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

Fecha de publicación: 01/06/2020 Fecha Ahead of Print: 17/06/2020

Autores de IIS La Fe

Participantes ajenos a IIS La Fe

Ferrer-Sargues FJ
Salvador-Coloma P

Grupos

Hepatología, Cirugia Hepatobiliopancreática y Trasplantes

Leader

Marina Berenguer Haym
Medicina Física y Rehabilitación

Investigador Principal

Isabel Vázquez Arce
Regeneración y Trasplante Cardíaco

Leader

Pilar Sepúlveda Sanchis

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 H2O, 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.

Datos de la publicación

ISSN/ISSNe:: 1661-7827, 1660-4601
Tipo:: Article
Páginas:: -
DOI:: 10.3390/ijerph17124328
Factor de Impacto:: 0,747 SCImago ℠
Cuartil:: Q2 SCImago ℠

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Métricas

Filiaciones

Ferrer-Sargues FJ:: Univ Cardenal Herrera CEU, CEU Univ, Dept Physiotherapy, Valencia 46115, Spain
Peiró-Molina E:: Hosp Univ & Politecn La Fe, Pediat Cardiol Sect, Valencia 46026, Spain

Instituto de Investigación. Inst Invest Sanitaria La Fe, Regenerat Med & Heart Transplantat Unit, Valencia 46026, Spain
Salvador-Coloma P:: Univ Cardenal Herrera CEU, CEU Univ, Dept Physiotherapy, Valencia 46115, Spain
Moreno, JIC:: Hosp Univ & Politecn La Fe, Pediat Cardiol Sect, Valencia 46026, Spain

Instituto de Investigación. Inst Invest Sanitaria La Fe, Regenerat Med & Heart Transplantat Unit, Valencia 46026, Spain
Cano-Sánchez A:: Hosp Univ & Politecn La Fe, Pediat Cardiol Sect, Valencia 46026, Spain
Vázquez-Arce MI:: Hosp Univ & Politecn La Fe, Rehabil & Phys Med Serv, Valencia 46026, Spain

Univ San Vicente Martir, Valencia 46001, Spain
Albert, BI:: Hosp Univ & Politecn La Fe, Pediat Cardiol Sect, Valencia 46026, Spain
Sanchis, PS:: Instituto de Investigación. Inst Invest Sanitaria La Fe, Regenerat Med & Heart Transplantat Unit, Valencia 46026, Spain
Iranzo, MACI:: Hosp Univ & Politecn La Fe, Rehabil & Phys Med Serv, Valencia 46026, Spain

Univ Valencia, Dept Physiotherapy, Valencia 46010, Spain

Keywords

congenital heart disease; cardiopulmonary rehabilitation; cardiac rehabilitation; children; pediatric; respiratory strength; inspiratory pressure; six-minute walking test; physical exercise training