Durmala Jacek, Tomalak Waldemar, Kotwicki Tomasz
Department of Medical Rehabilitation, School of Healthcare, Medical University of Silesia, Katowice, Poland.
Stud Health Technol Inform. 2008;135:237-45.
The paper presents the review of pathological changes which develop within the respiratory system in patients with structural progressive idiopathic scoliosis. The impairment of the function of the respiratory system is one of the principal impact of idiopathic scoliosis on the general health and function, as well as on the quality of life. Although the fatal outcomes of respiratory failure are usually prevented by a successful conservative treatment or by the spinal surgery, the reduction of the volume of the thorax, the restriction of the thorax, as well as decreased efficacy of the respiratory muscles are still a major issue (problem) for many patients with structural scoliosis that may lead to respiratory insufficiency or failure. The papers presents main functional tests to assess the respiratory impairment and the basic rules for interpretation of the results of the examination.
本文介绍了结构性进行性特发性脊柱侧凸患者呼吸系统内发生的病理变化。呼吸系统功能受损是特发性脊柱侧凸对总体健康和功能以及生活质量的主要影响之一。尽管呼吸衰竭的致命后果通常可通过成功的保守治疗或脊柱手术来预防，但胸廓容积减小、胸廓受限以及呼吸肌效能降低仍是许多结构性脊柱侧凸患者面临的主要问题，这可能导致呼吸功能不全或衰竭。本文介绍了评估呼吸功能损害的主要功能测试以及检查结果解读的基本规则。
