The Type of Conservative Management Could Be Related to the Strength of the Inspiratory Muscles of Adolescents with Idiopathic Scoliosis—A Case Series

Adolescent idiopathic scoliosis (AIS) is a lateral curvature of the spine with a Cobb angle of at least 10° with an unknown etiology. It is recognized that AIS may affect respiratory function. This study aims to describe and compare respiratory function in a case series of patients with scoliosis wh...

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Autores principales:	Felipe León-Morillas, Silvana Loana de Oliveira-Sousa, Juan Alfonso Andrade-Ortega, Alfonso Javier Ibáñez-Vera, Rafael Lomas-Vega, Noelia Zagalaz-Anula
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	idiopathic scoliosis respiratory muscle strength lung function global posture reeducation Pediatrics RJ1-570
Acceso en línea:	https://doaj.org/article/e61a4ca554d04ae0972c7607b9870ae6
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spelling	oai:doaj.org-article:e61a4ca554d04ae0972c7607b9870ae62021-11-25T17:14:26ZThe Type of Conservative Management Could Be Related to the Strength of the Inspiratory Muscles of Adolescents with Idiopathic Scoliosis—A Case Series10.3390/children81110022227-9067https://doaj.org/article/e61a4ca554d04ae0972c7607b9870ae62021-11-01T00:00:00Zhttps://www.mdpi.com/2227-9067/8/11/1002https://doaj.org/toc/2227-9067Adolescent idiopathic scoliosis (AIS) is a lateral curvature of the spine with a Cobb angle of at least 10° with an unknown etiology. It is recognized that AIS may affect respiratory function. This study aims to describe and compare respiratory function in a case series of patients with scoliosis who underwent different types of therapeutic management: no intervention, orthotic brace, and global postural reeducation (GPR). Fifteen AIS patients were included in this study (seven no intervention, four orthotic brace and four GPR). Lung function and inspiratory muscle strength were measured and analyzed, as well as sociodemographic, clinical, and anthropometric variables. Significant correlations were observed between height (cm) and maximum inspiratory pressure (MIP) reference (cmH<sub>2</sub>O) and forced vital capacity (FVC) (liters) (<i>r = 0</i>.650 and <i>r</i> = 0.673, respectively; <i>p</i> < 0.01); weight (Kg) and MIP reference (cmH<sub>2</sub>O) (<i>r</i> = 0.727; <i>p</i> < 0.01); and Main curve degrees (Cobb angle) and FVC% (<i>r</i> = −0.648; <i>p</i> < 0.01). The AIS cases that underwent GPR treatment presented a greater MIP (% predictive) compared to the no intervention and brace cases (201.1% versus 126.1% and 78.4%, respectively; <i>p</i> < 0.05). The results of this case series show a possible relation whereby patients undergoing treatment with the GPR method have greater inspiratory muscle strength compared to the no intervention and brace cases. Studies with larger samples and prospective designs must be performed to corroborate these results.Felipe León-MorillasSilvana Loana de Oliveira-SousaJuan Alfonso Andrade-OrtegaAlfonso Javier Ibáñez-VeraRafael Lomas-VegaNoelia Zagalaz-AnulaMDPI AGarticleidiopathic scoliosisrespiratory muscle strengthlung functionglobal posture reeducationPediatricsRJ1-570ENChildren, Vol 8, Iss 1002, p 1002 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	idiopathic scoliosis respiratory muscle strength lung function global posture reeducation Pediatrics RJ1-570
spellingShingle	idiopathic scoliosis respiratory muscle strength lung function global posture reeducation Pediatrics RJ1-570 Felipe León-Morillas Silvana Loana de Oliveira-Sousa Juan Alfonso Andrade-Ortega Alfonso Javier Ibáñez-Vera Rafael Lomas-Vega Noelia Zagalaz-Anula The Type of Conservative Management Could Be Related to the Strength of the Inspiratory Muscles of Adolescents with Idiopathic Scoliosis—A Case Series
description	Adolescent idiopathic scoliosis (AIS) is a lateral curvature of the spine with a Cobb angle of at least 10° with an unknown etiology. It is recognized that AIS may affect respiratory function. This study aims to describe and compare respiratory function in a case series of patients with scoliosis who underwent different types of therapeutic management: no intervention, orthotic brace, and global postural reeducation (GPR). Fifteen AIS patients were included in this study (seven no intervention, four orthotic brace and four GPR). Lung function and inspiratory muscle strength were measured and analyzed, as well as sociodemographic, clinical, and anthropometric variables. Significant correlations were observed between height (cm) and maximum inspiratory pressure (MIP) reference (cmH<sub>2</sub>O) and forced vital capacity (FVC) (liters) (<i>r = 0</i>.650 and <i>r</i> = 0.673, respectively; <i>p</i> < 0.01); weight (Kg) and MIP reference (cmH<sub>2</sub>O) (<i>r</i> = 0.727; <i>p</i> < 0.01); and Main curve degrees (Cobb angle) and FVC% (<i>r</i> = −0.648; <i>p</i> < 0.01). The AIS cases that underwent GPR treatment presented a greater MIP (% predictive) compared to the no intervention and brace cases (201.1% versus 126.1% and 78.4%, respectively; <i>p</i> < 0.05). The results of this case series show a possible relation whereby patients undergoing treatment with the GPR method have greater inspiratory muscle strength compared to the no intervention and brace cases. Studies with larger samples and prospective designs must be performed to corroborate these results.
format	article
author	Felipe León-Morillas Silvana Loana de Oliveira-Sousa Juan Alfonso Andrade-Ortega Alfonso Javier Ibáñez-Vera Rafael Lomas-Vega Noelia Zagalaz-Anula
author_facet	Felipe León-Morillas Silvana Loana de Oliveira-Sousa Juan Alfonso Andrade-Ortega Alfonso Javier Ibáñez-Vera Rafael Lomas-Vega Noelia Zagalaz-Anula
author_sort	Felipe León-Morillas
title	The Type of Conservative Management Could Be Related to the Strength of the Inspiratory Muscles of Adolescents with Idiopathic Scoliosis—A Case Series
title_short	The Type of Conservative Management Could Be Related to the Strength of the Inspiratory Muscles of Adolescents with Idiopathic Scoliosis—A Case Series
title_full	The Type of Conservative Management Could Be Related to the Strength of the Inspiratory Muscles of Adolescents with Idiopathic Scoliosis—A Case Series
title_fullStr	The Type of Conservative Management Could Be Related to the Strength of the Inspiratory Muscles of Adolescents with Idiopathic Scoliosis—A Case Series
title_full_unstemmed	The Type of Conservative Management Could Be Related to the Strength of the Inspiratory Muscles of Adolescents with Idiopathic Scoliosis—A Case Series
title_sort	type of conservative management could be related to the strength of the inspiratory muscles of adolescents with idiopathic scoliosis—a case series
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/e61a4ca554d04ae0972c7607b9870ae6
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The Type of Conservative Management Could Be Related to the Strength of the Inspiratory Muscles of Adolescents with Idiopathic Scoliosis—A Case Series

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