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Comparison of physical functions and psychosocial conditions between adolescents with pectus excavatum, pectus carinatum and healthy controls

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Abstract

Purpose

The present study aimed to compare the physical and psychosocial conditions of adolescents with pectus excavatum (PE) and pectus carinatum (PC), who had mild-severe deformities, with those of healthy controls (HC).

Methods

This study included 180 adolescents (aged 10–18 years) with pectus deformity [PE (n = 90) and PC (n = 90)] and 90 age-matched HC. The following parameters were evaluated for each participant: clinical parameters, perceived appearance of the chest area (PAC), physical functions (grip strength, flexibility, muscle strength, endurance, physical activity), posture, psychosocial conditions, and quality of life (QOL).

Results

Patients with PE and PC had a lower body weight, a worse, a poorer posture, lower scores for physical functions compared to the HC group (p < 0.001, all). The PE group had lower scores (p < 0.05) for some psychosocial conditions and quality of life subscales compared to the HC and PC (except for the QOL) group (p < 0.05). The PC group had a poorer posture compared to the PE group (p < 0.05). PAC was associated with physical functions and psychosocial status (r = 0.19–0.40, p < 0.05) but pectus severity was not associated with these parameters (r = 0.02–0.12, p > 0.05).

Conclusion

Our results indicate that all adolescents with mild, moderate, or severe pectus deformity should undergo a biopsychosocial evaluation, receive psychosocial support, and be referred for physiotherapy.

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Funding

This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.

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Authors and Affiliations

  1. Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Acibadem Mehmet Ali Aydinlar University, Kerem Aydınlar Kampusu, Icerenkoy Mah. Kayısdagı Cad. No:32, Atasehir, 34752, İstanbul, Turkey

    Nuray Alaca

  2. Chest Wall Deformities and Pectus Association, Zuhtupasa Mah. Kadıkoy, İstanbul, Turkey

    Mustafa Yüksel

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  1. Nuray Alaca
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The first draft of the manuscript was written by NA and MY commented on the previous versions of the manuscript. All authors read and approved the final manuscript.

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Correspondence to Nuray Alaca.

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The Research Ethics Committee of Acıbadem University and Acıbadem Healthcare Group has approved the study (reference no. ATADEK-2019–14/15). All procedures performed in studies involving human participants were in accordance with the 1964 Helsinki Declaration.

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Alaca, N., Yüksel, M. Comparison of physical functions and psychosocial conditions between adolescents with pectus excavatum, pectus carinatum and healthy controls. Pediatr Surg Int 37, 765–775 (2021). https://doi.org/10.1007/s00383-021-04857-7

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