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The Effect of Physiotherapy Intervention on an Infant With Congenital Heart Defect Associated With Developmental
Chaitali S Vikhe1, H V Sharath2, Neha A Brahmane2
1Department of Sports Physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.
Insights
Congenital heart defects (CHDs) can cause developmental delays in children. Early physiotherapy interventions significantly improved motor, language, and social skills in an infant with CHD-associated developmental delay.
Area of Science:
- Pediatrics
- Developmental Neurology
- Cardiology
Background:
- Congenital heart defects (CHDs) are common birth anomalies globally.
- Children with CHDs frequently experience developmental challenges, including motor, language, and cognitive impairments.
- Early identification and intervention are crucial for managing developmental trajectories in infants with CHDs.
Observation:
- This case report details a 1.2-year-old female with CHD and developmental delay (DD) following surgical repair.
- The patient presented with delayed gross motor, fine motor, language, and personal-social milestones.
- CT angiograms revealed significant cardiac anomalies contributing to the developmental delays.
Findings:
- Physiotherapy interventions, including manual techniques, neurodevelopmental treatment, and multimodal stimulation, were implemented.
- The New Ballard Score and Hammersmith Infant Neurological Examination assessed developmental progress.
- Significant improvements in developmental outcomes were observed post-intervention, indicating treatment efficacy.
Implications:
- This case highlights the critical role of physiotherapy in addressing developmental delays associated with CHDs.
- Holistic care approaches are essential for mitigating the impact of CHD on child development.
- Effective interventions can improve the quality of life for children with CHD and associated developmental challenges.
Abstract:
Congenital heart defects (CHDs) are one of the most prevalent anomalies present at birth globally. Children with CHD often face developmental challenges, including motor, language, and cognitive impairments. This case report presents the clinical profile of a 1.2-year-old female child with CHD and developmental delay (DD) post-CHD surgery. The child exhibited delayed gross motor, fine motor, language, and personal-social milestones, along with significant cardiac anomalies observed on CT angiograms. Physiotherapy interventions were initiated to address these DDs, encompassing manual techniques, neurodevelopmental treatment, and multimodal stimulation. The objective of this study was to assess the impact of physiotherapy interventions on improving developmental outcomes in infants with CHD-associated DD. The New Ballard Score and Hammersmith Infant Neurological Examination were utilized to evaluate improvements post-intervention. Significant enhancements in developmental outcomes were observed. This case underscores the significance of holistic care approaches in mitigating the impact of CHD on developmental trajectories and improving the quality of life for affected children.
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