Effects of inspiratory muscle training on respiratory muscle strength, respiratory function and functional capacity in adolescents with idiopathic scoliosis A randomized, controlled trial

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dc.authoridGurses, H. Nilgun/0000-0002-5846-6781
dc.authoridzeren, Melih/0000-0002-9749-315X
dc.authorwosidGurses, H. Nilgun/AAD-3070-2020
dc.authorwosidzeren, Melih/HNR-7817-2023
dc.contributor.authorBasbug, Gozde
dc.contributor.authorGurses, Hulya Nilgun
dc.contributor.authorZeren, Melih
dc.contributor.authorElmadag, Nuh Mehmet
dc.date.accessioned2024-03-09T18:48:15Z
dc.date.available2024-03-09T18:48:15Z
dc.date.issued2023
dc.departmentİzmir Bakırçay Üniversitesien_US
dc.description.abstractBackgroundAdolescent Idiopathic Scoliosis (AIS) may impair respiratory dynamics and affect the performance of inspiratory and expiratory muscles. The benefit of inspiratory muscle training (IMT) is not well investigated in AIS. We aimed to investigate the effects of IMT on respiratory muscle strength, respiratory function and functional capacity in adolescents with mild to moderate AIS.MethodsThirty-six adolescents were randomized into control or IMT groups. Forced vital capacity (FVC), forced expiratory volume in 1 second (FEV1) and peak expiratory flow (PEF) were measured by spirometry; respiratory muscle strength by maximum inspiratory pressure (MIP) and maximum expiratory pressure (MEP); and functional capacity by 6-min walk test (6MWT) before and after the 8-week-long home-based exercise program. Both groups received conventional exercise program including diaphragmatic breathing exercises, resistive local expansion exercise on the collapsed areas in concave sides of scoliosis, spinal stabilization, strengthening of interscapular muscles and stretching exercises. IMT group also trained with Threshold IMT device for 15 minutes, twice a day for 8 weeks at the intensity of 30% of initial MIP value in addition to conventional exercise program.ResultsFEV1, PEF, MIP, MEP and 6MWT distance significantly improved in both groups. IMT group also showed significant improvement in FVC. The increases in FVC, MIP, MEP and 6MWT distance of IMT group were significantly higher compared to control group.ConclusionIMT is found to be beneficial for patients with AIS for achieving further improvements in respiratory function, respiratory muscle strength and functional capacity compared to conventional exercise program alone.en_US
dc.description.sponsorshipScientific Project Unit of Bezmialem Vakif University [12.2016/29]en_US
dc.description.sponsorshipThis study is supported by the Scientific Project Unit of Bezmialem Vakif University (Project Number: 12.2016/29). This study is prospectively registered to ClinicalTrial.gov website (identification number: NCT03391895).en_US
dc.identifier.doi10.1007/s00508-023-02197-1
dc.identifier.endpage290en_US
dc.identifier.issn0043-5325
dc.identifier.issn1613-7671
dc.identifier.issue11-12en_US
dc.identifier.pmid37071202en_US
dc.identifier.scopus2-s2.0-85153115225en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage282en_US
dc.identifier.urihttps://doi.org/10.1007/s00508-023-02197-1
dc.identifier.urihttps://hdl.handle.net/20.500.14034/1255
dc.identifier.volume135en_US
dc.identifier.wosWOS:000971477500001en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherSpringer Wienen_US
dc.relation.ispartofWiener Klinische Wochenschriften_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectSpine Deformity; Children; Respiratory Muscle Training; Pulmonary Function; Exercise Capacityen_US
dc.titleEffects of inspiratory muscle training on respiratory muscle strength, respiratory function and functional capacity in adolescents with idiopathic scoliosis A randomized, controlled trialen_US
dc.typeArticleen_US

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