Abstract
Background and objective: It is important to introduce respiratory exercises to the therapy of patients after the surgical treatment of adolescent idiopathic scoliosis. Surgical correction is the best way to prevent hypoxia in scoliosis, but whether pulmonary rehabilitation increases the effectiveness of scoliosis surgery has not yet been confirmed. Therefore, the aim of the study was to evaluate the function of respiratory muscles after surgical correction of idiopathic scoliosis. Methods: The study involved 24 patients, aged 13.6 ± 0.6. Maximum inspiratory pressure (MIP) and maximum expiratory pressure (MEP) were measured using the Mikro RPM. In all patients, before the procedure, 7 days after and 3 months after the procedure, the MIP and MEP were measured. Results: MIP was the lowest 7 days after the procedure; it was 45.28 cmH2O and was statistically significantly lower compared to the measurement before the procedure (p < 0.001) and 3 months after the procedure (p < 0.001). Conclusions: The degree of curvature of the spine before the procedure does not significantly affect initial values of the strength of respiratory muscles. The level of MIP is not dependent on the type of surgery.
Highlights
Published: 27 February 2022Scoliosis is a three-dimensional deformation of the spine, and of the trunk, which may have negative consequences associated with orthotic or surgical treatment [1]
Authors of this study suggest that indirect assessment of strength of respiratory muscles could be an additional useful test of lung function in people with idiopathic scoliosis
Interesting conclusions were drawn by Kearon et al, who concluded that idiopathic scoliosis can lead to serious pulmonary disorders; determinants of these disorders are poorly understood, and lung function correlated to a small extent with the scoliosis angle [22]
Summary
Scoliosis is a three-dimensional deformation of the spine, and of the trunk, which may have negative consequences associated with orthotic or surgical treatment [1]. The disease affects 1–4% of the general population, and the majority of patients with adolescent idiopathic scoliosis (AIS) are healthy and function well until puberty [1]. Scoliosis may define a certain set of deformities of the spine and parts of the musculoskeletal system, chest, internal organs, etc., directly or indirectly related to it. It can be concluded that scoliosis is a systemic disease causing a number of secondary changes in the musculoskeletal, respiratory and circulatory systems [3]. It is important to introduce respiratory exercises to the therapy of patients after the surgical treatment of adolescent idiopathic scoliosis. The aim of the study was to evaluate the function of respiratory muscles after surgical correction of idiopathic scoliosis.
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