Children with pectus carinatum who will wear dynamic compression brace 8 hours a day plus exercises for three weeks

Children with pectus carinatum who will wear dynamic compression brace 23 hours (except for bathing and sports activities) a day plus exercises for three weeks

The children who are in wait in list for dynamic compression brace will receive only posture exercises, deep breathing exercises, exercises for manipulation and mobilization of ribs, and core exercises for three weeks

Pectus Carinatum

custom-fitted brace adjusts the pressure on the thoracic wall and enables lateral expansion of the thorax

Dynamic compression brace

posture exercises, deep breathing exercises, exercises for manipulation and mobilization of ribs, and core exercises

Exercises

Marmara University School of Medicine Department of Physical Medicine and Rehabilitation

Dynamic Compression Brace for Pectus Carinatum

Investigating the Effects of Exercises in Addition to Dynamic Compression Brace in Patients With Pectus Carinatum: a Single Blinded Randomized Controlled Trial

distance from the point of maximum protrusion to the estimated normal level of chest wall

external measurement of the anterior chest wall using a thorax caliper at the upper edge of the manubrium

the external measurement of the anterior chest wall using a thorax caliper at the T2 point (Angulus Ludovici)

the external measurement of the anterior chest wall using a thorax caliper at the T3 (the most protruded point from the chest wall)

maximal transverse diameter/narrowest anteroposterior(AP) length of chest

maximal transverse diameter/narrowest AP length of chest

The angle between the lines which are drawn parallel to the upper endplate of the superior end vertebra and lower endplate of inferior end vertebra forms the Cobb angle (CA).

The angle between the lines which are drawn parallel to the upper endplate of the superior end vertebra and lower endplate of inferior end vertebra forms the CA.

the angle between the lines drawn along the upper endplate of T4 vertebra and lower endplate of T12 vertebra is calculated.

Pressure of correction (PC): an indirect parameter of the chest wall's flexibility. It is defined as the pressure applied to the patient, in the most protruding area of the chest, needed to accomplish a proper shape of the thorax.

The Nuss Questionnaire modified for Adults (NQmA) is a disease-specific health-related quality of life assessment tool for patients with pectus deformities.

Thorax AP diameter measurement with a thoracic caliper at the most protruded region

Thorax lateral measurement with a thoracic caliper at the most protruded region

Marmara University

Parallel group randomized controlled study

outcome assessor blinded to participants' allocated group

Demographic data (age, sex), pressure of correction, Tanner stage, Risser stage, Haller index, pectus carinatum protrusion measurements of patients with pectus carinatum will be recorded and association of them with pressure of correction will be investigated.

a scale of pubertal development in children, adolescents

Tanner stage

a measure showing the growth left in the spine

Risser stage

an indirect parameter of the chest wall's flexibility. It is defined as the pressure applied to the patient, in the most protruding area of the chest, needed to accomplish a proper shape of the thorax.

Pressure of correction

Pectus carinatum protrusion

Impact of Risser Stage on Pressure of Correction in Pectus Carinatum

stage 0: no ossification center at the level of iliac crest apophysis stage 1: apophysis under 25% of the iliac crest stage 2: apophysis over 25-50% of the iliac crest stage 3: apophysis over 50-75% of the iliac crest stage 4: apophysis over >75% of the iliac crest stage 5: complete ossification and fusion of the iliac crest apophysis

a scale of physical pubertal development in children, adolescents and adults.

pectus carinatum/back pain

Dynamic Compression Brace for Pectus Carinatum

Impact of Risser Stage on Pressure of Correction in Pectus Carinatum

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