Impact of vertebral derotation on ventilatory function and chest circumference in adolescent scoliosis - Lower Silesian Digital Library

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Impact of vertebral derotation on ventilatory function and chest circumference in adolescent scoliosis

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Title: Impact of vertebral derotation on ventilatory function and chest circumference in adolescent scoliosis

Creator:

Takey Ahmed, Khaled ; Mohamed Hamed, Abla ; Helmy, Akram M. ; Mohamed, Walaa Mohsen ; Bahey El-Deen, Heba A. ; El Hawary, Youssry

Abstrakt:

Introduction. Scoliosis has been associated with thoracic cavity alterations that impair pulmonary function. Correcting sco-liotic deformity regains normal pulmonary function by maintaining respiratory and muscular eﬃciency. This study aims to com-pare pulmonary function and thoracic volume at baseline and after correcting the scoliosis deformity.Methods. A total of 56 patients, 46 girls and 10 boys, were diagnosed with idiopathic scoliosis. Participants were randomly allocated into two equal groups. Group A was treated with posterior correction, vertebral derotation, and a pulmonary rehabilita-tion program, while group B was treated with the same treatment given to group A without derotation. Evaluation of the measur-ing variables was carried out pre-operatively, immediately post-operatively, and three months after the operation. In addition, post-operatively, participants were treated with segmental breathing exercise training and incentive spirometry, 3 sessions per week for 3 months.Results. A signiﬁcant reduction in the Cobb angles, angles of rotation, and chest expansion was observed in both groups by comparing both initial and post-operative mean values, while a signiﬁcant reduction was revealed in group A (p = 0.0001). The mean values of FEV1 and MVV immediately post-operatively showed a signiﬁcant reduction in both groups, which was highly signiﬁcant for group A. At three months post-operatively, both groups showed highly signiﬁcant improvement (p = 0.001).Conclusions. In addition to its beneﬁcial eﬀects on curve correction and the angle of rotation, the vertebral derotation tech-nique impairs physiological and mechanical parameters immediately post-operatively. However, a beneﬁcial eﬀect was detected after three months of pulmonary rehabilitation in all parameters.

Publisher:

Wydawnictwo Akademii Wychowania Fizycznego im. Polskich Olimpijczyków we Wrocławiu

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Date:

Resource Type:

Resource Identifier:

oai:dbc.wroc.pl:135095

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Relation:

Physiotherapy Quarterly ; Physiotherapy Quarterly,2025,vol.33,nr1

Rights:

Wszystkie prawa zastrzeżone (Copyright)

Access Rights:

Dla wszystkich zgodnie z licencją

License:

CC BY-NC-ND 4.0

Rights Owner:

Wydawnictwo Akademii Wychowania Fizycznego im. Polskich Olimpijczyków we Wrocławiu

Subject and keywords:

adolescent idiopathic scoliosis vertebral derotation pulmonary function test angle of rotation chest circumference

Object collections:

Last modified:

Jul 23, 2025

In our library since:

May 13, 2025

Number of object content hits:

26

All available object's versions:

https://dbc.wroc.pl/publication/173977

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Physiotherapy Quarterly,2025,vol. 33, nr 1

Edition name	Date
Impact of vertebral derotation on ventilatory function and chest circumference in adolescent scoliosis	Jul 23, 2025

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