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Cheneau支具对参加施罗斯疗法的青少年特发性脊柱侧弯女孩呼吸功能的影响

The Effect of the Cheneau Brace on Respiratory Function in Girls with Adolescent Idiopathic Scoliosis Participating in a Schroth Exercise Program.

作者信息

Badowska Anna, Okrzymowska Paulina, Piatek-Krzywicka Elzbieta, Ostrowska Bozena, Rozek-Piechura Krystyna

机构信息

Centrum Skolioz, 50-088 Wroclaw, Poland.

Department of Physiotherapy in Internal Medicine, University of Health and Sport Sciences, 51-612 Wroclaw, Poland.

出版信息

J Clin Med. 2024 Nov 26;13(23):7143. doi: 10.3390/jcm13237143.

Abstract

: The aim of this study was to evaluate the effect of brace use application and the Schroth intervention on lung ventilation and respiratory muscle strength in patients treated long-term with a Chaneau brace and the Schroth method. : A total of 26 post-menarche females aged 15.7 ± 1.5 years, with a Cobb angle of 18-48° and a diagnosis of AIS in inpatient rehabilitation were examined. All participants received brace treatment for a minimum of 3 months with a dosage of 20-22 h/day. This study protocol was performed three times: 1-brace intervention-first day of the present study; 2-without the brace-second day of the present study; and 3-Schroth intervention on the same day. : During the period of brace use, girls treated with a long-term therapy showed significantly reduced values for VC, FVC, and FEV and significantly higher values for inspiratory muscle strength PI compared to values obtained in studies without the brace and after single exercises. Expiratory muscle strength did not differ significantly. : The majority showed restrictive lung ventilation disorders and decreased respiratory muscle strength in relation to norms. There was a significant correlation of PI with the duration of wearing the brace and the duration of therapy.

摘要

本研究的目的是评估在长期使用沙诺支具和施罗斯方法治疗的患者中,支具应用和施罗斯干预对肺通气和呼吸肌力量的影响。

共检查了26名初潮后女性,年龄15.7±1.5岁,Cobb角为18 - 48°,在住院康复中被诊断为特发性脊柱侧弯。所有参与者接受了至少3个月的支具治疗,每天佩戴20 - 22小时。本研究方案进行了三次:1 - 支具干预 - 本研究第一天;2 - 不佩戴支具 - 本研究第二天;3 - 同一天进行施罗斯干预。

在佩戴支具期间,与不佩戴支具及单次运动后获得的值相比,接受长期治疗的女孩的肺活量(VC)、用力肺活量(FVC)和第一秒用力呼气容积(FEV)值显著降低,吸气肌力量(PI)值显著升高。呼气肌力量无显著差异。

大多数患者相对于正常标准表现出限制性肺通气障碍和呼吸肌力量下降。吸气肌力量与佩戴支具的持续时间和治疗持续时间存在显著相关性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a193/11642008/a39d7e16b79a/jcm-13-07143-g001.jpg

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