Adölesan İdiyopatik Skolyozlu Çocuklarda Core Stabilizasyon Eğitiminin Solunum Parametreleri, Periferik Kas Gücü, Denge, Fonksiyonel Kapasite ve Yaşam Kalitesi Üzerine Etkisi

Abstract

The three-dimensional deformity of the vertebrae with lateral flexion in the frontal plane of 10 ° and in the axial plane and the flattening components in the physiological curve in the sagittal plane is defined as scoliosis. 80% of the structural scoliosis is idiopathic scoliosis. Adolescent idiopathic scoliosis (AIS) is a variant of idiopathic scoliosis occurring from the onset of puberty (above 10 years of age) until the growth plates are closed. Conservative and surgical treatment options have been reported in the treatment of AIS. Conservative treatment includes observation, exercise and orthotic options. The primary purpose of conservative treatment in AIS is to correct secondary damage including back pain, respiratory problems, balance problems and cosmetic deformations by preventing progression of the curve and improving quality of life. Specific exercise methods are used in conservative treatment. Core Stabilization exercises are also one of these methods. The aim of this study was to investigate the effects of Core Stabilization training on respiratory parameters, peripheral muscle strength, balance, functional capacity and quality of life in AIS patients. The study included 30 children aged 10-20 years with AIS who were randomly assigned to experimental and control groups. Pulmonary function test (PFT), respiratory and peripheral muscle strength measurement, 6 min walk test (6 MWT) and Biodex Balance System® device and postural stability and stability limits were applied to all patients. Exercises given to the experimental and control groups were administered under the supervision of a physiotherapist for 1 week, in the home 6 days a week for 8 weeks. Traditional scoliosis exercises were given to the control group. In addition to the traditional scoliosis exercises, the core exercise program was included for training group. At the end of eight weeks, evaluations were repeated. SPSS Statistics 21.0 program was used for data analysis. The significance level was accepted as p <0.05 for all analyzes. At the end of the 8th week, in the training group, trunk rotation angle, forward and side tilt angles, respiratory function test parameters % FVC and% FEV1 values, respiratory muscle strength values (MIP, MEP), some parameters in the stability test stability parameters, hand grip and quadriceps muscle strength, functional capacity, cosmetic deformity perception score and some parameters of quality of life. In the control group, statistically significant improvement was found in forward and side bending angles, MIP values, stability parameters in stability test, quadriceps muscle strength, functional capacity and some sub-parameters of quality of life. When the training and control groups were compared, some improvement was observed in the education group in some respiratory parameters and in the perception of cosmetic deformity. Considering the literature and the results of our study, it was concluded that Core Stabilization exercises could be applied to AIS patients and added to routine physiotherapy program. keywords: adolescent idiopathic scoliosis, core stabilization exercises, pulmonary function test, respiratory muscle strength, peripheral muscle strength, cosmetic deformity perception, quality of life