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Physical self-concept and ability to swim in patients born with anorectal malformation and Hirschsprung's disease: a

Tatjana Tamara König1, Mattis Krude2, Oliver J Muensterer3

  • 1Department of Pediatric Surgery Universitätsmedizin, Johannes Gutenberg-University Mainz, Langenbeckstr. 1, 55131, Mainz, Germany. Tatjana.Koenig@unimedizin-mainz.de.

BMC Pediatrics
|December 14, 2022
PubMed

Insights

Children with anorectal malformation (ARM) and Hirschsprung

Area of Science:

  • Pediatric surgery
  • Developmental pediatrics
  • Rehabilitation medicine

Background:

  • Anorectal malformation (ARM) and Hirschsprung's Disease (HD) are congenital conditions causing chronic urinary and bowel symptoms.
  • These symptoms may impact motor development and participation in physical activities like swimming.
  • Swimming ability and physical self-concept are crucial for overall well-being and health in children.

Purpose of the Study:

  • To assess the swimming ability of patients with ARM and HD.
  • To evaluate the physical self-concept in pediatric patients diagnosed with ARM and HD.
  • To compare these outcomes with a healthy control group.

Main Methods:

  • Anonymous survey distributed to patients aged 6-25 years within a national patient organization.
  • Validated questionnaires assessed swimming ability, symptom load (Rintala Score), and physical self-concept.
  • Matched control group recruited; statistical analyses included chi-squared tests and multiple linear regression.

Main Results:

  • 83 matched pairs showed similar swimming ability and age of learning to swim between patients and controls.
  • VACTERL-associated patients exhibited a significantly lower swimming rate.
  • While prepubertal children showed no difference in physical self-concept, adolescents (especially females) with ARM/HD reported lower scores in flexibility, speed, endurance, and sports competence.

Conclusions:

  • Pediatric patients with ARM/HD generally possess normal swimming skills and physical self-concept during childhood.
  • A decline in physical self-concept is observed with increasing age in adolescents and young adults with ARM/HD.
  • Active promotion of physical activity is recommended for ARM/HD patients during adolescence by parents and healthcare providers.
Abstract

Keywords:
Anorectal malformationHirschsprung’s diseasePhysical activityPhysical self-conceptSwimming

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