Physiotherapy as an adjuvant to the surgical treatment of anterior chest wall deformities: A necessity?: A prospective descriptive study in 21 patients*
Section snippets
Materials and methods
All patients treated surgically for pectus excavatum or carinatum in the period from 1992 through 1995 were evaluated prospectively 6 weeks before surgery and 6 weeks, 6 months, and 18 months after surgery. Patients with musculoskeletal anomalies (Marfan's Syndrome and connective tissue disorders) were excluded. All measurements were performed by the same physical therapist. Informed consent was obtained from patients and parents. Postural impairment, range of motion, muscle strength, muscle
Results
The male to female ratio was 4:1. The majority of the patients had pectus excavatum. Data concerning type of deformity, gender, age at operation, associated diseases, and follow-up period are presented in Table 1.Empty Cell Pectus Excavatum Pectus Carinatum Number 16 5 Male to Female ratio 12:4 5:0 Age (yr) Mean 10.3 14 Range (5.7-16.1) (5.8-16.7) Associated diseases Asthma 4 0 BPD 1 0 Follow-up period 6 wk preoperatively 16 5 6 wk postoperatively 13 5 6 mo postoperatively 16 5 18 mo postoperatively 16 5
Data
Discussion
In this study, we investigated the existence and characteristics of pre- and postoperative postural impairments in children with anterior chest wall deformities. Postural abnormalities, such as slumping shoulders and protuberant abdomen, are described frequently in literature, especially in patients with pectus excavatum.1, 2, 4, 6, 8 To our knowledge, the incidence of these impairments has not been reported before. In this study poor posture was seen preoperatively in patients with pectus
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Cited by (16)
Clinical significance of concomitant pectus deformity and adolescent idiopathic scoliosis: systematic review with best evidence synthesis
2022, North American Spine Society JournalCitation Excerpt :Combining categories I and II, 31 studies reported a prevalence of scoliosis in PD populations (Appendix C). In all, 19 comprised solely PE cases [18,19,21–23,26,30,31,34,36,38–42,45,47,49,50], 2 solely PC cases [35,44], and 6 analyzed PE and PC separately [5,16,35,43,46,51,52]. Fourteen studies described definitions of scoliosis or its diagnostic measures [5,18,19,22,23,26,30,31,33,34,40,47,52,53], 9 involved an entire idiopathic population [16,19,22,26,30,31,34,41,51,52], and 1 a non-surgical one [53].
Dynamic Neuromuscular Stabilization. assessment methods.
2013, Recognizing and Treating Breathing Disorders: A Multidisciplinary ApproachCongenital Chest Wall Deformities
2012, Pediatric Surgery, 2-Volume Set: Expert Consult - Online and PrintCongenital Chest Wall Deformities
2012, Pediatric SurgeryTen-year experience with the muscle split technique, bioabsorbable plates, and postoperative bracing for correction of pectus carinatum: The Innsbruck protocol
2011, Journal of Thoracic and Cardiovascular SurgeryCitation Excerpt :None of our patients had development of abdominal muscle hernia or abdominal weakness. Such a potential complication, which has been reported by Schoenmakers and colleagues11 and by Luzzi and associates,12 may be attributed to weakness of the rectus muscle resulting from its disconnection from the lower costal arches at the anterior chest wall within the conventional approach. This is no issue at all in the pure muscle splitting technique.
Integrated Physical Therapy Intervention for a Person With Pectus Excavatum and Bilateral Shoulder Pain: A Single-Case Study
2008, Archives of Physical Medicine and Rehabilitation
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Address reprint requests to M.A.G.C. Schoenmakers, BSc, PT, Department of Paediatric Physiotherapy, Room KB 2.056.0, University Medical Center, Wilhelmina Children's Hospital, PO Box 85090, 3508 AB Utrecht, The Netherlands.