Description

Physical Therapy for Pectus Deformities Physical therapy plays a supportive role in the management of pectus excavatum and pectus carinatum, either as a primary intervention in mild cases or as an adjunct to surgical or bracing treatment. While physical therapy cannot fully correct the structural deformity, it can significantly improve: Posture Chest expansion Respiratory function Muscle balance Body image and confidence 🎯 Goals of Physical Therapy Improve postural alignment (especially kyphosis and rounded shoulders) Strengthen thoracic and scapular stabilizers Enhance pulmonary function through breathing exercises Stretch tight anterior chest structures Improve exercise tolerance and endurance Reduce chest wall stiffness pre- and post-surgery 🔧 Core Components of a Pectus Physical Therapy Program 1. Postural Correction Focus: counteract kyphotic posture often seen in pectus patients Exercises: Wall angels Shoulder blade squeezes Chin tucks Foam roller thoracic extensions 2. Strengthening Exercises Target: upper back, scapular muscles, core Exercises: Rows (resistance bands or cable) Prone Y/T/Ws Planks and side planks Dead bug variations 3. Stretching Tight Structures Pectoralis major and minor Anterior shoulders and upper abdominals Hip flexors (due to postural compensation) Methods: Doorway stretches Chest openers on foam roller 4. Breathing Exercises Encourage diaphragmatic breathing and chest expansion Techniques: Pursed-lip breathing Incentive spirometry Segmental chest expansion exercises Yoga-based breathing (e.g., pranayama) 5. Aerobic Conditioning Improves cardiovascular fitness and lung capacity Examples: Walking, swimming, cycling Gradually increased intensity