1. Evaluation of a respiratory rehabilitation program in children with scoliosis.
- Author
-
Solache-Carranco A and Sánchez-Bringas MG
- Subjects
- Adolescent, Bone Diseases, Developmental complications, Child, Dyspnea etiology, Dyspnea rehabilitation, Exercise Tolerance, Female, Home Care Services, Hospital-Based, Humans, Hypercapnia etiology, Hypercapnia rehabilitation, Male, Neurofibromatoses complications, Program Evaluation, Prospective Studies, Pulmonary Ventilation, Radiography, Relaxation Therapy, Respiratory Insufficiency etiology, Respiratory Therapy Department, Hospital, Scoliosis congenital, Scoliosis diagnostic imaging, Treatment Outcome, Vital Capacity, Respiratory Insufficiency rehabilitation, Respiratory Therapy, Scoliosis complications
- Abstract
Background: Thoracic scoliosis is a lateral curvature of the spine associated with restrictive lung defects, manifested by a decrease in respiratory function tests. We undertook this study to evaluate the effect of a respiratory rehabilitation program over lung function in children with scoliosis., Methods: We carried out a prospective and deliberate intervention study including 25 consecutive patients, aged 6 to 18 years, diagnosed with thoracic scoliosis. The respiratory rehabilitation program was structured into two phases: institutional and private residence. Statistical analysis was carried out using descriptive parameters and paired t-test and Wilcoxon signed-ranks test. Spearman correlation was used to measure intensity of association among variables. Statistical significance was considered when p <0.05., Results: Idiopathic scoliosis was present in 52% of patients, with right dorsal curvature in 72%. Cobb angle average was 50.6° ± 29.7°. Most importantly, we found a negative correlation between this angle on left curvature and lung function. Initially, the main respiratory symptoms were dyspnea with poor effort tolerance in 52%. After treatment, 88% of patients were asymptomatic and only 4% presented poor effort tolerance. Oxygen saturation and forced vital capacity percentage had a significant increment after the program., Conclusion: Respiratory rehabilitation has a positive effect on increasing pulmonary function of children with scoliosis.
- Published
- 2012