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Effects of Cardiopulmonary Rehabilitation on the Muscle Function of Children with Congenital Heart Disease: A Prospective Cohort Study

Author

Listed:
  • Francisco José Ferrer-Sargues

    (Department of Physiotherapy, Universidad Cardenal Herrera-CEU, CEU Universities, Alfara del Patriarca, 46113 Valencia, Spain
    First and second authors contributed equally to the work.)

  • 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
    First and second authors contributed equally to the work.)

  • Maria Àngels Cebrià i Iranzo

    (Department of Physiotherapy, Universitat de València, 46010 Valencia, Spain
    Rehabilitation and Physical Medicine Service, Hospital Universitari i Politècnic La Fe, 46026 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
    Faculty of Medicine and Health Sciences, Universidad San Vicente Mártir, 46001 Valencia, Spain)

  • Beatriz Insa Albert

    (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)

  • Pablo Salvador-Coloma

    (Department of Physiotherapy, Universidad Cardenal Herrera-CEU, CEU Universities, Alfara del Patriarca, 46113 Valencia, Spain)

Abstract

Critical medical and surgical advances have led to a shift in the care and management of children with congenital heart disease (CHD). These patients present with muscle deconditioning, which negatively influences their response to exercise, functional capacities, and quality of life. This study evaluates the influence of a cardiopulmonary rehabilitation program (CPRP) on the function of peripheral musculature of children with CHD. A single-center prospective cohort study was designed. Fifteen CHD subjects, between 12 and 16 years of age, with reduced aerobic capacity on a cardiopulmonary exercise test, were included in a three-month, 24-session CPRP. Measurements of the subjects’ handgrip strength, biceps brachii and quadriceps femoris strength, and triceps surae fatigue process were collected at the beginning of the program, after completion, and six months after the end of the intervention. A substantial and statistically significant improvement was observed in the subjects’ handgrip strength (kg) ( p < 0.001), biceps brachii and quadriceps femoris strength (N) ( p < 0.001), as well as triceps surae fatigue process (repetitions) ( p = 0.018), with a maintenance of the results six months after the intervention. These results suggest that a CPRP could potentially improve the peripheral muscle function of children with CHD. Additional research is needed to confirm and expand on this hypothesis.

Suggested Citation

  • 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.
  • Handle: RePEc:gam:jijerp:v:18:y:2021:i:11:p:5870-:d:565451
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    References listed on IDEAS

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    1. 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.
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