特發性脊柱側彎患者術後之心肺功能及自我評量

Cardiopulmonary Function and Self-reported Wellbeing in Idiopathic Scoliosis after Surgical Treatment

吳英黛(Ying-Tai Wu) ； 陳博光(Pe-Kuang Chen) ； 林馥郁(Fu-Yu Lin) ； 李松青(Sung-Ching Lee) ； 徐國祐(Guo-You Shiu) ； 陳翰裕(Han-Yu Chen) ； 汪君華(Chun-Hua Wang) ； 王亭貴(Tyng-Quey Wang)

《中華民國物理治療學會雜誌》 22卷2期 (1997/04) Pp. 98-105

https://doi.org/10.29616/JPTAROC.199704.0003

摘要

The purpose of this study was to compare the cardiopulmonary function and self-reported well-being between patients with idiopathic scoliosis after surgical treatment and the normal control subjects. The correlation between the objectively measured parameters and the subjectively perceived parameters were also investigated. Nine patients who received similar surgical treatment from the same orthopedic surgeon and 10 healthy persons served as subjects of the study. Posture, trunk mobility, rib hump, chest excursion, pulmonary function and maximal aerobic capacity were evaluated. Self-reported well-being was assessed by questions of 4 categories: self and body image, perception of health, participation in physical activities and back pain disability questionnaire. Results of Schober test, rib hump, and chest excursion in these patients were significanly lower than the normal control subjects. Seven out of 9 patients had restrictive ventilatory defects. Vital capacity, forced vital capacity, and forced expiratory volume at 1St second were also significantly lower in the patient group. However, maximal aerobic capacity and exercise responses were not significantly different between the two groups. The relationships between vital capacity and chest excursion, maximal inspiratory pressure and Schober test, maximal expiratory pressure and rib hump as well as between maximal aerobic capacity and finger-to-floor distance were significant. Patients reported no significantly different results from normal control subjects in well-being questionnaires. Significant relationships were found in the correlations of health perception with rib hump as well as physical activity participation with maximal oxygen consumption and finger-to-floor distance.

關鍵字

脊柱側彎 ； 心肺功能 ； 自我評量

並列摘要

The purpose of this study was to compare the cardiopulmonary function and self-reported well-being between patients with idiopathic scoliosis after surgical treatment and the normal control subjects. The correlation between the objectively measured parameters and the subjectively perceived parameters were also investigated. Nine patients who received similar surgical treatment from the same orthopedic surgeon and 10 healthy persons served as subjects of the study. Posture, trunk mobility, rib hump, chest excursion, pulmonary function and maximal aerobic capacity were evaluated. Self-reported well-being was assessed by questions of 4 categories: self and body image, perception of health, participation in physical activities and back pain disability questionnaire. Results of Schober test, rib hump, and chest excursion in these patients were significanly lower than the normal control subjects. Seven out of 9 patients had restrictive ventilatory defects. Vital capacity, forced vital capacity, and forced expiratory volume at 1St second were also significantly lower in the patient group. However, maximal aerobic capacity and exercise responses were not significantly different between the two groups. The relationships between vital capacity and chest excursion, maximal inspiratory pressure and Schober test, maximal expiratory pressure and rib hump as well as between maximal aerobic capacity and finger-to-floor distance were significant. Patients reported no significantly different results from normal control subjects in well-being questionnaires. Significant relationships were found in the correlations of health perception with rib hump as well as physical activity participation with maximal oxygen consumption and finger-to-floor distance.

並列關鍵字

Idiopathic scoliosis ； Cardiopulmonary function ； Self-reported well-being