Annals of Rehabilitation Medicine

Successful Surgery for Scoliosis Supported by Pulmonary Rehabilitation in a Duchenne Muscular Dystrophy Patient With Forced Vital Capacity Below 10%: Jang Woo Lee, Yu Hui Won, Won Ah Choi, Soon Kyu Lee, Seong Woong Kang; Ann Rehabil Med 2013;37(6):875-878. Published online December 23, 2013; DOI: https://doi.org/10.5535/arm.2013.37.6.875

Abstract
PDF

Low vital capacity is a risk factor for scoliosis correction operation in Duchenne muscular dystrophy (DMD) patients, but pulmonary rehabilitation, including noninvasive intermittent positive pressure ventilator application, air stacking exercise, and assisted coughing technique, reduces the pulmonary complications and perioperative mortality risk. In this case, the patient's preoperative forced vital capacity (FVC) was 8.6% of normal predicted value in sitting position and 9.4% in supine position. He started pulmonary rehabilitation before the operation and continued right after the operation. Scoliosis correction operation was successful without any pulmonary complications, and his discomfort in sitting position was improved. If pulmonary rehabilitative support is provided properly, FVC below 10% of normal predicted value is not a contraindication of scoliosis correction operation in DMD patients.

Citations

Citations to this article as recorded by

Letter to the Editor Regarding “An Optimized Enhanced Recovery After Surgery (ERAS) Pathway Improved Patient Care in Adolescent Idiopathic Scoliosis Surgery: A Retrospective Cohort Study”
Di Zhu, Gen-ying Zhu
World Neurosurgery.2021; 156: 153. CrossRef
Successful surgery for a neuromuscular scoliosis patient by pulmonary rehabilitation with forced vital capacity below 30%
Kai Han, Yongqian Wang, Shangbin Cui, Caixia Xu, Peiqiang Su
European Spine Journal.2018; 27(9): 2072. CrossRef
Systemic Antisense Therapeutics for Dystrophin and Myostatin Exon Splice Modulation Improve Muscle Pathology of Adult mdx Mice
Ngoc Lu-Nguyen, Alberto Malerba, Linda Popplewell, Fred Schnell, Gunnar Hanson, George Dickson
Molecular Therapy - Nucleic Acids.2017; 6: 15. CrossRef
Link between MHC Fiber Type and Restoration of Dystrophin Expression and Key Components of the DAPC by Tricyclo-DNA-Mediated Exon Skipping
Saleh Omairi, Kwan-Leong Hau, Henry Collin-Hooper, Federica Montanaro, Aurelie Goyenvalle, Luis Garcia, Ketan Patel
Molecular Therapy - Nucleic Acids.2017; 9: 409. CrossRef
Complications respiratoires de l’enfant polyhandicapé et leur prise en charge
N. Stremler-Le Bel, A. Carsin, E. Sauvaget
Archives de Pédiatrie.2014; 21(5): 145. CrossRef

6,753 View
62 Download
3 Web of Science
5 Crossref

Change in Forced Vital Capacity with Postures according to Neuromuscular Disease.: Yoo, Tae Won , Kang, Seong Woong , Moon, Jae Ho , Kim, Hyung Jung , Cho, Dong Hee , Park, Jung Hyun; J Korean Acad Rehabil Med 2006;30(1):80-85.

Abstract
PDF

Objective
To evaluate the difference in forced vital capacity (FVC) between sitting and supine position in patients with amyotrophic lateral sclerosis (ALS), cervical spinal cord injury (SCI) and Duchenne muscular dystrophy (DMD). Method: FVC was measured in sitting and supine position for 32 patients with DMD, 32 patients with cervical SCI and for 28 patients with ALS. The highest value in three or more attempts in each position was chosen. Results: FVCs measured in cervical SCI and ALS patients in the sitting and supine position were 1612.8⁑291.0 ml, 1393.2⁑286.7 ml and 2054.7⁑545.8 ml, 1104.3⁑425.4 ml respectively. Cervical SCI patients showed significantlyhigher value in the supine position (p＜0.05). And ALS patients showed significantly higher value in the sitting position (p＜0.05). FVCs measured in DMD patients were 1311.6⁑260.7 ml and 1213.8⁑378.9 ml respectively. There was no statistically significant difference between the measurements in both positions. Conclusion: Difference in postural change of FVC was observed in patients with different types of neuromuscular disorders. Such difference in FVC suggest that postural change of FVC should be considered in management of neuromuscular disease with respiratory muscle weakness. (J Korean Acad Rehab Med 2006; 30: 80-85)

2,056 View
41 Download

Clinical Implication of Air Stacking Exercise in Patients with Neuromuscular Diseases.: Kang, Seong Woong , Cho, Dong Hee , Lee, Sang Chul , Moon, Jae Ho , Park, Yoon Ghil , Song, Nam Kyu , Lee, Soo Hyun; J Korean Acad Rehabil Med 2007;31(3):346-350.

Abstract
PDF

Objective
To evaluate the effect of the air stacking exercise on maximal insufflation capacity (MIC) and peak cough flow (PCF) in patients with neuromuscular diseases. Method: Two hundred twenty nine neuromuscular patients with vital capacity (VC) below 50% of the predicted normal value were initially evaluated for VC, MIC, PCF, and assisted PCF (APCF). After the first evaluation, these patients were instructed to carry out air stacking exercise periodically, and were re-evaluated after one year. Results: Forty seven patients were capable of performing air stacking exercise on regular basis, at least twice a day for one year. Among these patients, MIC increased in 28 patients from 1345.4 ml to 1572.9 ml on average (p＜0.05), while it decreased in 19 patients from 1740.0 ml to 1325.3 ml on average (p＜0.05). In the increasing MIC group APCF increased from 244.6 L/min to 278.1 L/min (p＜ 0.05). In the decreasing MIC group, every value decreased significantly. Conclusion: Air stacking exercise was shown to be capable of increasing MIC and APCF despite the reduction in VC and PCF in patients with neuromuscular diseases. (J Korean Acad Rehab Med 2007; 31: 346-350)

2,823 View
89 Download

Postural Change of Vital Capacity in Patients with Neuromuscular Disease.: Cho, Dong Hee , Kang, Seong Woong , Park, Jung Hyun , Yoo, Tae Won; J Korean Acad Rehabil Med 2004;28(5):454-457.

Abstract
PDF

Objective
To evaluate the difference in vital capacity (VC) between sitting and supine position in patients with amyotrophic lateral sclerosis (ALS) and Duchenne muscular dystrophy (DMD). Method: VC was measured in the sitting and supine position for 30 patients with DMD and for 30 patients with ALS. The highest value in three or more attempts in each position was chosen.Results: VCs measured in ALS patients in the sitting and supine position were 1591.7⁑634.6 ml and 1290.0⁑580.3 ml respectively. The VC in the sitting position showed significantly higher value than the VC in the supine position (p＜0.05). VCs measured in DMD patients were 903.7⁑518.1 ml and 795.3⁑505.6 ml respectively. There was no statistically significant difference between the measurements in both positions.Conclusion: Difference in postural change of VC was observed in patients with different types of neuromuscular disorders. Such difference in VC suggest that postural change of VC should be considered in management of neuromuscular disease with respiratory muscle weakness. (J Korean Acad Rehab Med 2004; 28: 454-457)