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Impact of Idiopathic Scoliosis on the Cardiopulmonary Capacity of Adolescents.
Siwiec, Andrzej; Domagalska-Szopa, Malgorzata; Kwiecien-Czerwieniec, Ilona; Dobrowolska, Agata; Szopa, Andrzej.
Afiliación
  • Siwiec A; Child and Family Health Center in Sosnowiec, 41-218 Sosnowiec, Poland.
  • Domagalska-Szopa M; Department of Developmental Age Physiotherapy, Medical University of Silesia in Katowice, 40-752 Katowice, Poland.
  • Kwiecien-Czerwieniec I; Child and Family Health Center in Sosnowiec, 41-218 Sosnowiec, Poland.
  • Dobrowolska A; Department of Developmental Age Physiotherapy, Medical University of Silesia in Katowice, 40-752 Katowice, Poland.
  • Szopa A; Department of Physiotherapy, Medical University of Silesia in Katowice, 40-752 Katowice, Poland.
J Clin Med ; 13(15)2024 Jul 28.
Article en En | MEDLINE | ID: mdl-39124681
ABSTRACT
Chest deformities in children with scoliosis may result in cardiopulmonary disorders, lowering cardiopulmonary capacity levels. However, results regarding the dependence of cardiopulmonary capacity on the severity level of scoliosis remain controversial. We aimed to use dynamic cardiopulmonary exercise testing (CPET) to investigate exercise capacity in reference to spinal deformity in patients with mild or moderate idiopathic scoliosis by means of multivariate analyses.

Methods:

We included 92 children and adolescents aged 10-17 years with mild and moderate idiopathic scoliosis and 94 healthy peers. The study consisted of three parts (1) medical record analyses; (2) anthropometric measurements; and (3) CPET.

Results:

Our results revealed that the mean VO2peak and VO2peak/kg values of the participants with scoliosis were 0.27 L/min and 0.37 mL/min/kg lower than their healthy peers, respectively, regardless of age and gender. Furthermore, the occurrence of scoliosis correlates with a mean decrease in minute ventilation volume by 10.10 L/min, tidal volume by 0.11 L, breathing frequency by 3.78 bpm, and breathing reserve by 14.34%, regardless of the age and gender of the participants. Children and adolescents with mild-to-moderate scoliosis during CPET exhibit a lower ventilation capacity and lower VO2 max than healthy adolescents matched in age but their cardiorespiratory fitness parameters do not depend on the Cobb angle value and the angle rotation of the primary spinal curvature.

Conclusions:

Physical therapy and activity should be recommended to prevent cardiorespiratory failure in later life in patients with scoliosis. This study may also provide CPET reference values for healthy children and adolescents with scoliosis.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: J Clin Med Año: 2024 Tipo del documento: Article País de afiliación: Polonia Pais de publicación: Suiza
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: J Clin Med Año: 2024 Tipo del documento: Article País de afiliación: Polonia Pais de publicación: Suiza