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Physical Activity Measurement in Children Accepting Table Tennis Training
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Current practice patterns for postoperative activity restrictions in children.

Lauren M Baumann1, Kibileri Williams2, Hassan Ghomrawi3

  • 1Ann and Robert H. Lurie Children's Hospital, 225 E. Chicago Ave, Box 63, Chicago, IL 60611, United States; Feinberg School of Medicine-Northwestern University, 420 E. Superior St, Chicago, IL 60611, United States.

Journal of Pediatric Surgery
|August 28, 2018
PubMed
Summary
This summary is machine-generated.

Pediatric surgeons show wide variation in postoperative activity restrictions for children undergoing common surgeries. Evidence supporting these restrictions is limited, potentially impacting children's well-being.

Keywords:
Activity restrictionsPhysical activityRecovery

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Area of Science:

  • Pediatric Surgery
  • Surgical Outcomes
  • Evidence-Based Medicine

Background:

  • Postoperative activity restrictions aim to prevent surgical complications but lack strong clinical evidence.
  • Current practice patterns for pediatric postoperative activity restrictions are not well-defined.

Purpose of the Study:

  • To describe national practice patterns of pediatric surgeons regarding postoperative activity recommendations.
  • Focus on three common general surgical procedures in children.

Main Methods:

  • A survey was sent to American Pediatric Surgical Association (APSA) members.
  • Assessed recommendations for activity restrictions (gym, sports, lifting) after laparotomy, appendectomy, and hernia repair.
  • Collected surgeon practice information and performed descriptive/bivariate analyses.

Main Results:

  • 293 surgeons responded (28.9% response rate), revealing significant variability in recommendations.
  • For laparoscopic appendectomy and inguinal hernia repair, a substantial portion of surgeons recommended 2-3 weeks of restriction for gym, contact sports, and heavy lifting, while others recommended no restrictions.
  • Only 22% of surgeons adjusted recommendations for older children (≥12 years), independent of practice duration or type.

Conclusions:

  • Considerable variability exists in pediatric surgeon recommendations for activity restrictions after common general surgeries.
  • Limited evidence supports the benefit of these restrictions, which may negatively affect children's psychosocial well-being.
  • Further research is needed to clarify the utility and impact of activity restrictions on pediatric clinical outcomes and quality of life.