Impact of a Physical Rehabilitation Program on the Respiratory Function of Adolescents With Idiopathic Scoliosis

Alves, Vera Lúcia dos Santos; Stirbulov, Roberto; Avanzi, Osmar

doi:10.1016/s0012-3692(15)51867-9

Cited by 38 publications

(31 citation statements)

References 32 publications

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“…This suggests worse performance during exercise and agrees with the metabolic variables that presented reduced values in the AIS group, which was similar in a study using the 6MWT in subjects with mild and moderate curvatures [5].…”

Section: Discussionsupporting

confidence: 90%

“…As well, changes in the chest wall and spine are related to poorer performance during exercise. Other studies have compared the exercise capacity of AIS patients and non-affected individuals, however, they used the six-minute walk test [5] or cycle ergometer test [11,12,20]. Few studies used the ISWT to assess aerobic capacity in this population [21], but they did not assess the influence of the thoracic deformity on exercise variables.…”

Section: Discussionmentioning

confidence: 99%

“…Angulation curvatures between 25° and 40° have a higher chance of increase as well as those located in the thoracic region [6]. After maturity, curves above 50° tend to increase on average 1° per year [5,7,8].…”

Section: Introductionmentioning

confidence: 99%

“…In addition to respiratory impairment, the thoracic deformity may cause limitation to exercise and impact on activities of daily living [5,9,10].…”

Section: Introductionmentioning

confidence: 99%

“…Pulmonary problems are often reported in adolescents with spinal curvature greater than 45°, and patients with moderate curvatures (< 45°) may have lung capacity values similar to normal (5). Pulmonary dysfunction is not the only limitation in exercise in patients with scoliosis.…”

Section: Introductionmentioning

confidence: 99%

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Thoracic changes and exercise capacity in patients with adolescent idiopathic scoliosis

et al. 2017

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Introduction: The spine deformity due to adolescent idiopathic scoliosis (AIS) generates respiratory mechanical limitations that may reduce the physical activity performance. Objective: To evaluate the thoracic deformity, exercise capacity and lung function in AIS patients comparing to healthy adolescentes. Besides investigating associations between thoracic deformity and exercise capacity in AIS patients. Methods: Thirty-two AIS patients and 22 healthy adolescents underwent chest wall evaluation by photogrammetry. We created thoracic markers shaped as angles (A): A3 (xiphoid process and the last false rib on the right and left sides) and A5E (inframamilar / inferior angle of the scapula / left acromion). Individuals were submitted to incremental shuttle walk test (ISWT) and physiological responses were quantified: oxygen consumption (VO2), tidal volume (VT), minute ventilation (VE), the rate of gas exchange (R) and the walked distance (ISWD). Pulmonary function test was performed and the forced vital capacity (FVC) and expiratory volume in first second (FEV1) were obtained. Results: Patients with AIS presented FVC (p = 0.015), FEV1 (p = 0.044), VO2 (p = 0.015), VO2/kg (p = 0.008), VT (p < 0.001), VE (p = 0,010) and ISWD significantly reduced compared to healthy adolescents. We found moderate correlations

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Section: Discussionsupporting

confidence: 90%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…In addition to respiratory impairment, the thoracic deformity may cause limitation to exercise and impact on activities of daily living [5,9,10].…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Thoracic changes and exercise capacity in patients with adolescent idiopathic scoliosis

et al. 2017

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Exercises for adolescent idiopathic scoliosis

Romano

Bettany‐Saltikov

Zaina

et al. 2012

Cochrane Database of Systematic Reviews

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Background Adolescent idiopathic scoliosis (AIS) is a three-dimensional deformity of the spine. While AIS can progress during growth and cause a surface deformity, it is usually not symptomatic. However, in adulthood, if the final spinal curvature surpasses a certain critical threshold, the risk of health problems and curve progression is increased. The use of scoliosis-specific exercises (SSE) to reduce progression of AIS and postpone or avoid other more invasive treatments is controversial.

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