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Cardiopulmonary Rehabilitation Improves Respiratory Muscle Function and Functional Capacity in Children with Congenital Heart Disease. A Prospective Cohort Study

Author

Listed:
  • Francisco José Ferrer-Sargues

    (Department of Physiotherapy, Universidad Cardenal Herrera CEU, CEU Universities, 46115 Valencia, Spain
    Authors contributed equally to the work as first co-authors.)

  • Esteban Peiró-Molina

    (Pediatric Cardiology Section, Hospital Universitari i Politècnic La Fe, 46026 Valencia, Spain
    Regenerative Medicine and Heart Transplantation Unit, Instituto de Investigación Sanitaria La Fe, 46026 Valencia, Spain
    Authors contributed equally to the work as first co-authors.)

  • Pablo Salvador-Coloma

    (Department of Physiotherapy, Universidad Cardenal Herrera CEU, CEU Universities, 46115 Valencia, Spain)

  • José Ignacio Carrasco Moreno

    (Pediatric Cardiology Section, Hospital Universitari i Politècnic La Fe, 46026 Valencia, Spain
    Regenerative Medicine and Heart Transplantation Unit, Instituto de Investigación Sanitaria La Fe, 46026 Valencia, Spain)

  • Ana Cano-Sánchez

    (Pediatric Cardiology Section, Hospital Universitari i Politècnic La Fe, 46026 Valencia, Spain)

  • María Isabel Vázquez-Arce

    (Rehabilitation and Physical Medicine service, Hospital Universitari i Politècnic La Fe, 46026 Valencia, Spain
    Universidad San Vicente Mártir, 46001 Valencia, Spain)

  • Beatriz Insa Albert

    (Pediatric Cardiology Section, Hospital Universitari i Politècnic La Fe, 46026 Valencia, Spain)

  • Pilar Sepulveda Sanchis

    (Regenerative Medicine and Heart Transplantation Unit, Instituto de Investigación Sanitaria La Fe, 46026 Valencia, Spain)

  • Maria Àngels Cebrià i Iranzo

    (Rehabilitation and Physical Medicine service, Hospital Universitari i Politècnic La Fe, 46026 Valencia, Spain
    Department of Physiotherapy, Universitat de València, 46010 Valencia, Spain)

Abstract

Critical surgical and medical advances have shifted the focus of congenital heart disease (CHD) patients from survival to achievement of a greater health-related quality of life (HRQoL). HRQoL is influenced, amongst other factors, by aerobic capacity and respiratory muscle strength, both of which are reduced in CHD patients. This study evaluates the influence of a cardiopulmonary rehabilitation program (CPRP) on respiratory muscle strength and functional capacity. Fifteen CHD patients, ages 12 to 16, with reduced aerobic capacity in cardiopulmonary exercise testing (CPET) were enrolled in a CPRP involving strength and aerobic training for three months. Measurements for comparison were obtained at the start, end, and six months after the CPRP. A significant improvement of inspiratory muscle strength was evidenced (maximum inspiratory pressure 21 cm H 2 O, 23%, p < 0.01). The six-minute walking test showed a statistically and clinically significant rise in walked distance (48 m, p < 0.01) and a reduction in muscle fatigue (1.7 out of 10 points, p = 0.017). These results suggest CPRP could potentially improve respiratory muscle function and functional capacity, with lasting results, in children with congenital heart disease, but additional clinical trials must be conducted to confirm this finding.

Suggested Citation

  • Francisco José Ferrer-Sargues & Esteban Peiró-Molina & Pablo Salvador-Coloma & José Ignacio Carrasco Moreno & Ana Cano-Sánchez & María Isabel Vázquez-Arce & Beatriz Insa Albert & Pilar Sepulveda Sanch, 2020. "Cardiopulmonary Rehabilitation Improves Respiratory Muscle Function and Functional Capacity in Children with Congenital Heart Disease. A Prospective Cohort Study," IJERPH, MDPI, vol. 17(12), pages 1-14, June.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:12:p:4328-:d:372739
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    Cited by:

    1. Francisco José Ferrer-Sargues & Esteban Peiró-Molina & Maria Àngels Cebrià i Iranzo & José Ignacio Carrasco Moreno & Ana Cano-Sánchez & María Isabel Vázquez-Arce & Beatriz Insa Albert & Pablo Salvador, 2021. "Effects of Cardiopulmonary Rehabilitation on the Muscle Function of Children with Congenital Heart Disease: A Prospective Cohort Study," IJERPH, MDPI, vol. 18(11), pages 1-11, May.

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