Siwiec Andrzej, Domagalska-Szopa Małgorzata, Kwiecień-Czerwieniec Ilona, Dobrowolska Agata, Szopa Andrzej
Child and Family Health Center in Sosnowiec, 41-218 Sosnowiec, Poland.
Department of Developmental Age Physiotherapy, Medical University of Silesia in Katowice, 40-752 Katowice, Poland.
J Clin Med. 2024 Jul 28;13(15):4414. doi: 10.3390/jcm13154414.
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. : 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. : Our results revealed that the mean VO and VO/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 VO 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. : 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.
脊柱侧弯儿童的胸廓畸形可能导致心肺功能障碍，降低心肺功能水平。然而，关于心肺功能对脊柱侧弯严重程度的依赖性的研究结果仍存在争议。我们旨在通过多变量分析，使用动态心肺运动试验（CPET）来研究轻度或中度特发性脊柱侧弯患者的运动能力与脊柱畸形之间的关系。我们纳入了92名年龄在10 - 17岁的轻度和中度特发性脊柱侧弯儿童及青少年，以及94名健康同龄人。该研究包括三个部分：（1）病历分析；（2）人体测量；（3）CPET。我们的研究结果显示，无论年龄和性别，脊柱侧弯患者的平均VO₂和VO₂/kg值分别比健康同龄人低0.27 L/min和0.37 mL/min/kg。此外，无论参与者的年龄和性别，脊柱侧弯的发生与分钟通气量平均降低10.10 L/min、潮气量降低0.11 L、呼吸频率降低3.78次/分钟以及呼吸储备降低14.34%相关。在CPET期间，轻度至中度脊柱侧弯的儿童和青少年的通气能力和最大摄氧量低于年龄匹配的健康青少年，但其心肺适能参数并不取决于Cobb角值和原发性脊柱弯曲的角度旋转。应推荐物理治疗和运动，以预防脊柱侧弯患者在晚年出现心肺功能衰竭。本研究还可为患有脊柱侧弯的健康儿童和青少年提供CPET参考值。
