灵活性:在患有先天性心脏病的儿科患者中是一种隐藏但可训练的发病率
Katherine Hansen1, Tracy Curran2, Julie Ann O'Neill2
1Department of Cardiology, Boston Children's Hospital, 300 Longwood Avenue BCH 3215, Boston, MA, 02115, USA. khansenbarnes@gmail.com.
Pediatric cardiology
|July 11, 2023
概括
与一般人群相比,患有先天性和获得性心脏病 (CHD) 的儿科患者的灵活性较差. 有针对性的运动训练显著改善了这些患者的灵活性,使其正常化到人口水平.
科学领域:
- 心血管医学 心血管医学
- 儿科运动科学 儿科运动科学
- 康复 康复 康复 康复
背景情况:
- 灵活性对于身体功能和预防伤害至关重要.
- 关于患有先天性和获得性心脏病 (CHD) 的儿科患者灵活性的数据有限.
- 促进运动对这一群体至关重要.
研究的目的:
- 与一般人群规范相比,研究心血管疾病的儿科患者的灵活性.
- 为了确定是否可以通过结构化的健身计划来提高灵活性.
- 分析根据性别分层的灵活性变化和胸腔切除史.
主要方法:
- 在心脏健身计划中对46名儿科患者 (8-23岁) 的回顾性分析.
- 在基线和干预60天后使用坐着伸手 (SaR) 测试来评估灵活性.
- 将SaR数据与年龄相匹配的人口规范进行比较.
主要成果:
- 心血管疾病患者的基线SAR显著低于人群规范 (24.3厘米与正常相比,p=0.002).
- 无论是男性还是女性,CHD患者的灵活性都明显低于各自的标准.
- 经过60天的训练,灵活性显著改善,正常化到人口水平,即使在有椎切除病史的患者中.
结论:
- 与普通人群相比,患有心脏病的儿科患者的灵活性减少.
- 有针对性的健身干预有效地提高了这一群体的灵活性.
- 进一步的研究应该探索灵活性对心血管健康,健康和心血管疾病患者的生活质量的影响.
相关概念视频
Cardiomyopathy V: Interprofessional Care
17
Managing cardiomyopathy involves addressing underlying or precipitating causes, treating heart failure with medications, and implementing dietary changes and a balanced exercise and rest regimen.Lifestyle ModificationsCardiomyopathy patients should adopt a low-sodium diet to reduce fluid retention and manage heart failure. A personalized exercise and rest plan helps maintain physical fitness without overstraining the heart. Avoiding alcohol and tobacco is essential to prevent further damage to...
17
Cardiomyopathy IV: Restrictive Cardiomyopathy
12
Restrictive cardiomyopathy (RCM) is a rare heart muscle disease characterized by impaired ventricular filling due to stiffened ventricular walls, leading to significant diastolic dysfunction.EtiologyRestrictive cardiomyopathy can arise from both inherited and acquired diseases, many of which are systemic. It is categorized into four main types: infiltrative, storage, non-infiltrative, and endomyocardial diseases.Infiltrative diseases, such as amyloidosis, lead to RCM by depositing amyloid...
12
Cardiomyopathy II: Dilated Cardiomyopathy
11
Dilated cardiomyopathy, or DCM, is a progressive myocardial disorder characterized by ventricular chamber dilation and contractile dysfunction.EtiologyVarious factors can cause DCM, including hypertension and heavy alcohol intake, which contribute to the weakening and enlargement of the heart muscle. Viral infections, such as Coxsackievirus B, adenoviruses, and influenza, can lead to DCM by causing inflammation and damage to heart tissue. Certain chemotherapeutic agents, including daunorubicin,...
11
Rheumatic Heart Disease IV: Nursing Management
18
AssessmentA comprehensive assessment is essential in managing a patient with rheumatic heart disease (RHD). Begin with obtaining a detailed medical history, including recent streptococcal infections, a history of rheumatic fever, or previously diagnosed rheumatic heart disease. Assess the patient for symptoms such as fever, chest pain, widespread joint pain (arthralgia), tachycardia, pericardial friction rub, muffled heart sounds, heart murmurs, peripheral edema, subcutaneous nodules, and...
18
Heart Failure VI: Adjunct Therapies
16
Additional therapies for treating patients with heart failure (HF) may include procedural interventions, supplemental oxygen, the management of sleep disorders, and nutritional therapy.Procedural InterventionsImplantable Cardioverter-Defibrillator: For patients at risk of life-threatening arrhythmias due to severe left ventricular dysfunction, an Implantable Cardioverter-Defibrillator (ICD) can detect and terminate these arrhythmias, preventing sudden cardiac death and improving survival rates.
16
Mitral Stenosis III: Medical Management
13
Mitral stenosis, a condition marked by the narrowing of the mitral valve, necessitates an integrated approach for effective management. This approach includes preventative measures, medical therapy, and surgical interventions to reduce symptoms and prevent complications.PreventionPrevention of mitral stenosis primarily focuses on reducing the incidence of bacterial infections, particularly streptococcal infections, which can lead to rheumatic fever and subsequent valvular damage. Timely...
13


