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Respiratory function and respiratory muscle strength in adolescent idiopathic scoliosis

  • Category - Case Series
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Abstract

Purpose

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).

Methods

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.

Results

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.

Conclusion

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.

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Data availability

The data that support the findings of this study are available upon request from the authors.

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Acknowledgements

The study was performed in the Prof. Dr. Süleyman Yalçın City Hospital, Department of Orthopaedics and Traumatology, Istanbul.

Funding

This study was supported by Haliç University Scientific Research Projects Unit (Project approval number: 7883).

Author information

Authors and Affiliations

  1. Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Haliç University, 5. Levent Mahallesi, 15 Temmuz Şehitler Caddesi, No: 14/12, 34060, Eyüpsultan, Istanbul, Turkey

    İrem Çetinkaya & Seda Saka

  2. Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Marmara University, Istanbul, Turkey

    Tuğba Kuru Çolak

  3. Department of Orthopedics and Traumatology, Prof. Dr. Süleyman Yalçın City Hospital, İstanbul Medeniyet University, Istanbul, Turkey

    Mehmet Fatih Korkmaz

Authors
  1. İrem Çetinkaya
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  2. Tuğba Kuru Çolak
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  3. Seda Saka
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  4. Mehmet Fatih Korkmaz
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Contributions

İÇ, TKÇ, SS, and MFK: made substantial contributions to the conception and design of the work; enabled the acquisition, analysis, or interpretation of data; drafted the work and revised it critically for important intellectual content; approved the version to be published; agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.

Corresponding author

Correspondence to İrem Çetinkaya.

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Conflict of interest

We certify that no party having a direct interest in the results of the research supporting this article has or will confer a benefit on me or on any organization with which we are associated.

Ethics approval

The ethics approval for the study was obtained from the Ethics Committee of Haliç University (28.09.2022/201).

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The abstract of the study was presented as oral presentation in the 6th International Health Science and Life Congress (IHSLC 2023).

Clinical Trial Registration: NCT05703737 (26/01/2023) (clinicaltrials.gov).

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Çetinkaya, İ., Kuru Çolak, T., Saka, S. et al. Respiratory function and respiratory muscle strength in adolescent idiopathic scoliosis. Spine Deform 12, 635–641 (2024). https://doi.org/10.1007/s43390-024-00819-w

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  • DOI: https://doi.org/10.1007/s43390-024-00819-w

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