scholarly journals EFFECTS OF SCHROTH EXERCISE ON COBB’S ANGLE, VITAL CAPACITY AND THE IMPROVEMENT OF DAILY ACTIVITIES ON PATIENTS WITH ADOLESCENT IDIOPATHIC SCOLIOSIS

2021 ◽  
Vol 8 (2) ◽  
pp. 1-4
Author(s):  
Ajsel Oseku ◽  
◽  
Surven Metolli ◽  
Keyword(s):  
Idiopathic Scoliosis ◽  
Cobb Angle ◽  
Vital Capacity ◽  
Exercise Program ◽  
Daily Activities ◽  
Risser Sign ◽  
Trunk Inclination ◽  
Idiopathic Adolescent Scoliosis ◽  
Before And After ◽  
Cobb’S Angle

The aim of this study was to investigate the effects of Schroth exercise on Cobb's angle, vital capacity as well as the improvement of daily activities on patients with idiopathic adolescent scoliosis. Forty patients with idiopathic scoliosis with a Cobb thoracic vertebral angle of 15-30 degrees or higher and the Risser sign stage 3 or higher. The Schroth exercise was applied 3 times a week for 12 weeks. We measured the chest trunk inclination, Cobb angle and vital capacity before and after exercise program. A comprehensive search for all published review articles for spinal deformity was undertaken on PubMed, PEDRO, Google Scholar, Physiopedia up to December 2018. All full-text articles reporting evaluation, validation, surgical, orthotic, and/or physiotherapeutic scoliosis specific exercises (PSSE) treatment outcomes of these spinal deformities were retrieved and analyzed by us and methodology for functional assessment of patients with AIS was developed. Forty patients with idiopathic scoliosis with a Cobb thoracic vertebral angle of 15-30 degrees or higher and the Risser sign stage 3 or higher. The Schroth exercise was applied 3 times a week for 12 weeks. We measured the chest trunk inclination, Cobb angle and vital capacity before and after exercise program. For a period of 12 weeks we accessed adolescents with AIS. All adolescents make Schroth PSSE. The analysis of the results confirms the positive effect of the PSSE to improve muscle endurance, balance and correction of the scoliosis. Within a month from the beginning, patients reported no back pain and within 2 months – a respiratory improvement, an enlargement of the chest, a reduced Cobb angle, an increased vital capacity. PSSE seem to have positive effects by reducing the symptoms and improving functions and body asymmetries. Schroth method is effective of preventing the scoliosis’ progression. The conservative method of treating scoliosis was found to be effective even at a Cobb angle of 35 degrees or higher. In the future, universal methods of approaching exercises and preventive training for the treatment of scoliosis needs to be further developed.

Estimating pulmonary function after surgery for adolescent idiopathic scoliosis using biplanar radiographs of the chest with 3D reconstruction

2022 ◽  
Vol 104-B (1) ◽  
pp. 112-119
Author(s):  
Raphaël Pietton ◽  
Houssam Bouloussa ◽  
Tristan Langlais ◽  
Jessica Taytard ◽  
Nicole Beydon ◽  
...  
Keyword(s):  
Adolescent Idiopathic Scoliosis ◽  
Idiopathic Scoliosis ◽  
Pulmonary Function ◽  
3D Reconstruction ◽  
Cobb Angle ◽  
Vital Capacity ◽  
Surgical Correction ◽  
Rib Cage ◽  
Biplanar Radiographs ◽  
Before And After

Aims This study addressed two questions: first, does surgical correction of an idiopathic scoliosis increase the volume of the rib cage, and second, is it possible to evaluate the change in lung function after corrective surgery for adolescent idiopathic scoliosis (AIS) using biplanar radiographs of the ribcage with 3D reconstruction? Methods A total of 45 patients with a thoracic AIS which needed surgical correction and fusion were included in a prospective study. All patients underwent pulmonary function testing (PFT) and low-dose biplanar radiographs both preoperatively and one year after surgery. The following measurements were recorded: forced vital capacity (FVC), slow vital capacity (SVC), and total lung capacity (TLC). Rib cage volume (RCV), maximum rib hump, main thoracic curve Cobb angle (MCCA), medial-lateral and anteroposterior diameter, and T4-T12 kyphosis were calculated from 3D reconstructions of the biplanar radiographs. Results All spinal and thoracic measurements improved significantly after surgery (p < 0.001). RCV increased from 4.9 l (SD 1) preoperatively to 5.3 l (SD 0.9) (p < 0.001) while TLC increased from 4.1 l (SD 0.9) preoperatively to 4.3 l (SD 0.8) (p < 0.001). RCV was correlated with all functional indexes before and after correction of the deformity. Improvement in RCV was weakly correlated with correction of the mean thoracic Cobb angle (p = 0.006). The difference in TLC was significantly correlated with changes in RCV (p = 0.041). It was possible to predict postoperative TLC from the postoperative RCV. Conclusion 3D rib cage assessment from biplanar radiographs could be a minimally invasive method of estimating pulmonary function before and after spinal fusion in patients with an AIS. The 3D RCV reflects virtual chest capacity and hence pulmonary function in this group of patients. Cite this article: Bone Joint J 2022;104-B(1):112–119.

scholarly journals The influence of early thoracic fusion on the pulmonary function of patients with idiopathic scoliosis in the early period of the second growth peak with different Risser signs

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Xiaolin Xu ◽  
Shengru Wang ◽  
Yang Yang ◽  
You Du ◽  
Guanfeng Lin ◽  
...  
Keyword(s):  
Idiopathic Scoliosis ◽  
Pulmonary Function ◽  
Thoracic Kyphosis ◽  
Vital Capacity ◽  
Early Period ◽  
Forced Expiratory Volume ◽  
Risser Sign ◽  
Second Growth ◽  
Before And After

Abstract Background Previous reports confirmed early spinal fusion may compromise pulmonary function and thoracic development in skeletal immature patients with scoliosis. However, the different effects in patients with various Risser signs remain unknown. This study aimed to compare the influence of early thoracic fusion on pulmonary function and thoracic growth in patients with idiopathic scoliosis (IS) with closed triangular cartilage (TRC) and different Risser signs. Methods Thirty-six patients with IS and a closed TRC were retrospectively selected and divided into the low Risser (LR, Risser sign ≤2, 22 patients) and high Risser (HR, 2<Risser sign≤4, 14 patients) groups. Patient age, Risser sign, main Cobb angle, thoracic kyphosis, and fusion levels were recorded. Perioperative and minimum of 2-year follow-up pulmonary function and thoracic diameters were compared between both groups. Results There were no differences in patients’ general characteristics between two groups. The preoperative forced expiratory volume in 1 s (FEV1) and forced vital capacity (FVC) were 2.06±0.43 L and 2.50±0.49 L, respectively, in the LR group, and 2.31±0.49 L (p = 0.067) and 2.74±0.56 L (p = 0.122), respectively, in the HR group. While these values significantly increased postoperatively, to 2.62±0.46 L (p < 0.001) and 3.09±0.69 L (p < 0.001), in the LR group, they remained unchanged in the HR group [2.53±0.56 L (p = 0.093) and 2.70±0.98 L (p = 0.386), respectively]. The FEV1/FVC in both groups was >80% before and after surgery. The T1-T12 and anteroposterior thoracic diameter significantly increased after surgery in both groups, while the maximum inner chest diameter only increased in the LR group at the final follow-up. However, there were no significant differences in respiratory function and thoracic data between both groups. Conclusion For patients with IS, early fusion did not deteriorate pulmonary function or thoracic development in TRC-closed patients whose Risser sign was ≤2 compared with those with a Risser sign >2.

scholarly journals Comparative analysis of pedicle screw versus hybrid instrumentation in adolescent idiopathic scoliosis surgery

2016 ◽  
Vol 7 (04) ◽  
pp. 550-553 ◽  
Author(s):  
Sohail Rafi ◽  
Naseem Munshi ◽  
Asad Abbas ◽  
Rabia Hassan Shaikh ◽  
Imtiaz Hashmi
Keyword(s):  
Adolescent Idiopathic Scoliosis ◽  
Idiopathic Scoliosis ◽  
Cobb Angle ◽  
Pedicle Screw ◽  
Pedicle Screws ◽  
Scoliosis Surgery ◽  
Hybrid Instrumentation ◽  
System Versus ◽  
Cobb’S Angle

ABSTRACT Introduction: Adolescent idiopathic scoliosis is the most common type of scoliosis. A Cobb angle of 50° will progress beyond the age of spinal maturity. Surgery over bracing is advised at a Cobb angle above or equal to 50°. The aim of surgery is to bring the Cobb angle down below 50° to prevent reprogression as well as improve the quality of life. The objective of the study is to analyze the efficacy and significance in lifestyle improvement of pedicle screw-only fixation system versus the more common hybrid instrumentation system used for the surgical treatment of adolescent idiopathic scoliosis. Materials and Methods: A prospective cohort study was conducted involving two groups of patients were included in the study. One group was operated with pedicle screw-only method while the other with hybrid instrumentation system. The pre- and post-operative Cobb’s angles were taken across a follow-up of 4 years. An SRS-30 questionnaire was given in a yearly follow-up to assess the lifestyle improvement of the patient. Results: Pedicle screw-only method was significantly more effective in reducing Cobb’s angle (P = 0.0487). It was showed less loss of correction (P = 0.009) pedicle screw-only surgery was also better at reducing thoracic curves (P = 0.001). There seemed a better recovery time with pedicle screw surgery (P = 0.003). Conclusion: Pedicle screws are more effective and durable than hybrid systems at when treating adolescent idiopathic scoliosis.

scholarly journals The importance of the size of the trunk inclination angle in the early detection of scoliosis in children

2022 ◽  
Vol 23 (1) ◽  
Author(s):  
Marek Kluszczyński ◽  
Anna Pilis ◽  
Dariusz Czaprowski
Keyword(s):  
Early Detection ◽  
Idiopathic Scoliosis ◽  
Cobb Angle ◽  
Inclination Angle ◽  
Treatment Effectiveness ◽  
Age Groups ◽  
Screening Tests ◽  
School Age Children ◽  
Trunk Inclination ◽  
Spine Curvature

Abstract Background Early detection of idiopathic scoliosis is one factor in determining treatment effectiveness. Therefore, the aim of this study was to assess the importance of the size of the trunk inclination angle (ATI) for the early detection of scoliosis in preschool- and school-age children, taking into account the location and size of the spine curvature. Methods The study included a group of 216 children (mean age 11.54 years, standard deviation ± 3.05), who had previously untreated idiopathic scoliosis and a Cobb angle of ≥ 10°. The ATI values were compared with the corresponding Cobb angle values. The results of the ATI-Cobb correlation were compared to the ATI thresholds of 5° and 7°. Results In the age groups 6–9, 10–12 and 13–17 years, the method sensitivity for the ATI ≥ 7° criterion was low at 33.90%, 27.69% and 51.29% (p < 0.05), respectively, while for the ATI ≥ 5° criterion, it was 67.8%, 69.23% and 93.48% (p < 0.05), respectively. With respect to location, significantly more frequent misdiagnoses (p < 0.05) were related to the lumbar and thoracolumbar (regions) sections of the spine in the groups aged 6–9 and 10–12 for ATI ≥ 7°; while no significant relationship was found at ATI ≥ 5°. For both ATI levels, the most frequent cases of mis- or undiagnosed scoliosis were observed among children with a Cobb angle of 10°-14° (p = 0.004). Conclusion A low predictive ATI value was demonstrated regarding scoliosis detection for the ATI 7° criterion in children aged 6–9 and 10–12 years, particularly for the lumbar and thoracolumbar locations. Adoption of the threshold of ATI 5° in screening tests for children aged 6–12 years, as well as for lower locations of scoliosis, may be more effective in the early detection of scoliosis. Trial registration. This study was approved by the Jan Dlugosz University in Czestochowa Ethics Committee KE-U/7/2021, and conducted under the Declaration of Helsinki.

Effectiveness and biomechanics of spinal orthoses in the treatment of adolescent idiopathic scoliosis (AIS)

2000 ◽  
Vol 24 (2) ◽  
pp. 148-162 ◽  
Author(s):  
M. S. Wong ◽  
A. F. T. Mak ◽  
K. D. K. Luk ◽  
J. H. Evans ◽  
B. Brown
Keyword(s):  
Adolescent Idiopathic Scoliosis ◽  
Idiopathic Scoliosis ◽  
Correlation Coefficient ◽  
Close Monitoring ◽  
Strongly Correlated ◽  
Trunk Inclination ◽  
Cobb’S Angle ◽  
The Mean ◽  
Spinal Orthoses ◽  
Orthotic Treatment

In this prospective study, the effectiveness and biomechanical factors of spinal orthoses in the treatment of moderate adolescent idiopathic scoliosis (AIS) patients were investigated. In the first 20 months of orthotic treatment, the values of standing AP Cobb's angle, apical vertebral rotation, lumbar lordosis as well as thoracic kyphosis showed significant reduction (P<0.05), however, the angle of trunk inclination and trunk listing did not. The values of those reducible parameters reached their lowest values within the first 12 months of orthotic treatment and then the values gradually increased but they were still below the prebrace values. The mean pressure of The pressure pads was found to be 7.09±1.77kPa (53.2±13.3mmHg) while the mean tension of the straps was 26.8±5.2N. The standing AP Cobb's angle strongly correlated with the pad pressure (correlation coefficient=0.931, p<0.05) and strap tension (correlation coefficient=0.914, p<0.05). The strap tension and pad pressure strongly correlated and the correlation coefficient was 0.873 (p<0.05). This suggests that in the consideration of biomechanical function of spinal orthoses, the focus may be upon how tightly the orthosis was fastened and if the location and direction of the pressure pads are correct. Therefore, for enhancing the effectiveness of orthotic treatment, an independent standard tension should be set in each strap, and regular and close monitoring is needed.

scholarly journals Effect of Cobb angle and BMI on scoliosis surgery recovery in adolescent idiopathic scoliosis patients

2015 ◽  
Vol 7 (2) ◽  
pp. 28-33
Author(s):  
Abdulmonem Alsiddiky ◽  
Abdullatef Alrashoudi ◽  
Ahmed AL Sayed ◽  
Albaraa Aljerian ◽  
Abeer Aljomiah
Keyword(s):  
Body Mass Index ◽  
Adolescent Idiopathic Scoliosis ◽  
Idiopathic Scoliosis ◽  
Cobb Angle ◽  
Body Mass ◽  
Daily Living ◽  
Scoliosis Surgery ◽  
Mean Values ◽  
Cobb’S Angle ◽  
The Mean

Aims and Objectives: To assess the effect of Cobb angle and body mass index (BMI) on surgery recovery outcomes in Adolescent Idiopathic Scoliosis (AIS) patients.Materials and Methods: A retrospective study of 79 Adolescent Idiopathic Scoliosis patients who underwent corrective operations, at King Khaled University Hospital, Riyadh, Saudi Arabia was carried out in 2014. The patients were divided according into Cobb’s angle (mild, moderate and severe) and as per weight (healthy weight and overweight). Data of preoperative, intra-operative and postoperative information as well as measures of daily-living activities were collected.Results: The mean age of 79 patients (70females) was 16.6 years. Cobb angle assessment was mild in 41 (51.9%), moderate in 24(30.4%) and 14(17.7%) were severe. Mean surgery and recovery time of patients is statistically significantly different in relation to severity of Cobb’s angle (mild, moderate and severe). There is highly statistically significant difference in mean ranks of days taken for different measures of daily living in relation to severity of Cobb’s angle. The mean values of body mass index have significantly reduced after surgery, when compared with mean values at before surgery. The mean surgery time was statistically significantly higher in over weight patients (5.33 hours).Conclusions: The results show an effect of severity of Cobb angle on recovery measures of patients with AIS, but no effect of BMI. BMI was corrected in these patients after surgery. Prospective studies are required to assess clinical outcomes of post-operative surgery, satisfaction of patients towards their body image and quality of life.Asian Journal of Medical Sciences Vol.7(2) 2015 28-33

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