Materiały źródłowe

• #1 Pectus Excavatum Exercises: Improve Strength

  https://www.healthline.com/health/fitness-exercise/pectus-excavatum-exercises

  Pectus excavatum, sometimes called funnel chest, is an abnormal development of the rib cage where the breastbone grows inward. It’s not preventable but it can be treated. One of the ways to treat it is through exercise. […] Exercise is a key component to treating pectus excavatum. By strengthening your chest, back, and core muscles and stretching your chest cavity, you can combat the conditions effects. Aim to complete these exercises several times a week to maximize results.

• #2 Pectus Excavatum Exercises

  https://www.verywellhealth.com/physical-therapy-for-pectus-excavatum-5207912

  Performing the correct exercises for your condition under the guidance of a physical therapist may help you prevent loss of mobility and loss of cardiac or lung function, and it may prevent the need for surgical intervention. […] The ultimate goal of the exercises is to maintain appropriate posture and strength and to decrease the likelihood of requiring surgery for your pectus excavatum. […] Working with a physical therapist is a good idea to increase your heart and lung function. Your therapist can assess your condition and prescribe the correct exercises for you. That way, you can be sure to maintain function and decrease the need for surgery for pectus excavatum. […] Physical therapy exercises for pectus excavatum will likely not cure the condition, but they can help decrease the likelihood of experiencing cardiac and pulmonary problems. They may also help to decrease the need for surgical intervention for pectus excavatum. […] The best way to treat pectus excavatum without surgery is to work on improving the mobility of your thorax, stretching and strengthening the muscles in your chest and back, and maintaining appropriate posture.

• #3 Center for Chest Wall Deformities | Connecticut Children’s

  https://www.connecticutchildrens.org/specialties-conditions/pediatric-surgery/center-chest-wall-deformities

  We utilize an enhanced recovery protocol incorporating evidence-based guidelines for pre-operative and post-operative care of pectus excavatum and pectus carinatum. […] We suggest a referral to our department as soon as pectus carinatum becomes visible to optimize treatment for your child.

• #4 Pectus Excavatum and Carinatum Repair – Pediatric Surgery | UCLA Health

  https://www.uclahealth.org/medical-services/pediatric-surgery/clinical-services/pectus-excavatum-and-carinatum-repair

  UCLA Mattel Children’s Hospital is a leading center for treating chest deformities. We provide care for patients from Southern California, across the United States, and around the world. For the best results, we usually recommend surgical correction of chest deformities during early adolescence. This timing helps reduce the chance of the condition coming back later in life. […] Surgery is typically recommended for moderate to severe pectus deformities, especially if the Haller index (a measurement of the chests shape) is greater than 3.2. For reference, a normal Haller index is around 2.5. Surgery may also be considered if the patient has symptoms related to their condition.

• #5 Pectus Excavatum Treatment & Management: Medical Care, Surgical Care, Consultations

  https://emedicine.medscape.com/article/1004953-treatment

  Physical fitness and development of strong anterior chest musculature may improve the appearance of pectus excavatum. However, clinical experience has demonstrated that only mild cases of pectus may benefit from this technique. The deformity worsens in most patients with moderate or severe pectus excavatum, particularly during the physiologic rapid growth of puberty.

• #6 Pectus Excavatum Exercises: Improve Strength

  https://www.healthline.com/health/fitness-exercise/pectus-excavatum-exercises

  Pectus excavatum, sometimes called funnel chest, is an abnormal development of the rib cage where the breastbone grows inward. It’s not preventable but it can be treated. One of the ways to treat it is through exercise. […] Exercise is a key component to treating pectus excavatum. By strengthening your chest, back, and core muscles and stretching your chest cavity, you can combat the conditions effects. Aim to complete these exercises several times a week to maximize results.

• #7 Chest wall disorders: When to seek treatment for pectus excavatum or carinatum | Pediatrics | UT Southwestern Medical Center

  https://utswmed.org/medblog/pectus-excavatum-carinatum/

  Treatment for mild pectus excavatum can include exercises to improve posture and upper body strength. […] For the small percentage of pectus carinatum patients for whom bracing doesn’t work and for patients who have pectus excavatum, there are two main surgical options: […] Treatment for pectus excavatum or pectus carinatum can relieve pressure on the heart or lungs and improve breathing, exercise intolerance, and chest pain.

• #8 Pectus Excavatum Exercises: Improve Strength

  https://www.healthline.com/health/fitness-exercise/pectus-excavatum-exercises

  Pectus excavatum, sometimes called funnel chest, is an abnormal development of the rib cage where the breastbone grows inward. It’s not preventable but it can be treated. One of the ways to treat it is through exercise. […] Exercise is a key component to treating pectus excavatum. By strengthening your chest, back, and core muscles and stretching your chest cavity, you can combat the conditions effects. Aim to complete these exercises several times a week to maximize results.

• #9 Pectus Excavatum Treatment & Management: Medical Care, Surgical Care, Consultations

  https://emedicine.medscape.com/article/1004953-treatment

  Physical fitness and development of strong anterior chest musculature may improve the appearance of pectus excavatum. However, clinical experience has demonstrated that only mild cases of pectus may benefit from this technique. The deformity worsens in most patients with moderate or severe pectus excavatum, particularly during the physiologic rapid growth of puberty.

• #10 Exercises for Pectus Excavatum: Best Bets, Getting Started, and More

  https://www.webmd.com/a-to-z-guides/top-exercises-pectus-excavatum

  Although there have been very few studies on the role of exercise in remedying pectus excavatum, doctors believe it could help strengthen and reshape the chest. Exercise will not cure pectus excavatum, but it can improve poor posture and may slow progression of mild to moderate conditions. Regular exercise can also lessen problems with breathing or exercise stamina. […] The appearance of pectus excavatum varies in people, resulting in different postural and chest wall anomalies, as well as symptoms. As a result, not all of these exercises will be suitable for everyone. If any of the exercises cause pain, reduce the number of repetitions or talk to your doctor.

• #11 Pectus Excavatum Exercises

  https://www.verywellhealth.com/physical-therapy-for-pectus-excavatum-5207912

  Performing the correct exercises for your condition under the guidance of a physical therapist may help you prevent loss of mobility and loss of cardiac or lung function, and it may prevent the need for surgical intervention. […] The ultimate goal of the exercises is to maintain appropriate posture and strength and to decrease the likelihood of requiring surgery for your pectus excavatum. […] Working with a physical therapist is a good idea to increase your heart and lung function. Your therapist can assess your condition and prescribe the correct exercises for you. That way, you can be sure to maintain function and decrease the need for surgery for pectus excavatum. […] Physical therapy exercises for pectus excavatum will likely not cure the condition, but they can help decrease the likelihood of experiencing cardiac and pulmonary problems. They may also help to decrease the need for surgical intervention for pectus excavatum. […] The best way to treat pectus excavatum without surgery is to work on improving the mobility of your thorax, stretching and strengthening the muscles in your chest and back, and maintaining appropriate posture.

• #12 Pectus Excavatum Exercises

  https://www.verywellhealth.com/physical-therapy-for-pectus-excavatum-5207912

  Performing the correct exercises for your condition under the guidance of a physical therapist may help you prevent loss of mobility and loss of cardiac or lung function, and it may prevent the need for surgical intervention. […] The ultimate goal of the exercises is to maintain appropriate posture and strength and to decrease the likelihood of requiring surgery for your pectus excavatum. […] Working with a physical therapist is a good idea to increase your heart and lung function. Your therapist can assess your condition and prescribe the correct exercises for you. That way, you can be sure to maintain function and decrease the need for surgery for pectus excavatum. […] Physical therapy exercises for pectus excavatum will likely not cure the condition, but they can help decrease the likelihood of experiencing cardiac and pulmonary problems. They may also help to decrease the need for surgical intervention for pectus excavatum. […] The best way to treat pectus excavatum without surgery is to work on improving the mobility of your thorax, stretching and strengthening the muscles in your chest and back, and maintaining appropriate posture.

• #13 Exercises for Pectus Excavatum: Best Bets, Getting Started, and More

  https://www.webmd.com/a-to-z-guides/top-exercises-pectus-excavatum

  Although there have been very few studies on the role of exercise in remedying pectus excavatum, doctors believe it could help strengthen and reshape the chest. Exercise will not cure pectus excavatum, but it can improve poor posture and may slow progression of mild to moderate conditions. Regular exercise can also lessen problems with breathing or exercise stamina. […] The appearance of pectus excavatum varies in people, resulting in different postural and chest wall anomalies, as well as symptoms. As a result, not all of these exercises will be suitable for everyone. If any of the exercises cause pain, reduce the number of repetitions or talk to your doctor.

• #14 Surgical versus Vacuum Bell Therapy for the Correction of Pectus Excavatum: A Comparison of 1-Year Treatment Outcomes

  https://www.jchestsurg.org/journal/view.html?doi=10.5090/jcs.21.073

  The purpose of this study was to compare 1-year clinical outcomes between patients who underwent a Nuss operation or vacuum bell therapy and to present vacuum bell therapy as a possible alternative treatment modality for patients who prefer non-surgical correction of pectus excavatum. […] However, there remains a need for a non-invasive treatment modality to reduce patient anxiety and postoperative pain. As an alternative to surgical correction, vacuum bell therapy (VBT) has been performed in these patients for many decades and has proven its feasibility and effectiveness. VBT should be recommended to a carefully selected population of PE patients, as well as those who do not desire invasive treatment. […] Therefore, the treatment of choice is mainly determined by patients preferences.

• #15

  https://link.springer.com/article/10.1007/s00383-010-2843-7

  Surgical repair of pectus excavatum (PE) in childhood is a well-established procedure. […] Conservative treatment with the vacuum bell to elevate the funnel in patients with PE represents a potential alternative to surgery in selected patients. […] The vacuum bell has proved to be an alternative therapeutic option in selected patients suffering from PE. […] The initial results proved to be dramatic, but long-term results are so far lacking, and further evaluation and follow-up studies are necessary.

• #16 Surgical versus Vacuum Bell Therapy for the Correction of Pectus Excavatum: A Comparison of 1-Year Treatment Outcomes

  https://www.jchestsurg.org/journal/view.html?doi=10.5090/jcs.21.073

  Although the Nuss operation is a well-established and effective treatment of choice to correct pectus excavatum, vacuum bell therapy showed comparable outcomes and could become an alternative treatment modality for select patients who prefer non-invasive treatment. […] Our study showed that over 85% of patients did not experience any cardiac or respiratory symptoms before PE treatment. Most patients visited our department for cosmetic issues associated with sternal depression; therefore, the recommendation for surgical intervention is not typically accepted by these patients at the initial counseling session. Many patients request an alternative, non-invasive method to correct PE, and VBT is the only modality currently available. […] While the degree of HI improvement was greater in the MIRPE group, the post-treatment HI in both groups did not differ significantly. This might mean that from a cosmetic standpoint, VBT could deliver comparably satisfactory results to those of MIRPE in certain PE patients.

• #17 Surgical versus Vacuum Bell Therapy for the Correction of Pectus Excavatum: A Comparison of 1-Year Treatment Outcomes

  https://www.jchestsurg.org/journal/view.html?doi=10.5090/jcs.21.073

  Therefore, a physical examination and careful candidate selection must be performed before initiating VBT. […] In conclusion, MIRPE is an effective treatment of choice for patients with a severe chest wall deformity. However, VBT showed comparable outcomes and could serve as an alternative treatment modality for select patients who prefer non-invasive PE treatment.

• #18

  https://link.springer.com/article/10.1007/s00383-010-2843-7

  Surgical repair of pectus excavatum (PE) in childhood is a well-established procedure. […] Conservative treatment with the vacuum bell to elevate the funnel in patients with PE represents a potential alternative to surgery in selected patients. […] The vacuum bell has proved to be an alternative therapeutic option in selected patients suffering from PE. […] The initial results proved to be dramatic, but long-term results are so far lacking, and further evaluation and follow-up studies are necessary.

• #19

  https://journals.lww.com/ajpmr/fulltext/2003/10000/prevention_of_pectus_excavatum_for_children_with.12.aspx

  To demonstrate the elimination of pectus excavatum and promotion of more normal lung growth and chest wall development by the use of high-span positive inspiratory pressure plus positive end-expiratory pressure (PIP+PEEP), patients with spinal muscular atrophy type 1 with paradoxical breathing were placed on high-span PIP+PEEP when sleeping from the point of diagnosis of spinal muscular atrophy. […] High-span PIP+PEEP is indicated for all infants diagnosed with spinal muscular atrophy who demonstrate paradoxical breathing for the purpose of promoting more normal lung and chest development.

• #20

  https://journals.lww.com/ajpmr/fulltext/2003/10000/prevention_of_pectus_excavatum_for_children_with.12.aspx

  To demonstrate the elimination of pectus excavatum and promotion of more normal lung growth and chest wall development by the use of high-span positive inspiratory pressure plus positive end-expiratory pressure (PIP+PEEP), patients with spinal muscular atrophy type 1 with paradoxical breathing were placed on high-span PIP+PEEP when sleeping from the point of diagnosis of spinal muscular atrophy. […] High-span PIP+PEEP is indicated for all infants diagnosed with spinal muscular atrophy who demonstrate paradoxical breathing for the purpose of promoting more normal lung and chest development.

• #21 Pectus Excavatum and Carinatum Repair – Pediatric Surgery | UCLA Health

  https://www.uclahealth.org/medical-services/pediatric-surgery/clinical-services/pectus-excavatum-and-carinatum-repair

  UCLA Mattel Children’s Hospital is a leading center for treating chest deformities. We provide care for patients from Southern California, across the United States, and around the world. For the best results, we usually recommend surgical correction of chest deformities during early adolescence. This timing helps reduce the chance of the condition coming back later in life. […] Surgery is typically recommended for moderate to severe pectus deformities, especially if the Haller index (a measurement of the chests shape) is greater than 3.2. For reference, a normal Haller index is around 2.5. Surgery may also be considered if the patient has symptoms related to their condition.

• #22 Pectus Excavatum and Carinatum Repair – Pediatric Surgery | UCLA Health

  https://www.uclahealth.org/medical-services/pediatric-surgery/clinical-services/pectus-excavatum-and-carinatum-repair

  UCLA Mattel Children’s Hospital is a leading center for treating chest deformities. We provide care for patients from Southern California, across the United States, and around the world. For the best results, we usually recommend surgical correction of chest deformities during early adolescence. This timing helps reduce the chance of the condition coming back later in life. […] Surgery is typically recommended for moderate to severe pectus deformities, especially if the Haller index (a measurement of the chests shape) is greater than 3.2. For reference, a normal Haller index is around 2.5. Surgery may also be considered if the patient has symptoms related to their condition.

• #23 Chest wall disorders: When to seek treatment for pectus excavatum or carinatum | Pediatrics | UT Southwestern Medical Center

  https://utswmed.org/medblog/pectus-excavatum-carinatum/

  Parents have been told for years that pediatric chest wall deformities are simply a cosmetic thing, but research has shown that they can interfere with your child’s heart and lung function and impede their ability to participate in some daily activities and at a high level in sports. […] Whether you want to help your child breathe easier, become more active, or boost their self-esteem, there are options for treatment. […] If your child has symptoms, talk with a specialist in pediatric chest wall deformities about treatment options. […] Surgery is typically performed during the rapid growth phase of puberty, but there are nonsurgical and surgical options available before and after puberty, even into adulthood. […] Most children with pectus carinatum can be treated by wearing a circular brace that gently pushes on the breastbone and remolds the chest by applying measured, gentle pressure.

• #24 Center for Chest Wall Deformities | Connecticut Children’s

  https://www.connecticutchildrens.org/specialties-conditions/pediatric-surgery/center-chest-wall-deformities

  We utilize an enhanced recovery protocol incorporating evidence-based guidelines for pre-operative and post-operative care of pectus excavatum and pectus carinatum. […] We suggest a referral to our department as soon as pectus carinatum becomes visible to optimize treatment for your child.

• #25 Chest wall disorders: When to seek treatment for pectus excavatum or carinatum | Pediatrics | UT Southwestern Medical Center

  https://utswmed.org/medblog/pectus-excavatum-carinatum/

  Parents have been told for years that pediatric chest wall deformities are simply a cosmetic thing, but research has shown that they can interfere with your child’s heart and lung function and impede their ability to participate in some daily activities and at a high level in sports. […] Whether you want to help your child breathe easier, become more active, or boost their self-esteem, there are options for treatment. […] If your child has symptoms, talk with a specialist in pediatric chest wall deformities about treatment options. […] Surgery is typically performed during the rapid growth phase of puberty, but there are nonsurgical and surgical options available before and after puberty, even into adulthood. […] Most children with pectus carinatum can be treated by wearing a circular brace that gently pushes on the breastbone and remolds the chest by applying measured, gentle pressure.

• #26 Chest wall disorders: When to seek treatment for pectus excavatum or carinatum | Pediatrics | UT Southwestern Medical Center

  https://utswmed.org/medblog/pectus-excavatum-carinatum/

  Parents have been told for years that pediatric chest wall deformities are simply a cosmetic thing, but research has shown that they can interfere with your child’s heart and lung function and impede their ability to participate in some daily activities and at a high level in sports. […] Whether you want to help your child breathe easier, become more active, or boost their self-esteem, there are options for treatment. […] If your child has symptoms, talk with a specialist in pediatric chest wall deformities about treatment options. […] Surgery is typically performed during the rapid growth phase of puberty, but there are nonsurgical and surgical options available before and after puberty, even into adulthood. […] Most children with pectus carinatum can be treated by wearing a circular brace that gently pushes on the breastbone and remolds the chest by applying measured, gentle pressure.

• #27 Exercises for Pectus Excavatum: Best Bets, Getting Started, and More

  https://www.webmd.com/a-to-z-guides/top-exercises-pectus-excavatum

  Although there have been very few studies on the role of exercise in remedying pectus excavatum, doctors believe it could help strengthen and reshape the chest. Exercise will not cure pectus excavatum, but it can improve poor posture and may slow progression of mild to moderate conditions. Regular exercise can also lessen problems with breathing or exercise stamina. […] The appearance of pectus excavatum varies in people, resulting in different postural and chest wall anomalies, as well as symptoms. As a result, not all of these exercises will be suitable for everyone. If any of the exercises cause pain, reduce the number of repetitions or talk to your doctor.

• #28 Surgical versus Vacuum Bell Therapy for the Correction of Pectus Excavatum: A Comparison of 1-Year Treatment Outcomes

  https://www.jchestsurg.org/journal/view.html?doi=10.5090/jcs.21.073

  Although the Nuss operation is a well-established and effective treatment of choice to correct pectus excavatum, vacuum bell therapy showed comparable outcomes and could become an alternative treatment modality for select patients who prefer non-invasive treatment. […] Our study showed that over 85% of patients did not experience any cardiac or respiratory symptoms before PE treatment. Most patients visited our department for cosmetic issues associated with sternal depression; therefore, the recommendation for surgical intervention is not typically accepted by these patients at the initial counseling session. Many patients request an alternative, non-invasive method to correct PE, and VBT is the only modality currently available. […] While the degree of HI improvement was greater in the MIRPE group, the post-treatment HI in both groups did not differ significantly. This might mean that from a cosmetic standpoint, VBT could deliver comparably satisfactory results to those of MIRPE in certain PE patients.

• #29 Chest wall disorders: When to seek treatment for pectus excavatum or carinatum | Pediatrics | UT Southwestern Medical Center

  https://utswmed.org/medblog/pectus-excavatum-carinatum/

  Parents have been told for years that pediatric chest wall deformities are simply a cosmetic thing, but research has shown that they can interfere with your child’s heart and lung function and impede their ability to participate in some daily activities and at a high level in sports. […] Whether you want to help your child breathe easier, become more active, or boost their self-esteem, there are options for treatment. […] If your child has symptoms, talk with a specialist in pediatric chest wall deformities about treatment options. […] Surgery is typically performed during the rapid growth phase of puberty, but there are nonsurgical and surgical options available before and after puberty, even into adulthood. […] Most children with pectus carinatum can be treated by wearing a circular brace that gently pushes on the breastbone and remolds the chest by applying measured, gentle pressure.

• #30 Surgical versus Vacuum Bell Therapy for the Correction of Pectus Excavatum: A Comparison of 1-Year Treatment Outcomes

  https://www.jchestsurg.org/journal/view.html?doi=10.5090/jcs.21.073

  Therefore, a physical examination and careful candidate selection must be performed before initiating VBT. […] In conclusion, MIRPE is an effective treatment of choice for patients with a severe chest wall deformity. However, VBT showed comparable outcomes and could serve as an alternative treatment modality for select patients who prefer non-invasive PE treatment.

Zobacz więcej