Volume 7 Supplement 1

8th International Conference on Conservative Management of Spinal Deformities and SOSORT 2011 Annual Meeting

Open Access

Some long-term effects of scoliosis diagnosed at school age

  • O Nowotny-Czupryna1, 2,
  • A Kowalczyk1,
  • K Czupryna1, 2,
  • J Nowotny1 and
  • M Plaszewski2
Scoliosis20127(Suppl 1):O8

DOI: 10.1186/1748-7161-7-S1-O8

Published: 27 January 2012

Background

Abnormal arrangement of the body may lead to the development of overload syndrome, nerve roots irritation, pain, ventilator impairment and also worsening of physical fitness [13].

Objective

Checking how, after years low degree scoliosis impairs breathing, reduces performance and generates back pain was the aim of the study.

Materials and methods

Respiratory function, working capacity (PWC170) and pain intensity (Jackson and Moskowitz regimen) were assessed in 39 adults, aged from 19 to 38 years, who were diagnosed in adolescence with low degree scoliosis (10°-28°). Also, 43 controls with no scoliosis in adolescence were examined.

Results

There was no progression of the curvature after the treatment. Spirometric results among scoliotic subjects were slightly lower than in the controls, although it did not show the characteristics of the restrictive type of respiratory disorder, which was found in 5.1% of patients. PWC170 test results were significantly lower (by about 20%) than in controls, and 84.6% subjects reported periodical, occasional of frequent, mostly lumbar pain associated with the work performed. In 12.8% cases pain impeded breathing. In about half of the group pain occurred especially after physical effort and caused limitation of activity, while in other subjects did not affect daily activities.

Conclusions

1) subjects with low degree scoliosis generally do not indicate impairment of lung ventilation with the characteristics of restrictive disorders; 2) adults with settled low degree scoliosis characterized by lack of physical fitness, in the form of reductions in PWC170; 3) the presence of school-age low degree scoliosis predisposes to the occurrence of pain symptoms in adulthood.

Authors’ Affiliations

(1)
Medical University of Silesia in Katowice Katowice
(2)
Institute of Physiotherapy – Higher School of Administration in Bielsko-Biała

References

  1. Kearon C, Viviani GR, Killian KJ: Factors influencing work capacity in adolescent idiopathic thoracic scoliosis. Am Rev Respir Dis. 1993, 148 (2): 295-303.View ArticlePubMedGoogle Scholar
  2. Kesten S, Garfinkel SK, Wright T, Rebuck AS: Impaired exercises capacity in adults with moderate scoliosis. Chest. 1991, 99: 663-666. 10.1378/chest.99.3.663.View ArticlePubMedGoogle Scholar
  3. Weiss HR, Werkmann M: Unspecific low back pain – a simple classification tested in a case series of patients with spinal deformities. Scoliosis. 2009, doi: 10.1186/1748-7161-4-4Google Scholar

Copyright

© Nowotny-Czupryna et al; licensee BioMed Central Ltd. 2012

This article is published under license to BioMed Central Ltd. This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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