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Home- and hospital-based exercise training programme after Fontan surgery.

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Home exercise training improves exercise capacity and quality of life for Fontan survivors, offering a safe and effective alternative to hospital programs. This approach should be integrated into routine follow-up care.

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Area of Science:

  • Pediatric Cardiology
  • Exercise Physiology
  • Rehabilitation Medicine

Background:

  • Exercise capacity is often limited in Fontan survivors.
  • Geographic barriers hinder access to hospital-based exercise programs for the Fontan population.
  • This study investigated home-based exercise as an alternative to hospital programs.

Purpose of the Study:

  • To compare the effectiveness of home exercise training versus hospital-based programs in Fontan survivors.
  • To assess improvements in exercise capacity and quality of life.
  • To evaluate the safety of home exercise training programs.

Main Methods:

  • Adolescents (12-19 years) with Fontan circulation were enrolled in hospital or home exercise programs.
  • Both groups trained for 8 weeks, with 2 one-hour sessions weekly.
  • Home program participants received initial hospital training, weekly phone consultations, and one physiotherapist home visit.

Main Results:

  • Seventeen patients completed the study; baseline characteristics were similar between groups.
  • Significant improvements were observed in oxygen consumption at anaerobic threshold and peak oxygen pulse.
  • Quality of life and psychosocial health scores improved significantly, with no training-related complications.

Conclusions:

  • Exercise training is beneficial and safe for Fontan survivors, enhancing exercise capacity and quality of life.
  • Home exercise training programs appear as effective as hospital-based programs.
  • Home exercise training should be incorporated into the follow-up care for Fontan surgery patients.