at Nizam's institute of Medical sciences, department of Physiotherapy. 13 adolescent idiopathic scoliotic subjects aged between 12 to 40 years were taken into the study. Subjects had curve specific exercise for 25 weeks. Outcomes measures include 1.spinal mobility (flexion, extension, left bending right bending), 2. Flexibility of pectorals, Iliopsoas and hamstrings on both sides, 3. VAS (Visual analog scale) for pain, 4. Cobb angle for curve measurement.Change in VAS scores were significant (P <0.0001) and mean changes from 5.23 ±1.64 to 1.384 ±0.65 with IQR was from 6-4 to 2-1. Spinal flexion (p value: 0.003) and extension (P-Value: 0.007) showed significant results on Wilcoxon signed rank test. The improvements in Cobb angle was were more at lumbar region than the other areas in this study. Conclusion:Though there is less curve correction may be up to 2 degrees, rate of progression was reduced. Pain levels reduced along with improvements in flexibility and mobility with exercise program.In conclusion results of this study shows scope for consideration exercise program to improve pain, spinal mobility, Flexibility along with a Cobb angle improvement.

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Effect of physical therapy scoliosis specific exercises using breathing pattern on adolescent idiopathic scoliosis

Cited by 2 publications

References 7 publications

Impact of Computer-Aided Design and Computer-Aided Manufacturing Boston Brace on Level of Dyspnea among Patients with Adolescent Idiopathic Scoliosis

Impact of Computer-Aided Design and Computer-Aided Manufacturing Boston Brace on Level of Dyspnea among Patients with Adolescent Idiopathic Scoliosis

Efficacy of Physiotherapy on Spinal Mobility Parameters and Pain in Persons with Adolescent and Adult Idiopathic Structural Scoliosis

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