De-Rotation Breathing Exercises for Idiopathic Kyphoscoliosis Among Adolescents.
Study Details
Study Description
Brief Summary
De-rotation Breathing Exercises are the group of spinal extension, lateral spinal flexion and rotational exercises performed in synchrony with deep breathing. Exercises are performed in a sitting position with feet firmly placed on the ground. The therapist will stand behind the patient with a medicine ball or a small Swiss ball for the patient to receive while the patient rotates and laterally bend the trunk towards the convexity of scoliosis curvature. The patient is instructed to breathe in deeply during lateral bend and rotation in order to maximally expand the chest wall. Expiration involves relaxation while returning to the neutral position. Later, patients are instructed to extend their back along with former maneuver. The backrest of the chair is adjustable and aligned with the apex of thoracic curvatures. Side flexion and rotation towards the convexity of the scoliotic curvature is to correct scoliosis and to increase the chest wall compliance and extension of spinal is used to correct the kyphosis of the spine with an intention to also increase chest wall compliance.
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
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N/A |
Detailed Description
Kyphoscoliosis (KS) is the dual spinal deformity characterized by exaggerated thoracic kyphosis and lateral displacement of the spine in the frontal plane. Scoliosis is often associated with vertebral rotation. Scoliosis is the term used by Hippocrates, which means "crooked". Depending on the presence of lateral displacement scoliosis is classified into thoracic, lumbar or thoracolumbar. Idiopathic KS in adolescents is characterized by wedging of vertebral bodies in X-Ray and cardio-respiratory compromise.
Scoliosis is clinically diagnosed with 'Adam's test' by observing a posterior rib hump towards the convexity of scoliosis while bending forward in standing.
The severity of scoliosis is quantified by Cobb angle, which is calculated by drawing a line parallel to the end plates of the vertebral bodies at the starting and end of scoliotic curvature. The Second line is drawn a perpendicular to the first lines, the angle made between the intersection second lines is known as Cobb angle.
Clinical signs and symptoms of scoliosis become evident during the phase of rapid skeletal growth in children. The prevalence of scoliosis in the general population ranges from 0.3% to 15.3%.
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| Experimental: Exercise Group postural correction exercise on the wall and in front of the mirror, Exercise on a Swiss ball, Hanging on wall ladder for 1-2 minutes five times and side bending and extension exercises of the spine with theraband in standing and sitting. In addition, 7 of the randomly selected patients received De-rotation Breathing Exercises. |
Other: De-Rotation breathing Exercises
De-rotation Breathing Exercises are the group of spinal extension, lateral spinal flexion and rotational exercises performed in synchrony with deep breathing. Exercises are performed in a sitting position with feet firmly placed on the ground. The therapist will stand behind the patient with a medicine ball or a small Swiss ball for the patient to receive while the patient rotates and laterally bend the trunk towards the convexity of scoliosis curvature. The patient is instructed to breathe in deeply during lateral bend and rotation in order to maximally expand the chest wall. Expiration involves relaxation while returning to the neutral position. Later, patients are instructed to extend their back along with former maneuver.
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| Active Comparator: Control Group postural correction exercise on the wall and in front of the mirror, Exercise on a Swiss ball, Hanging on wall ladder for 1-2 minutes five times and side bending and extension exercises of the spine with theraband in standing and sitting. |
Other: De-Rotation breathing Exercises
De-rotation Breathing Exercises are the group of spinal extension, lateral spinal flexion and rotational exercises performed in synchrony with deep breathing. Exercises are performed in a sitting position with feet firmly placed on the ground. The therapist will stand behind the patient with a medicine ball or a small Swiss ball for the patient to receive while the patient rotates and laterally bend the trunk towards the convexity of scoliosis curvature. The patient is instructed to breathe in deeply during lateral bend and rotation in order to maximally expand the chest wall. Expiration involves relaxation while returning to the neutral position. Later, patients are instructed to extend their back along with former maneuver.
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Outcome Measures
Primary Outcome Measures
- Cobb angle [1-2 hours]
Angulation calculated on X-ray
- Chest wall compliance [1-2 hours]
Measured with Inch Tape at three different levels of chest
- VO2 Max [1-2 hours]
Amount of oxygen consumption by an individual doing exercises on treadmill.
Eligibility Criteria
Criteria
Inclusion Criteria:
- Subjects with idiopathic kyphoscoliosis and Cobb's angle greater than 60 degree and normal pulmonary function were included.
Exclusion Criteria:
- The subjects with other cardiovascular pathologies, congenital disorders and inability to commute were excluded from this study.
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | Faizan Kashoo | Riyadh | Saudi Arabia | 11952 |
Sponsors and Collaborators
- Majmaah University
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- MajmaahUniversity