Jasiewicz Barbara, Rożek Karina, Kurzeja Piotr, Daszkiewicz Edyta, Ogrodzka-Ciechanowicz Katarzyna
Department of Orthopaedics and Rehabilitation, University Hospital of Orthopaedics Rehabilitation in Zakopane, Jagiellonian University Collegium Medicum, 31-008 Krakow, Poland.
Institute of Social Sciences and Public Health, Pedagogical University of Krakow, 30-084 Krakow, Poland.
J Clin Med. 2022 Feb 27;11(5):1305. doi: 10.3390/jcm11051305.
Background and objective: It is important to introduce respiratory exercises to the therapy of patients after the surgical treatment of adolescent idiopathic scoliosis. Surgical correction is the best way to prevent hypoxia in scoliosis, but whether pulmonary rehabilitation increases the effectiveness of scoliosis surgery has not yet been confirmed. Therefore, the aim of the study was to evaluate the function of respiratory muscles after surgical correction of idiopathic scoliosis. Methods: The study involved 24 patients, aged 13.6 ± 0.6. Maximum inspiratory pressure (MIP) and maximum expiratory pressure (MEP) were measured using the Mikro RPM. In all patients, before the procedure, 7 days after and 3 months after the procedure, the MIP and MEP were measured. Results: MIP was the lowest 7 days after the procedure; it was 45.28 cmH2O and was statistically significantly lower compared to the measurement before the procedure (p < 0.001) and 3 months after the procedure (p < 0.001). Conclusions: The degree of curvature of the spine before the procedure does not significantly affect initial values of the strength of respiratory muscles. The level of MIP is not dependent on the type of surgery.
在青少年特发性脊柱侧弯手术治疗后对患者进行呼吸锻炼很重要。手术矫正是预防脊柱侧弯患者缺氧的最佳方法，但肺康复是否能提高脊柱侧弯手术的效果尚未得到证实。因此，本研究的目的是评估特发性脊柱侧弯手术矫正后呼吸肌的功能。方法：本研究纳入了24例年龄为13.6±0.6岁的患者。使用Mikro RPM测量最大吸气压（MIP）和最大呼气压（MEP）。在所有患者中，在手术前、手术后7天和手术后3个月测量MIP和MEP。结果：手术后7天MIP最低；为45.28 cmH2O，与手术前测量值（p < 0.001）和手术后3个月测量值（p < 0.001）相比，差异具有统计学意义。结论：手术前脊柱的弯曲程度对呼吸肌力量的初始值没有显著影响。MIP水平不取决于手术类型。
