{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,2]],"date-time":"2026-03-02T15:58:08Z","timestamp":1772467088510,"version":"3.50.1"},"reference-count":30,"publisher":"Wiley","license":[{"start":{"date-parts":[[2022,7,6]],"date-time":"2022-07-06T00:00:00Z","timestamp":1657065600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Computational Intelligence and Neuroscience"],"published-print":{"date-parts":[[2022,7,6]]},"abstract":"<jats:p>Background. The incentive spirometer (IS) is a mechanical device that promotes lung expansion and can be used to prevent and treat postoperative pulmonary complications. In this study, the preventive effect of pulmonary function training with IS on the improvement of pulmonary function and pulmonary complications was observed. Methods. From May 2019 to April 2021, 69 scoliosis patients with impaired moderate and severe lung function were divided into the traditional pulmonary training group (n\u2009=\u200932) and IS-enhanced pulmonary training group (n\u2009=\u200935). The patient underwent lung function testing after admission and one week after the start of training and chest CT on the third day after surgery. Results. The average age was 13.47 and 15.66, respectively (<jats:inline-formula>\n                     <a:math xmlns:a=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M1\">\n                        <a:mi>p<\/a:mi>\n                     <\/a:math>\n                  <\/jats:inline-formula>\u2009=\u20090.223). The Cobb angles were 83.84 and 83.97 (<jats:inline-formula>\n                     <c:math xmlns:c=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M2\">\n                        <c:mi>p<\/c:mi>\n                     <\/c:math>\n                  <\/jats:inline-formula>\u2009=\u20090.756), respectively, and no statistical difference between the parameters of lung function was detected. After 1\u2009week of respiratory function training, significant improvement in lung function testing parameters including VC%, FVC%, FEV1%, FEV1\/FVC, FEV1\/VC, and MVV% was found in both groups. Analysis of covariance showed more significant improvement in IS-enhanced group compared to the conventional training group (<jats:inline-formula>\n                     <e:math xmlns:e=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M3\">\n                        <e:mi>p<\/e:mi>\n                     <\/e:math>\n                  <\/jats:inline-formula>\u2009&lt;\u20090.05). The incidence of postoperative pulmonary atelectasis was lower in IS-enhanced group than in traditional groups (2.9% vs. 21.9%, <jats:inline-formula>\n                     <g:math xmlns:g=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M4\">\n                        <g:mi>p<\/g:mi>\n                     <\/g:math>\n                  <\/jats:inline-formula>\u2009=\u20090.043) with no difference in the overall incidence of pulmonary complications (<jats:inline-formula>\n                     <i:math xmlns:i=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M5\">\n                        <i:mi>p<\/i:mi>\n                     <\/i:math>\n                  <\/jats:inline-formula>\u2009=\u20090.164) and shorter preoperative and total hospitalization in the IS-enhanced group. Conclusion. Compared to traditional pulmonary function training, IS-enhanced training can significantly accelerate the improvement of pulmonary function testing parameters, shorten the preoperative pulmonary function training time, reduce the incidence of postoperative pulmonary tension complications, and accelerate postoperative rehabilitation.<\/jats:p>","DOI":"10.1155\/2022\/4546549","type":"journal-article","created":{"date-parts":[[2022,7,6]],"date-time":"2022-07-06T23:20:35Z","timestamp":1657149635000},"page":"1-8","source":"Crossref","is-referenced-by-count":2,"title":["A Cross-Sectional Study on the Application of IS in Perioperative Pulmonary Function Training in Spine and Orthopedics"],"prefix":"10.1155","volume":"2022","author":[{"given":"Ting","family":"Qiu","sequence":"first","affiliation":[{"name":"Infection Control Administration Department, The Affiliated Hospital of Nanjing University Medical School, Nanjing 210008, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yong","family":"Li","sequence":"additional","affiliation":[{"name":"Infection Control Administration Department, The Affiliated Hospital of Nanjing University Medical School, Nanjing 210008, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jingjing","family":"Zhang","sequence":"additional","affiliation":[{"name":"Infection Control Administration Department, The Affiliated Hospital of Nanjing University Medical School, Nanjing 210008, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xuanzhu","family":"Hou","sequence":"additional","affiliation":[{"name":"Infection Control Administration Department, The Affiliated Hospital of Nanjing University Medical School, Nanjing 210008, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yuqi","family":"Wu","sequence":"additional","affiliation":[{"name":"Infection Control Administration Department, The Affiliated Hospital of Nanjing University Medical School, Nanjing 210008, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yan","family":"Xu","sequence":"additional","affiliation":[{"name":"Infection Control Administration Department, The Affiliated Hospital of Nanjing University Medical School, Nanjing 210008, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wenyue","family":"Chen","sequence":"additional","affiliation":[{"name":"Infection Control Administration Department, The Affiliated Hospital of Nanjing University Medical School, Nanjing 210008, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jingjing","family":"Rui","sequence":"additional","affiliation":[{"name":"Infection Control Administration Department, The Affiliated Hospital of Nanjing University Medical School, Nanjing 210008, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jin","family":"Yang","sequence":"additional","affiliation":[{"name":"Infection Control Administration Department, The Affiliated Hospital of Nanjing University Medical School, Nanjing 210008, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6471-2590","authenticated-orcid":true,"given":"Jing","family":"Qian","sequence":"additional","affiliation":[{"name":"Infection Control Administration Department, The Affiliated Hospital of Nanjing University Medical School, Nanjing 210008, China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","reference":[{"key":"1","doi-asserted-by":"publisher","DOI":"10.1183\/09031936.05.00034505"},{"issue":"3","key":"2","first-page":"235","article-title":"Diagnosis of lung function Chinese","volume":"35","author":"L. 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