Adolesan İdiopatik Skolyozda Kostal Mobilizasyonun Etkisi: Pilot Çalışma

Yıl 2023, Cilt: 5 Sayı: 3, 375 - 384, 25.12.2023

Özden Canbay Gökçek Mine Argalı Denız Mine Gülden Polat Hasan Hallaceli Raif Özden

Öz

Amaç: Çalışmada idiyopatik skolyozda kostal mobilizasyon tekniğinin solunum kas kuvveti, fonksiyonel kapasite ve yaşam kalitesi üzerine etkisini incelemeyi amaçladık.
Yöntem: Çalışmaya skolyoz tanısı olan 12-18 yaş arası sekiz çocuk dahil edildi. Egzersiz ve kostal mobilizasyon grubu (n=4), egzersiz grubu (n=4). Çocukların demografik bilgileri kaydedildi. Solunum kas kuvveti ağız basınç ölçüm cihazı, fonksiyonel kapasite 6 dk yürüme testi, dispne şiddeti modifiye borg skalası, yaşam kalitesi SRS-22 formu ile değerlendirildi. İkinci değerlendirme 6 hafta sonra yapıldı.
Bulgular: Çalışmamızda yer alan çocukların yaş ortalaması; kostal mobilizasyon grubunda 14,00±2,44 yıl, kontrol grubunda 16,75±0,50 yıl idi. Solunum kas kuvveti değerleri tedavi sonrası kostal mobilizasyon grubunda egzersiz grubuna göre daha fazla artış olduğu görüldü. Ayrıca tedavi sonrasında kostal mobilizasyon grubunda SRS-22 formunun alt parametrelerinden vücut imajı, sağlığı ve tedaviden tatmin olma daha iyiydi. 6 dk yürüme mesafesinde egzersiz grubuna göre daha fazla artış, dispne şiddetinde azalma olduğu görüldü (p=0,046).
Sonuç ve Öneriler: Konvansiyonel egzersizler ile birlikte yapılan kostal mobilizasyon uygulamasının skolyozda solunum kas kuvvetinde ve yaşam kalitesinde artış, dispne şiddetinde azalma olduğu sağladığı belirlendi.

Anahtar Kelimeler

Egzersiz, Skolyoz, Mobilizasyon, Solunum, Kas kuvveti

The Effect of Costal Mobilization on Adolescent Idiopathic Scoliosis: A Pilot Study

Öz

Purpose: In this study, we aimed to examine the effect of costal mobilization technique on respiratory muscle strength, functional capacity and quality of life in idiopathic scoliosis.
Method: Eight individuals aged 12-18 years, diagnosed with scoliosis, were enrolled in the study. They were divided in to two groups: the exercise and costal mobilization group (n=4) and exercise-only group (n=4). Demographic information for all participants was recorded. Respiratory muscle strength was assessed using a mouth pressure measuring device, functional capacity was evaluated through the 6 minute walking test, dyspnea severity was measured using the modified borg scale, and quality of life was assessed with SRS-22 form. The second evaluation was conducted six weeks later.
Results: The average age of the individuals in our study was 14.00±2.44 years in the costal mobilization group and 16.75±0.50 years in the control group. It was observed that respiratory muscle strength values increased more in the costal mobilization group after treatment compared to the exercise group. Furthermore, after treatment, the costal mobilization group showed greater improvements in the sub-parameters of the SRS-22 form, including body image, health, satisfaction with the treatment, and the 6-minute walking distance, compared to the exercise group. Notably, there was a decrease in the severity of dyspnea in the costal mobilization group (p=0.046).
Conclusion and Suggestion: The addition of costal mobilization to scoliosis exercises led to increased respiratory muscle strength, improved quality of life, and a reduction in the severity of dyspnea in individual with scoliosis.

Anahtar Kelimeler

Exercises, Scoliosis, Mobilization, Respiratory, Muscle Strength

Kaynakça

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