Rehabilitation in Pediatric Heart Failure and Heart Transplant

Frontiers in Pediatrics

Paul Esteso¹  Katherine Engstler²  Meredith Sager³  Ana Ubeda Tikkanen⁴  Emily Berry⁵  Erin LeCount⁵ 

[1] Department of Cardiology, Boston Children’s Hospital, Boston, MA, United States;Department of Pediatrics, Harvard Medical School, Boston, MA, United States;Department of Otolaryngology and Communication Enhancement, Boston Children’s Hospital, Boston, MA, United States;Department of Otolaryngology and Communication Enhancement, Boston Children’s Hospital, Boston, MA, United States;Augmentative Communication Program, Boston Children’s Hospital, Boston, MA, United States;Department of Pediatric Rehabilitation, Spaulding Rehabilitation Hospital, Boston, MA, United States;Department of Cardiac Surgery, Boston Children’s Hospital, Boston, MA, United States;Department of Orthopedic Surgery, Boston Children’s Hospital, Boston, MA, United States;Department of Physical Medicine and Rehabilitation, Harvard Medical School, Boston, MA, United States;Department of Physical Therapy and Occupational Therapy Services, Boston Children’s Hospital, Boston, MA, United States;

关键词: heart failure;    heart transplant;    rehabilitation;    function;    pediatrics;    physical therapy;    speech therapy;    feeding therapy;   

DOI  :  10.3389/fped.2021.674156

来源: Frontiers

【 摘 要 】

Survival of pediatric patients with heart failure has improved due to medical and surgical advances over the past decades. The complexity of pediatric heart transplant patients has increased as medical and surgical management for patients with congenital heart disease continues to improve. Quality of life in patients with heart failure and transplant might be affected by the impact on functional status that heart failure, heart failure complications or treatment might have. Functional areas affected might be motor, exercise capacity, feeding, speech and/or cognition. The goal of rehabilitation is to enhance and restore functional ability and quality of life to those with physical impairments or disabilities. Some of these rehabilitation interventions such as exercise training have been extensively evaluated in adults with heart failure. Literature in the pediatric population is limited yet promising. The use of additional rehabilitation interventions geared toward specific complications experienced by patients with heart failure or heart transplant are potentially helpful. The use of individualized multidisciplinary rehabilitation program that includes medical management, rehabilitation equipment and the use of physical, occupational, speech and feeding therapies can help improve the quality of life of patients with heart failure and transplant.

【 授权许可】

CC BY