Immediate Effects of Sforzesco® Bracing on Respiratory Function in Adolescents with Idiopathic Scoliosis.
Fabrizio Di MariaAndrea VescioAlessia CaldaciAda VancheriChiara Di MariaMarco SapienzaGianluca PuglisiVito PavonePublished in: Healthcare (Basel, Switzerland) (2021)
The thoraco-lumbar bracing is an effective management of adolescent idiopathic scoliosis (AIS). Studies have shown that brace wearing reduces lung volume. Whether or not the Sforzesco brace, frequently used in Italy, affects lung volume has not been investigated. We studied the immediate effect of Sforzesco bracing on lung volumes in 11 AIS patients (10 F, 1 M; aged 13.6 ± 1.6 yrs) mean Cobb angle 26 ± 4.49 degrees. Lung function variables and the perceived respiratory effort were recorded twice, before and 5 min after bracing. The one-way analysis of variance repeated measures, and multiple comparison tests, showed that means of unbraced variables were not significantly different from the corresponding means of predicted values, whereas means under brace were significantly lower (p < 0.05) compared to both predicted and baseline values of respiratory variables. In addition, a significant correlation (p < 0.0001) was found between unbraced and braced values, and linear regression equations were calculated. A significant but clinically unimportant increase in perceived effort was observed under the brace. In conclusion, data indicate that lung function is not impaired in moderate AIS and that wearing the Sforzesco brace causes an immediate, predictable reduction of lung volumes. Data also suggest that the respiratory discomfort during brace wearing could not be due to respiratory function defects.
Keyphrases
- lung function
- cystic fibrosis
- chronic obstructive pulmonary disease
- air pollution
- physical activity
- respiratory tract
- depressive symptoms
- end stage renal disease
- mental health
- electronic health record
- minimally invasive
- social support
- newly diagnosed
- young adults
- big data
- machine learning
- peritoneal dialysis
- high resolution