The aim of this study is to investigate the effectiveness of telerehabilitation-based exercise training in addition to Vacuum Bell therapy on physical fitness, respiratory functions, posture and psychosocial factors in boys aged between 10-14 years diagnosed with pectus excavatum.
Children aged 10-14
Boys
Those who have undergone Vacuum Bell treatment for the first time
Those with complex type pectus deformity
Those who have undergone any surgical treatment due to pectus excavatum
Those with chronic systemic disease (cardiovascular, gastrointestinal, metabolic)
Those with diagnosed serious psychiatric disease
Parallel
Telerehabilitation
Other interventionA video conference software system will be installed on the subjects' laptops or tablets. Then, via video conference, strengthening/stretching exercises and breathing exercises will be performed for the areas affected by the deformity with the physiotherapist three times a week.
Physical Fitness
Health-Related Physical Fitness Health-related physical fitness will be assessed using the FITNESSGRAM® test battery. This test battery was developed to record the abilities of his children. Health-related physical fitness components: * Aerobic capacity * Body composition * Strength * Endurance * Flexibility
Pulmonary functions
Pulmonary functions will be assessed by two devices. 1. Forced Expiratory Volume in 1 Second (FEV1) Forced Vital Capacity (FVC) Voluntary Ventilation (MVV) will be measured by a portable spirometer device. 2. Peak Expiratory Flow (PEF) will be measured by Peak Flow Meter
Posture
Posture assessment will be done by lateral photography. Photographs will be taken from 90 degrees sideways and 1.5 meters away with a digital camera placed on a tripod. Markers will be placed on certain anatomical points (eye canthus, ear tragus, acromion, spinous process of the 7th cervical vertebra, spinous processes of the 4th and 7th thoracic vertebrae, spinous process of the 1st lumbar vertebra, spina iliaca anterior superior (SIAS), trochanter major, lateral of the midpoint of the knee joint) and angular calculations will be made from the lateral projection of these points.
Handgrip strength
It has been reported that it is strengthened with general body muscle strength. Therefore, it is widely used because it is a cheap, practical and easy method for determining general body muscle strength. During this test, subjects will be asked to make a baseline in sitting positions, with the elbow in 90 degree flexion, the shoulder in adduction and the forearm in neutral position. For this reason, the average and value repeated three times will be recorded.
Body Image Perception
Body Image Assessment This scale aims to measure the individual\'s level of satisfaction of their body. This scale includes a total of 40 items with scores between 1 and 5. A higher score indicates a higher level of body image satisfaction.
Social Anxiety
Social Anxiety Scale for Children Social anxiety will be assessed using the 'Social Anxiety Scale for Children-Revised, a self-report designed to assess social fears in children. The items selected in anxiety scales developed for children are related to social situations.
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