Pulmonary function in patients with adolescent idiopathic scoliosis: an explorative study of a wearable smart shirt as a measurement instrument.

Autor: Te Hennepe N; Department of Orthopedic Surgery, Radboud University Medical Center, Nijmegen, The Netherlands., Steegh VLJM; Department of Orthopedic Surgery, Radboud University Medical Center, Nijmegen, The Netherlands., Pouw MH; Department of Orthopedic Surgery, Radboud University Medical Center, Nijmegen, The Netherlands., Roukema J; Department of Pediatrics, Division of Respiratory Medicine, Amalia Children's Hospital, Radboud University Medical Centre, Nijmegen, The Netherlands., De Kleuver M; Department of Orthopedic Surgery, Radboud University Medical Center, Nijmegen, The Netherlands., Van Hooff ML; Department of Orthopedic Research, Radboud University Medical Center, Nijmegen, The Netherlands. Miranda.vanHooff@radboudumc.nl.; Department of Research, Sint Maartenskliniek, Nijmegen, The Netherlands. Miranda.vanHooff@radboudumc.nl.
Jazyk: angličtina
Zdroj: Spine deformity [Spine Deform] 2024 Jul 31. Date of Electronic Publication: 2024 Jul 31.
DOI: 10.1007/s43390-024-00938-4
Abstrakt: Purpose: Adolescent idiopathic scoliosis (AIS) presents various challenges, including respiratory symptoms that impact pulmonary function. This study aims to explore the feasibility of using a smart shirt for continuous monitoring of lung volumes and heart rate during routine activities in AIS patients.
Methods: A single-center exploratory feasibility study was conducted with AIS patients aged 16-22 years with a thoracic curvature of ≥ 30 degrees and absence of respiratory comorbidities. A smart shirt was utilized to continuously monitor cardiopulmonary parameters during mild exercise, which included a standardized walking route with the ascent of multiple stairs.
Results: Five participants completed the study. Baseline spirometry measurements showed a range of values for forced vital capacity (FVC), forced expiratory volume in 1 s (FEV 1 ), and FEV 1 /FVC ratio. During mild exercise, participants exhibited variability in tidal volume, heart rate, breathing rate, and minute ventilation, with increases observed during stair climbing. Breathlessness levels also varied throughout the activity but did not correlate with the measured lung volumes. Overall, the use of the smart shirt for assessing pulmonary function in AIS patients was deemed feasible and well tolerated by participants during the test activities.
Conclusion: The study confirms the feasibility of using a smart shirt for continuous measurement of cardiopulmonary parameters in AIS patients during daily activities. Incongruities between spirometry results and perceived dyspnea exists, which questions the nature of the perceived dyspnea. Further research is needed to validate these findings and explore the impact of AIS characteristics on measurement accuracy.
(© 2024. The Author(s).)
Databáze: MEDLINE
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