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Rehabilitation in Pediatric Heart Failure and Heart Transplant

Ana Ubeda Tikkanen1,2,3,4, Emily Berry5, Erin LeCount5

  • 1Department of Pediatric Rehabilitation, Spaulding Rehabilitation Hospital, Boston, MA, United States.

Frontiers in Pediatrics
|June 7, 2021
PubMed

Insights

Pediatric heart failure and transplant survival has improved. Individualized rehabilitation programs, including therapies and medical management, can enhance functional ability and quality of life for these patients.

Area of Science:

  • Pediatric Cardiology
  • Rehabilitation Medicine
  • Congenital Heart Disease Management

Background:

  • Survival rates for pediatric heart failure patients have significantly improved.
  • Increasing complexity in pediatric heart transplant cases due to advances in congenital heart disease management.
  • Heart failure and its treatments can negatively impact patients' functional status and quality of life.

Purpose of the Study:

  • To explore the role of rehabilitation in improving functional ability and quality of life for pediatric heart failure and transplant patients.
  • To highlight the limited but promising literature on pediatric rehabilitation interventions.
  • To emphasize the potential benefits of tailored multidisciplinary rehabilitation programs.

Main Methods:

  • Review of existing literature on rehabilitation interventions for pediatric heart failure and transplant patients.
  • Focus on functional areas affected, including motor skills, exercise capacity, feeding, speech, and cognition.
  • Emphasis on individualized, multidisciplinary approaches.

Main Results:

  • Exercise training, while well-studied in adults, shows limited but promising results in pediatric populations.
  • Specific rehabilitation interventions may help address complications associated with heart failure or transplant.
  • Multidisciplinary programs incorporating various therapies are suggested as beneficial.

Conclusions:

  • Individualized, multidisciplinary rehabilitation programs are crucial for enhancing functional status and quality of life in pediatric heart failure and transplant patients.
  • These programs should integrate medical management, rehabilitation equipment, and therapies like physical, occupational, speech, and feeding.
  • Further research into pediatric-specific rehabilitation interventions is warranted.

Keywords:
feeding therapyfunctionheart failureheart transplantpediatricsphysical therapyrehabilitationspeech therapy

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