The effect of surgical repair of the chest on postural stability among patients with pectus excavatum
Abstract Pectus excavatum is the most encountered of chest wall deformities. It may produce respiratory and cardiovascular symptoms, hence surgical repair of this defect is performed. The procedure involving the insertion of metal bars under the sternum (the Nuss procedure) usually brings significan...
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| Format: | Article |
| Language: | English |
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Nature Portfolio
2024-01-01
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| Series: | Scientific Reports |
| Online Access: | https://doi.org/10.1038/s41598-023-50645-9 |
| _version_ | 1797363419853094912 |
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| author | Maria Jarosz Krystian Pawlak Wojciech Jarosz Marzena Wiernicka Aleksander Barinow-Wojewódzki Rafał Stemplewski |
| author_facet | Maria Jarosz Krystian Pawlak Wojciech Jarosz Marzena Wiernicka Aleksander Barinow-Wojewódzki Rafał Stemplewski |
| author_sort | Maria Jarosz |
| collection | DOAJ |
| description | Abstract Pectus excavatum is the most encountered of chest wall deformities. It may produce respiratory and cardiovascular symptoms, hence surgical repair of this defect is performed. The procedure involving the insertion of metal bars under the sternum (the Nuss procedure) usually brings significant improvement to patients. However, the effect of the repair on the postural stability of patients has not been studied so far. To investigate the problem of patients' stability in the postoperative period male patients with pectus excavatum (n = 21) and healthy controls (n = 22) were included in the study. Using posturography methods, we showed a negative impact of the pectus excavatum repair surgery on patients' postural stability in the first postoperative phase. The centre of pressure displacement parameters used to measure postural stability were lower after the repair for both, the frontal and sagittal plane as well as for the velocity of displacements in the sagittal plane in the double stance with eyes open. Poorer postural stability was also found in patients with pectus excavatum when compared to healthy controls. Our findings may be useful for functional monitoring in the evaluation and surgical management of pectus excavatum patients and also when designing the rehabilitation of patients undergoing the Nuss procedure. |
| first_indexed | 2024-03-08T16:21:07Z |
| format | Article |
| id | doaj.art-171b80d8722e49dc86b8daa5f964623b |
| institution | Directory Open Access Journal |
| issn | 2045-2322 |
| language | English |
| last_indexed | 2024-03-08T16:21:07Z |
| publishDate | 2024-01-01 |
| publisher | Nature Portfolio |
| record_format | Article |
| series | Scientific Reports |
| spelling | doaj.art-171b80d8722e49dc86b8daa5f964623b2024-01-07T12:21:25ZengNature PortfolioScientific Reports2045-23222024-01-0114111110.1038/s41598-023-50645-9The effect of surgical repair of the chest on postural stability among patients with pectus excavatumMaria Jarosz0Krystian Pawlak1Wojciech Jarosz2Marzena Wiernicka3Aleksander Barinow-Wojewódzki4Rafał Stemplewski5Doctoral School, Poznań University of Physical EducationWielkopolska Center of Pulmonology and Thoracic SurgeryDepartment of Medical Biology, Poznań University of Physical EducationDepartment of Musculoskeletal Rehabilitation, Poznań University of Physical EducationWielkopolska Center of Pulmonology and Thoracic SurgeryDepartment of Digital Technologies in Physical Activity, Poznań University of Physical EducationAbstract Pectus excavatum is the most encountered of chest wall deformities. It may produce respiratory and cardiovascular symptoms, hence surgical repair of this defect is performed. The procedure involving the insertion of metal bars under the sternum (the Nuss procedure) usually brings significant improvement to patients. However, the effect of the repair on the postural stability of patients has not been studied so far. To investigate the problem of patients' stability in the postoperative period male patients with pectus excavatum (n = 21) and healthy controls (n = 22) were included in the study. Using posturography methods, we showed a negative impact of the pectus excavatum repair surgery on patients' postural stability in the first postoperative phase. The centre of pressure displacement parameters used to measure postural stability were lower after the repair for both, the frontal and sagittal plane as well as for the velocity of displacements in the sagittal plane in the double stance with eyes open. Poorer postural stability was also found in patients with pectus excavatum when compared to healthy controls. Our findings may be useful for functional monitoring in the evaluation and surgical management of pectus excavatum patients and also when designing the rehabilitation of patients undergoing the Nuss procedure.https://doi.org/10.1038/s41598-023-50645-9 |
| spellingShingle | Maria Jarosz Krystian Pawlak Wojciech Jarosz Marzena Wiernicka Aleksander Barinow-Wojewódzki Rafał Stemplewski The effect of surgical repair of the chest on postural stability among patients with pectus excavatum Scientific Reports |
| title | The effect of surgical repair of the chest on postural stability among patients with pectus excavatum |
| title_full | The effect of surgical repair of the chest on postural stability among patients with pectus excavatum |
| title_fullStr | The effect of surgical repair of the chest on postural stability among patients with pectus excavatum |
| title_full_unstemmed | The effect of surgical repair of the chest on postural stability among patients with pectus excavatum |
| title_short | The effect of surgical repair of the chest on postural stability among patients with pectus excavatum |
| title_sort | effect of surgical repair of the chest on postural stability among patients with pectus excavatum |
| url | https://doi.org/10.1038/s41598-023-50645-9 |
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