Kahramanmaras Sutcu Imam University, Faculty of Medicine, Department of Orthopaedics and Traumatology, Kahramanmaras.
Erciyes University, Faculty of Medicine, Department of Orthopaedics and Traumatology, Kayseri.
Medicine (Baltimore). 2021 Feb 19;100(7):e24675. doi: 10.1097/MD.0000000000024675.
In the present study, we aimed to evaluate the effects of pulmonary rehabilitation on respiratory functions after the surgery on the basis of early radiological findings, pain degree, function, and satisfaction scores in operated patients with adolescent idiopathic scoliosis (AIS).
Thirty patients with AIS were included in the present study, who were divided into 2 groups. Scoliosis surgery and diaphragmatic breathing and pursed lip exercises were applied in Group 1 (n = 15), whereas merely scoliosis surgery was applied in Group 2 (n = 15). Pulmonary functions, arterial blood gas analysis, Cobb and kyphosis angles, apical vertebral rotation, and apical vertebral translation were measured before and 1st and 6th months after the surgery. Using the SRS-30 test, the psychosocial statuses of the patients and their satisfaction degrees with surgery applied were measured before and after the surgery.
Six months after the surgery, the values of Cobb and kyphosis angles and apical vertebral rotations, and apical vertebral translation of the patients were determined to be significantly ameliorated, which is consistent with the literature. Forced vital capacity (l) and forced expiratory volume in the first second (l/s) were observed to be significantly improved in both groups after the surgery (respectively, P = .001, P = .014, P = .001, P = .005). In addition, the partial pressure of oxygen (pO2) value was found to be significantly increased 6 months after the surgery compared with that before the surgery in Group 2 (P = .022). SRS-30 showed that most of the scores in Group 1 were dramatically increased; a significant difference between the groups was not recorded.
Patients with AIS have been found to be satisfied with the surgery. Conversely, pulmonary rehabilitation has been shown to slightly improve the respiratory functions in the patients with AIS, 1 and 6 months after the surgery.
在本研究中，我们旨在根据青少年特发性脊柱侧凸（AIS）患者手术后的早期影像学发现、疼痛程度、功能和满意度评分，评估肺康复对呼吸功能的影响。
本研究纳入 30 例 AIS 患者，分为两组。第一组（n=15）接受脊柱侧凸手术和膈式呼吸及缩唇呼吸练习，第二组（n=15）仅接受脊柱侧凸手术。在手术前、手术后第 1 个月和第 6 个月测量肺功能、动脉血气分析、Cobb 和后凸角、顶椎旋转和顶椎平移。使用 SRS-30 测试，在手术前后测量患者的社会心理状态和对手术的满意度。
手术后 6 个月，患者的 Cobb 和后凸角以及顶椎旋转和顶椎平移值明显改善，与文献一致。两组患者手术后用力肺活量（l）和第一秒用力呼气量（l/s）均明显改善（分别为 P=0.001，P=0.014，P=0.001，P=0.005）。此外，与手术前相比，第二组患者手术后 6 个月的氧分压（pO2）值明显升高（P=0.022）。SRS-30 显示第一组的大多数评分均显著增加，但两组之间无显著差异。
AIS 患者对手术感到满意。相反，肺康复在手术后 1 和 6 个月时对 AIS 患者的呼吸功能略有改善。
