Scoliosis is the abnormality of the spine with direct effects on the shape and mechanics of the thoracic cage. Adolescent Idiopathic Scoliosis (AIS) is the most common 3-dimensional deformity of the spine which can potentially affect respiratory function, exercise capacity as well as the performance of inspiratory and expiratory muscles. During growth morphological changes of thoracic cage affects the pulmonary tissues and functions. Respiratory functions shows negative changes due to Cobb angle, curve localization, number of vertebra and onset age in patient with scoliosis. Exercise approaches include respiratory training program and aim to improve respiratory functions.It is reported that respiratory muscle weakness is a potent contributor to pulmonary impairment in mild, moderate, and severe forms of scoliosis. Studies showed that exercise training and respiratory exercises may improve respiratory function and exercise capacity in patients with AIS. Thus the aim of this study was to investigate the effect of inspiratory muscle training on respiratory muscle strength, respiratory function and functional capacity in adolescents with idiopathic scoliosis.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
34
Program will include deep diaphragmatic breathing exercises, local expansion exercise on the collapsed areas in scoliosis concave sides with elastic exercise bands, dynamic lumber stabilization exercises for core stabilisation, strengthening of interscapular muscles with elastic bands and stretching exercises for lumbar extensor, hip flexor and hamstring muscles. Exercises will be applied 2 sets of 10 repetitions and once a day.
Threshold IMT device will be used for the training. Training intensity will set at 30% of the maximum inspiratory pressure after assessment of respiratory muscle strength for each patient every week.
Bezmialem Vakif University
Istanbul, Turkey (Türkiye)
Change from baseline Forced Vital Capacity (FVC) at 8 weeks
Time frame: Eight weeks
Change from baseline Forced Expiratory Volume in 1 second (FEV1) at 8 weeks
Time frame: Eight weeks
Change from baseline Peak Expiratory Flow (PEF) at 8 weeks
Time frame: Eight weeks
Change from baseline Maximum Inspiratory Pressure (MIP) at 8 weeks
Time frame: Eight weeks
Change from baseline Maximum Expiratory Pressure (MEP) at 8 weeks
Time frame: Eight weeks
Change from baseline distance covered in six-minute walk test at 8 weeks
Time frame: Eight weeks
Change from baseline thoracic axial trunk rotation (ATR)
Measurements will be applied with Bunnell Scoliometer by a qualified physiotherapist.
Time frame: Eight weeks
Change from baseline thoracic-lumber junction axial trunk rotation (ATR)
Measurements will be applied with Bunnell Scoliometer by a qualified physiotherapist.
Time frame: Eight weeks
Change from baseline lumber axial trunk rotation (ATR)
Measurements will be applied with Bunnell Scoliometer by a qualified physiotherapist.
Time frame: Eight weeks
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