肝移植前和1年后儿童和青少年的身体功能
Catherine Patterson1,2,3, Stephanie So1,2,3, Kaitie Shipley3
1Rehabilitation Medicine, The Hospital for Sick Children, Toronto, Ontario, Canada.
Pediatric transplantation
|July 26, 2023
概括
接受肝移植 (LT) 的儿童表现出身体功能下降,运动技能和耐力缺陷. 经过LT后,他们报告疲劳减少,身体活动增加,表明需要康复.
科学领域:
- 儿科胃肠病学 儿科胃肠病学
- 移植手术 移植手术
- 康复医学 康复医学 康复医学
背景情况:
- 肝移植 (LT) 后的老年儿童和青少年的身体功能存在有限的研究.
- 之前的研究表明,在LT之后,年轻的儿科人口的运动结果较差.
研究的目的:
- 为了评估年龄在6岁以上的儿童的身体功能,在LT之前和LT后1年.
- 为了确定医疗变量和身体功能结果之间的关联.
主要方法:
- 标准体能测量标准 (6分钟步行测试,握力,BOT-2,PAQ,疲劳量表) 的回顾性审查在儿童 ≥6年在LT.
- 探索医疗变量与功能结果之间的相关性.
主要成果:
- 与标准相比,儿童在LT前的体力活动和耐力 (6MWT) 显著下降.
- 在LT后,运动能力 (BOT-2强度/敏捷性) 的缺陷持续存在,尽管疲劳减少,身体活动增加.
- 在LT前,平衡问题与腹部膨胀和脊髓巨变相关;较低的血小板计数与较差的平衡和运动技能有关.
结论:
- 接受LT的老年儿童和青少年有身体功能下降的风险.
- 肝移植前后康复对于优化儿科肝移植接受者的长期结果至关重要.
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