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LOCALIZED PECTUS EXCAVATUM TREATED WITH BRACE AND EXERCISE: LONG TERM RESULTS OF A BRAZILIAN TECHNIQUE
OBJECTIVE: Pectus excavatum is a deformity that affects aesthetics and causes emotional disorders. Surgical correction is well established, but conservative treatment is less common. We investigated the long-term results of using a brace and performing specific physical exercises to treat localized...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
ATHA EDITORA
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8266278/ https://www.ncbi.nlm.nih.gov/pubmed/34290561 http://dx.doi.org/10.1590/1413-785220212903241550 |
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author | HAJE, DAVI DE PODESTÁ HAJE, SYDNEY ABRÃO VOLPON, JOSÉ BATISTA SILVA, ANA CAROLINA OLIVEIRA DA LIMA, LEONARDO FERREIRA BRAZ HUANG, WILSON |
author_facet | HAJE, DAVI DE PODESTÁ HAJE, SYDNEY ABRÃO VOLPON, JOSÉ BATISTA SILVA, ANA CAROLINA OLIVEIRA DA LIMA, LEONARDO FERREIRA BRAZ HUANG, WILSON |
author_sort | HAJE, DAVI DE PODESTÁ |
collection | PubMed |
description | OBJECTIVE: Pectus excavatum is a deformity that affects aesthetics and causes emotional disorders. Surgical correction is well established, but conservative treatment is less common. We investigated the long-term results of using a brace and performing specific physical exercises to treat localized pectus excavatum, a type of deformity in which the depressed area is restricted to the midline region along the nipple line. METHODS: We selected 115 patients (mean age 12.8 years), with a minimum follow-up of 36 months, who were evaluated more than one year after the end of treatment and skeletal maturity. Results were correlated with deformity flexibility, severity, regular use of the device, and performance of specific exercises. The chi-square (χ(2)) and the Cochran-Mantel-Haenszel tests were used for statistical analysis. RESULTS: Treatment was successful in 58% of patients, however, when exercises were performed and the brace was used regularly by patients with flexible deformities, the rate increased to 83% (p = 0.005). Severity and adherence to treatment greatly impacted successful treatment (p = 0.009 and < 0.001, respectively). CONCLUSION: The proposed treatment method was effective for correction or partial correction of the deformity in motivated patients followed up until skeletal maturity, especially when started early in milder and more flexible deformities. Level of Evidence V, Expert opinion. |
format | Online Article Text |
id | pubmed-8266278 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | ATHA EDITORA |
record_format | MEDLINE/PubMed |
spelling | pubmed-82662782021-07-20 LOCALIZED PECTUS EXCAVATUM TREATED WITH BRACE AND EXERCISE: LONG TERM RESULTS OF A BRAZILIAN TECHNIQUE HAJE, DAVI DE PODESTÁ HAJE, SYDNEY ABRÃO VOLPON, JOSÉ BATISTA SILVA, ANA CAROLINA OLIVEIRA DA LIMA, LEONARDO FERREIRA BRAZ HUANG, WILSON Acta Ortop Bras Original Article OBJECTIVE: Pectus excavatum is a deformity that affects aesthetics and causes emotional disorders. Surgical correction is well established, but conservative treatment is less common. We investigated the long-term results of using a brace and performing specific physical exercises to treat localized pectus excavatum, a type of deformity in which the depressed area is restricted to the midline region along the nipple line. METHODS: We selected 115 patients (mean age 12.8 years), with a minimum follow-up of 36 months, who were evaluated more than one year after the end of treatment and skeletal maturity. Results were correlated with deformity flexibility, severity, regular use of the device, and performance of specific exercises. The chi-square (χ(2)) and the Cochran-Mantel-Haenszel tests were used for statistical analysis. RESULTS: Treatment was successful in 58% of patients, however, when exercises were performed and the brace was used regularly by patients with flexible deformities, the rate increased to 83% (p = 0.005). Severity and adherence to treatment greatly impacted successful treatment (p = 0.009 and < 0.001, respectively). CONCLUSION: The proposed treatment method was effective for correction or partial correction of the deformity in motivated patients followed up until skeletal maturity, especially when started early in milder and more flexible deformities. Level of Evidence V, Expert opinion. ATHA EDITORA 2021 /pmc/articles/PMC8266278/ /pubmed/34290561 http://dx.doi.org/10.1590/1413-785220212903241550 Text en https://creativecommons.org/licenses/by-nc/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License |
spellingShingle | Original Article HAJE, DAVI DE PODESTÁ HAJE, SYDNEY ABRÃO VOLPON, JOSÉ BATISTA SILVA, ANA CAROLINA OLIVEIRA DA LIMA, LEONARDO FERREIRA BRAZ HUANG, WILSON LOCALIZED PECTUS EXCAVATUM TREATED WITH BRACE AND EXERCISE: LONG TERM RESULTS OF A BRAZILIAN TECHNIQUE |
title | LOCALIZED PECTUS EXCAVATUM TREATED WITH BRACE AND EXERCISE: LONG TERM RESULTS OF A BRAZILIAN TECHNIQUE |
title_full | LOCALIZED PECTUS EXCAVATUM TREATED WITH BRACE AND EXERCISE: LONG TERM RESULTS OF A BRAZILIAN TECHNIQUE |
title_fullStr | LOCALIZED PECTUS EXCAVATUM TREATED WITH BRACE AND EXERCISE: LONG TERM RESULTS OF A BRAZILIAN TECHNIQUE |
title_full_unstemmed | LOCALIZED PECTUS EXCAVATUM TREATED WITH BRACE AND EXERCISE: LONG TERM RESULTS OF A BRAZILIAN TECHNIQUE |
title_short | LOCALIZED PECTUS EXCAVATUM TREATED WITH BRACE AND EXERCISE: LONG TERM RESULTS OF A BRAZILIAN TECHNIQUE |
title_sort | localized pectus excavatum treated with brace and exercise: long term results of a brazilian technique |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8266278/ https://www.ncbi.nlm.nih.gov/pubmed/34290561 http://dx.doi.org/10.1590/1413-785220212903241550 |
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