1748-7161-2-S1-S4 1748-7161 Oral presentation <p>Respiratory muscle strength in adolescents with idiopathic scoliosis</p> Durmala Jacek jdurmala@gcm.pl Tomalak Waldemar

Department of Rehabilitation, Medical University of Silesia, 40-170 Katowice, Poland

IGiChP o/Rabka Zroj, Poland

 Scoliosis <p>4th International Conference on Conservative Management of Spinal Deformities</p> Publication of these abstracts has been funded by the National Scoliosis Foundation (http://www.scoliosis.org) and the Asklepios Katharina Schroth, Spinal Deformities Rehabilitation Centre (http://www.skoliose.com) Meeting abstracts – A single PDF containing all abstracts in this Supplement is available here. http://www.biomedcentral.com/content/pdf/1748-7161-2-S1-info.pdf <p>4th International Conference on Conservative Management of Spinal Deformities</p> Boston, MA, USA 13–16 May 2007 http://www.scoliosis.org/sosort2007/ 1748-7161 2007 2 Suppl 1 S4 http://www.scoliosisjournal.com/content/2/S1/S4 10.1186/1748-7161-2-S1-S4 12 10 2007 2007 Durmala and Tomalak; licensee BioMed Central Ltd.

Objective

The aim of the study was to assess the respiratory muscle strength in adolescents with idiopathic scoliosis (IS), conservatively treated using exercises by Dobosiewicz 1.

Study design

The study group included eighty-one subjects (65 female, 16 male) aged 7 to 17 years (mean age 14.3 ± 2.3 years) with thoracic scoliosis (n = 44) and double major scoliosis (n = 37). Mean Cobb angle was 39 degrees (SD 17.8) and mean apical vertebral rotation (AVR) was 12 ± 7.1 degrees.

Methods

Vital capacity (VC) was measured using Jaeger's spirometer and values were compared to Zapletal's recommendations 2. Maximal static respiratory pressures including maximal inspiratory pressure (MIP) and maximal expiratory pressure (MEP), were measured according to W. Tomalak's recommendations for Polish children 3. Measurements were made using a portable, digital pressure meter equipped with the Omega PX25 pressure transducer (ZETA product – model MMM2).

Results and conclusion

The maximal static respiratory pressures (percent predicted value) in children with scoliosis conservatively treated using exercises by Dobosiewicz were normal (MIP mean 119.1 ± 40.25%). For MEP, values (mean 164.9 ± 35.96%) were even higher than predicted, which may be related to age (the norm of adolescents is extrapolated) and/or the effect of rehabilitation on physical performance.

 <p>Effect of asymmetric respiratory exercise therapy on respiratory system function; evaluation using spirometric examination in children with idiopathic scoliosis</p> Dyner-Jama I Dobosiewicz K Niepsuj K Niepsuj G Jedrzejewska A Czernicki K Wiad Lek 2000 53 603 610 Polish 11247401 <p>Lung function in children and adolescents. Methods, Reference Values</p> Zapletal A Progress in respiration research Basel: Karger Zapletal A, Samanak M, Paul T 1987 114 218 <p>Normal values for maximal static inspiratory and expiratory pressures in healthy children</p> Tomalak W Pogorzelski A Prusak J Ped Pulmon 2002 34 42 46 10.1002/ppul.10130