Skip to main content
Erschienen in: Wiener klinische Wochenschrift 5-6/2019

12.11.2018 | original article

Assessment of children with pectus excavatum without surgical correction

verfasst von: Elena Amăricăi, Oana Suciu, Roxana Ramona Onofrei, Roxana Steliana Miclăuș, Liliana Cațan, Simona Cerbu, Călin Marius Popoiu

Erschienen in: Wiener klinische Wochenschrift | Ausgabe 5-6/2019

Einloggen, um Zugang zu erhalten

Summary

Objective

To assess respiratory function and functional capacity in children with pectus excavatum who followed a physical therapy program, to compare these parameters to healthy controls and to evaluate adherence of this category of patients (pectus excavatum without surgical indications) to a supervised exercise program.

Methods

This study included 14 children with pectus excavatum and 14 gender and age-matched healthy controls. The study patients performed a 12-week exercise program. They were assessed at the beginning and at the end of rehabilitation by spirometry and functional capacity testing (6-min walk test). Parents of children with pectus excavatum completed a 10-item adherence questionnaire.

Results

In the study patients all respiratory parameters increased after rehabilitation. After 12 weeks there were no differences between study patients and controls, except for functional capacity that still had lower values in children with pectus excavatum. The parents of all patients agreed about fitting of the training program with their child’s daily routine, low difficulty of the exercises, the child following the physiotherapist’s instructions and confidence in the results of rehabilitation.

Conclusions

In children with pectus excavatum without surgical indications, forced vital capacity, forced expiratory volume in 1 s and functional capacity assessed by the 6‑min walk test improved significantly after a 12-week supervised exercise program. The study showed that adherence to the exercise-based program was good for all patients.
Anhänge
Nur mit Berechtigung zugänglich
Literatur
1.
Zurück zum Zitat Chung CS, Myrianthopoulos NC. Factors affecting risks of congenital malformations. I. Analysis of epidemiologic factors in congenital malformations. Report from the Collaborative Perinatal Project. Birth Defects Orig Artic Ser. 1975;11(10):1–22.PubMed Chung CS, Myrianthopoulos NC. Factors affecting risks of congenital malformations. I. Analysis of epidemiologic factors in congenital malformations. Report from the Collaborative Perinatal Project. Birth Defects Orig Artic Ser. 1975;11(10):1–22.PubMed
2.
Zurück zum Zitat Koumbourlis AC, Stolar CJ. Lung growth and function in children and adolescents with idiopathic pectus excavatum. Pediatr Pulmonol. 2004;38(4):339–43.CrossRef Koumbourlis AC, Stolar CJ. Lung growth and function in children and adolescents with idiopathic pectus excavatum. Pediatr Pulmonol. 2004;38(4):339–43.CrossRef
3.
Zurück zum Zitat Morshuis W, Folgering H, Barentsz J, van Lier H, Lacquet L. Pulmonary function before surgery for pectus excavatum and at long-term follow-up. Chest. 1994;105(6):1646–52.CrossRef Morshuis W, Folgering H, Barentsz J, van Lier H, Lacquet L. Pulmonary function before surgery for pectus excavatum and at long-term follow-up. Chest. 1994;105(6):1646–52.CrossRef
4.
Zurück zum Zitat Kelly RE Jr, Shamberger RC. Congenital chest wall deformities. In: Coran AG, Caldamone A, Adzick NS, Krummel TM, Laberge J, Shamberger R, editors. Pediatric surgery. 7th ed. Amsterdam: Elsevier Saunders; 2012. pp. 779–96.CrossRef Kelly RE Jr, Shamberger RC. Congenital chest wall deformities. In: Coran AG, Caldamone A, Adzick NS, Krummel TM, Laberge J, Shamberger R, editors. Pediatric surgery. 7th ed. Amsterdam: Elsevier Saunders; 2012. pp. 779–96.CrossRef
5.
Zurück zum Zitat Colombani PM. Preoperative assessment of chest wall deformities. Semin Thorac Cardiovasc Surg. 2009;21(1):58–63.CrossRef Colombani PM. Preoperative assessment of chest wall deformities. Semin Thorac Cardiovasc Surg. 2009;21(1):58–63.CrossRef
6.
Zurück zum Zitat Nuss D. Minimally invasive surgical repair of pectus excavatum. Semin Pediatr Surg. 2008;17(3):209–17.CrossRef Nuss D. Minimally invasive surgical repair of pectus excavatum. Semin Pediatr Surg. 2008;17(3):209–17.CrossRef
7.
Zurück zum Zitat Quigley PM, Haller JA Jr., Jelus KL, Loughlin GM, Marcus CL. Cardiorespiratory function before and after corrective surgery in pectus excavatum. J Pediatr. 1996;128(5 Pt 1):638–43.CrossRef Quigley PM, Haller JA Jr., Jelus KL, Loughlin GM, Marcus CL. Cardiorespiratory function before and after corrective surgery in pectus excavatum. J Pediatr. 1996;128(5 Pt 1):638–43.CrossRef
8.
Zurück zum Zitat Kelly RE Jr., Mellins RB, Shamberger RC, et al. Multicenter study of pectus excavatum, final report: complications, static/exercise pulmonary function, and anatomic outcomes. J Am Coll Surg. 2013;217(6):1080–9.CrossRef Kelly RE Jr., Mellins RB, Shamberger RC, et al. Multicenter study of pectus excavatum, final report: complications, static/exercise pulmonary function, and anatomic outcomes. J Am Coll Surg. 2013;217(6):1080–9.CrossRef
9.
Zurück zum Zitat Lawson ML, Mellins RB, Tabangin M, et al. Impact of pectus excavatum on pulmonary function before and after repair with the Nuss procedure. J Pediatr Surg. 2005;40(1):174–80.CrossRef Lawson ML, Mellins RB, Tabangin M, et al. Impact of pectus excavatum on pulmonary function before and after repair with the Nuss procedure. J Pediatr Surg. 2005;40(1):174–80.CrossRef
10.
Zurück zum Zitat Kuhn MA, Nuss D. Pectus deformities. In: Mattei P, editor. Fundamentals of pediatric surgery. New York: Springer; 2011. pp. 313–21.CrossRef Kuhn MA, Nuss D. Pectus deformities. In: Mattei P, editor. Fundamentals of pediatric surgery. New York: Springer; 2011. pp. 313–21.CrossRef
11.
Zurück zum Zitat Schwabegger AH, Kuhn AM, Nuss D. Special techniques in the funnel chest deformity. In: Schwabegger AH, editor. Congenital thoracic wall deformities: diagnosis, therapy and current developments. Vienna: Springer; 2011. pp. 107–200.CrossRef Schwabegger AH, Kuhn AM, Nuss D. Special techniques in the funnel chest deformity. In: Schwabegger AH, editor. Congenital thoracic wall deformities: diagnosis, therapy and current developments. Vienna: Springer; 2011. pp. 107–200.CrossRef
12.
Zurück zum Zitat Winstein CJ. Knowledge of results and motor learning—implications for physical therapy. Phys Ther. 1991;71(2):140–9.CrossRef Winstein CJ. Knowledge of results and motor learning—implications for physical therapy. Phys Ther. 1991;71(2):140–9.CrossRef
13.
Zurück zum Zitat Quittner AL, Modi AC, Lemanek KL, Ievers-Landis CE, Rapoff MA. Evidence-based assessment of adherence to medical treatments in pediatric psychology. J Pediatr Psychol. 2008;33(9):916–36.CrossRef Quittner AL, Modi AC, Lemanek KL, Ievers-Landis CE, Rapoff MA. Evidence-based assessment of adherence to medical treatments in pediatric psychology. J Pediatr Psychol. 2008;33(9):916–36.CrossRef
14.
Zurück zum Zitat Haller JA Jr., Kramer SS, Lietman SA. Use of CT scans in selection of patients for pectus excavatum surgery: a preliminary report. J Pediatr Surg. 1987;22(10):904–6.CrossRef Haller JA Jr., Kramer SS, Lietman SA. Use of CT scans in selection of patients for pectus excavatum surgery: a preliminary report. J Pediatr Surg. 1987;22(10):904–6.CrossRef
15.
Zurück zum Zitat Zapletal ASM, Paul T. Lung function in children and adolescents: methods, reference values. In: Basel HH, editor. Progress in respiration research. Vol. 22. Switzerland: Karger; 1987. pp. 114–218. Zapletal ASM, Paul T. Lung function in children and adolescents: methods, reference values. In: Basel HH, editor. Progress in respiration research. Vol. 22. Switzerland: Karger; 1987. pp. 114–218.
16.
Zurück zum Zitat ATS Committee on Proficiency Standards for Clinical Pulmonary Function Laboratories. ATS statement. Guidelines for the six-minute walk test. Am J Respir Crit Care Med. 2002;166(1):111–7.CrossRef ATS Committee on Proficiency Standards for Clinical Pulmonary Function Laboratories. ATS statement. Guidelines for the six-minute walk test. Am J Respir Crit Care Med. 2002;166(1):111–7.CrossRef
17.
Zurück zum Zitat Spitz L, Coran A. Operative pediatric surgery. 7th ed. Abingdon: Taylor & Francis; 2013. pp. 251–8.CrossRef Spitz L, Coran A. Operative pediatric surgery. 7th ed. Abingdon: Taylor & Francis; 2013. pp. 251–8.CrossRef
18.
Zurück zum Zitat Medina-Mirapeix F, Jimeno-Serrano FJ, Escolar-Reina P, Del Bano-Aledo ME. Is patient satisfaction and perceived service quality with musculoskeletal rehabilitation determined by patient experiences? Clin Rehabil. 2013;27(6):555–64.CrossRef Medina-Mirapeix F, Jimeno-Serrano FJ, Escolar-Reina P, Del Bano-Aledo ME. Is patient satisfaction and perceived service quality with musculoskeletal rehabilitation determined by patient experiences? Clin Rehabil. 2013;27(6):555–64.CrossRef
19.
Zurück zum Zitat Sullivan GM, Feinn R. Using effect size-or why the P value is not enough. J Grad Med Educ. 2012;4(3):279–82.CrossRef Sullivan GM, Feinn R. Using effect size-or why the P value is not enough. J Grad Med Educ. 2012;4(3):279–82.CrossRef
20.
Zurück zum Zitat Fabian KM. Evaluation of lung function, chest mobility, and physical fitness during rehabilitation of scoliotic girls. Ortop Traumatol Rehabil. 2010;12(4):301–9.PubMed Fabian KM. Evaluation of lung function, chest mobility, and physical fitness during rehabilitation of scoliotic girls. Ortop Traumatol Rehabil. 2010;12(4):301–9.PubMed
22.
Zurück zum Zitat Abu-Tair T, Turial S, Hess M, Wiethoff CM, Staatz G, Lollert A, Kampmann C. Impact of pectus excavatum on cardiopulmonary function. Ann Thorac Surg. 2018;105(2):455–60.CrossRef Abu-Tair T, Turial S, Hess M, Wiethoff CM, Staatz G, Lollert A, Kampmann C. Impact of pectus excavatum on cardiopulmonary function. Ann Thorac Surg. 2018;105(2):455–60.CrossRef
23.
Zurück zum Zitat Schoenmakers MA, Gulmans VA, Bax NM, Helders PJ. Physiotherapy as an adjuvant to the surgical treatment of anterior chest wall deformities: a necessity? A prospective descriptive study in 21 patients. J Pediatr Surg. 2000;35(10):1440–3.CrossRef Schoenmakers MA, Gulmans VA, Bax NM, Helders PJ. Physiotherapy as an adjuvant to the surgical treatment of anterior chest wall deformities: a necessity? A prospective descriptive study in 21 patients. J Pediatr Surg. 2000;35(10):1440–3.CrossRef
24.
Zurück zum Zitat DeLambo KE, Ievers-Landis CE, Drotar D, Quittner AL. Association of observed family relationship quality and problem-solving skills with treatment adherence in older children and adolescents with cystic fibrosis. J Pediatr Psychol. 2004;29(5):343–53.CrossRef DeLambo KE, Ievers-Landis CE, Drotar D, Quittner AL. Association of observed family relationship quality and problem-solving skills with treatment adherence in older children and adolescents with cystic fibrosis. J Pediatr Psychol. 2004;29(5):343–53.CrossRef
25.
Zurück zum Zitat Dogra S, Jamnik V, Baker J. Self-directed exercise improves perceived measures of health in adults with partly controlled asthma. J Asthma. 2010;47(9):972–7.CrossRef Dogra S, Jamnik V, Baker J. Self-directed exercise improves perceived measures of health in adults with partly controlled asthma. J Asthma. 2010;47(9):972–7.CrossRef
26.
Zurück zum Zitat Negrini S, Hresko TM, O’Brien JP, Price N. Recommendations for research studies on treatment of idiopathic scoliosis: consensus 2014 between SOSORT and SRS non-operative management committee. Scoliosis. 2015;10:8.CrossRef Negrini S, Hresko TM, O’Brien JP, Price N. Recommendations for research studies on treatment of idiopathic scoliosis: consensus 2014 between SOSORT and SRS non-operative management committee. Scoliosis. 2015;10:8.CrossRef
27.
Zurück zum Zitat World Health Organization. Adherence to long-term therapies: evidence for action. Geneva: World Health Organisation; 2003. World Health Organization. Adherence to long-term therapies: evidence for action. Geneva: World Health Organisation; 2003.
Metadaten
Titel
Assessment of children with pectus excavatum without surgical correction
verfasst von
Elena Amăricăi
Oana Suciu
Roxana Ramona Onofrei
Roxana Steliana Miclăuș
Liliana Cațan
Simona Cerbu
Călin Marius Popoiu
Publikationsdatum
12.11.2018
Verlag
Springer Vienna
Erschienen in
Wiener klinische Wochenschrift / Ausgabe 5-6/2019
Print ISSN: 0043-5325
Elektronische ISSN: 1613-7671
DOI
https://doi.org/10.1007/s00508-018-1406-0

Weitere Artikel der Ausgabe 5-6/2019

Wiener klinische Wochenschrift 5-6/2019 Zur Ausgabe

mitteilungen der gesellschaft der ärzte in wien

Veranstaltungstipps:

original article

The European COPD audit