YENİDOĞAN ve ÇOCUK BİREYLERDE KARDİYOPULMONER REHABİLİTASYON GEREKTİREN HASTALIKLAR

Yıl 2021, , 106 - 115, 24.12.2021

Tuğçe Atalay , Betül Beyza Durmuş , Ufuk Yurdalan

https://doi.org/10.52881/gsbdergi.868975

Öz

Kardiyopulmoner Rehabilitasyon gerektiren pediatrik hastalıklar, hastaların hem fiziksel sağlıklarını hem de uyum sonuçlarını etkilemektedir.
Yaşamın erken dönemlerinde ameliyat gerektiren doğuştan kardiyak ve pulmoner sorunları olan çocuklar, gelişimsel gecikmeler ve bilişsel bozukluklar riski altındadır. Yaşamın daha ileri dönemlerinde olan çocuklar da aynı şekilde konjenital kalp hastalığı, kardiyomiyopatiler, kalp transplantasyonu, astım, kistik fibrozis gibi kardiyak ve pulmoner sorunlar yaşayabilmektedir. Bu hastalıkların sonucunda hastaların fonksiyonel kapasiteleri azalmaktadır ve sekonder problemlerin meydana gelme ihtimali olmaktadır. Azalan fonksiyonel kapasitenin iyileştirilmesi ve oluşabilecek sekonder problemlerin etkilerinin en aza indirilmesi isteği bu çocuklarda kardiyopulmoner rehabilitasyon gerekliliğini doğurmaktadır.
Pediatrik kardiyopulmoner rehabilitasyon uygulamadan önce fizyoterapistin kardiyak ve pulmoner hastalıkların tanımlamalarını, patofizyolojilerini, fonksiyonel kapasitenin düşük olmasının nedenlerini, görülebilecek semptomları iyi bilmesi gerekmektedir.

Anahtar Kelimeler

yenidoğan, çocuk, kardiyopulmoner rehabilitasyon, fizyoterapi

Kaynakça

• 1. GÜELL-ROUS, M. Rosa; DIEZ-BETORET, J. L. Is Pulmonary Rehabilitation Really Implemented Today?. Clinical Pulmonary Medicine, 2010, 17.2: 57-60.
• 2. SCHAAN, Camila Wohlgemuth, et al. Functional capacity in congenital heart disease: a systematic review and meta-analysis. Arquivos brasileiros de cardiologia, 2017, 109.4: 357-367.
• 3. HOLLANDER, Seth A., et al. Abdominal complaints as a common first presentation of heart failure in adolescents with dilated cardiomyopathy. The American journal of emergency medicine, 2013, 31.4: 684-686.
• 4. GOMES-NETO, Mansueto, et al. Impact of exercise training in aerobic capacity and pulmonary function in children and adolescents after congenital heart disease surgery: a systematic review with meta-analysis. Pediatric cardiology, 2016, 37.2: 217-224.
• 5. TAN, Cheryl Mei Jun; LEWANDOWSKI, Adam James. The transitional heart: from early embryonic and fetal development to neonatal life. Fetal diagnosis and therapy, 2020, 47.5: 373-386.
• 6. YURDALAN, S. Ufuk. NEONATLARDA (YENİ DOĞAN) PULMONER REHABİLİTASYON. Bulletin of Thoracic Surgery/Toraks Cerrahisi Bülteni, 2015, 6.1.
• 7. FERRER-SARGUES, Francisco José, et al. Cardiopulmonary Rehabilitation Improves Respiratory Muscle Function and Functional Capacity in Children with Congenital Heart Disease. A Prospective Cohort Study. International journal of environmental research and public health, 2020, 17.12: 4328.
• 8. GUIRGIS, L., et al. Cardiac performance assessment during cardiopulmonary exercise test can improve the management of children with repaired congenital heart disease. International journal of cardiology, 2020, 300: 121-126.
• 9. AKAMAGWUNA, Unoma; BADALY, Daryaneh. Pediatric cardiac rehabilitation: A review. Current Physical Medicine and Rehabilitation Reports, 2019, 7.2: 67-80.
• 10. DILLER, Gerhard-Paul, et al. Exercise intolerance in adult congenital heart disease: comparative severity, correlates, and prognostic implication. Circulation, 2005, 112.6: 828-835.
• 11. VOSS, Christine; HARRIS, Kevin C. Physical activity evaluation in children with congenital heart disease. Heart, 2017, 103.18: 1408-1412.
• 12. LEE, Teresa M., et al. Pediatric cardiomyopathies. Circulation research, 2017, 121.7: 855-873.
• 13. TOWBIN, J. A.; BOWLES, N. E. The failing heart. Nature, 2002, 415.6868: 227-233.
• 14. STOCKMAN, J. A. Epidemiology and Cause-Specific Outcome of Hypertrophic Cardiomyopathy in Children: Findings From the Pediatric Cardiomyopathy Registry Colan SD, Lipshultz SE, Lowe AM, et al (Children's Hosp, Boston; Holtz Children's Hosp, Miami, FL; New England Research Insts, Watertown, MA; et al) Circulation 115: 773-781, 2007. Year Book of Pediatrics, 2009, 2009: 236-238.
• 15. SOMARRIBA, Gabriel; EXTEIN, Jason; MILLER, Tracie L. Exercise rehabilitation in pediatric cardiomyopathy. Progress in pediatric cardiology, 2008, 25.1: 91-102.
• 16. SMITH, Joshua R., et al. Predictors of exercise capacity in patients with hypertrophic obstructive cardiomyopathy. Journal of clinical medicine, 2018, 7.11: 447.
• 17. HAYES, Don, et al. The International Thoracic Organ Transplant Registry of the International Society for Heart and Lung Transplantation: Twenty-third pediatric lung transplantation report—2020; focus on deceased donor characteristics. The Journal of Heart and Lung Transplantation, 2020, 39.10: 1038-1049.
• 18. NYTRØEN, Kari; GULLESTAD, Lars. Exercise after heart transplantation: an overview. World journal of transplantation, 2013, 3.4: 78.
• 19. VAN DEN WIJNGAART, Lara S.; ROUKEMA, Jolt; MERKUS, Peter JFM. Respiratory disease and respiratory physiology: putting lung function into perspective: paediatric asthma. Respirology, 2015, 20.3: 379-388.
• 20. PICKERD, Nicole; KOTECHA, Sailesh. Pathophysiology of respiratory distress syndrome. Paediatrics and Child Health, 2009, 19.4: 153-157.
• 21. GALLACHER, David J.; HART, Kylie; KOTECHA, Sailesh. Common respiratory conditions of the newborn. Breathe, 2016, 12.1: 30-42.
• 22. HOLME, Nicola; CHETCUTI, Philip. The pathophysiology of respiratory distress syndrome in neonates. Paediatrics and child health, 2012, 22.12: 507-512.
• 23. YADAV, Sudeep; LEE, Brian; KAMITY, Ranjith. Neonatal Respiratory Distress Syndrome. StatPearls [Internet], 2020.
• 24. PASHA, Asfia Banu; CHEN, Xiao-Qing; ZHOU, Guo Ping. Bronchopulmonary dysplasia: Pathogenesis and treatment. Experimental and therapeutic medicine, 2018, 16.6: 4315-4321.
• 25. TOUSSAINT‐DUYSTER, Leontien CC, et al. Congenital diaphragmatic hernia and exercise capacity, a longitudinal evaluation. Pediatric pulmonology, 2019, 54.5: 628-636.
• 26. BILAN, Nemat; POORSHIRI, Bita. The role of chest physiotherapy in prevention of postextubation atelectasis in pediatric patients with neuromuscular diseases. Iranian journal of child neurology, 2013, 7.1: 21.
• 27. LIZZO, Jenna M.; CORTES, Sara. Pediatric Asthma. StatPearls [Internet], 2020.
• 28. CALOGERO, Claudia; FENU, Grazia; LOMBARDI, Enrico. Measuring airway obstruction in severe asthma in children. Frontiers in pediatrics, 2018, 6: 189.
• 29. KIRKBY, Stephen, et al. Benefits of pulmonary rehabilitation in pediatric asthma. Pediatric pulmonology, 2018, 53.8: 1014-1017.
• 30. RATJEN, F., et al. Cystic fibrosis. vol. 1. Nat. Rev. Dis. Primers, 2015, 15010.
• 31. SHEI, Ren-Jay, et al. Exercise Physiology Across the Lifespan in Cystic Fibrosis. Frontiers in physiology, 2019, 10: 1382.
• 32. WEST, Sarah L., et al. Physical activity for children with chronic disease; a narrative review and practical applications. BMC pediatrics, 2019, 19.1: 1-18.
• 33. WELLS, Greg D., et al. Skeletal muscle metabolism in cystic fibrosis and primary ciliary dyskinesia. Pediatric research, 2011, 69.1: 40-45.
• 34. PINET, Christophe, et al. Function and bulk of respiratory and limb muscles in patients with cystic fibrosis. American journal of respiratory and critical care medicine, 2003, 168.8: 989-994.
• 35. MARPOLE, Rachael, et al. Evaluation and Management of Respiratory Illness in Children With Cerebral Palsy. Frontiers in Pediatrics, 2020, 8.
• 36. AYO-OGUNSEYE, Oyenike; HAMZAT, Talhatu. Respiratory function and motor performance in children with cerebral palsy. 2016.
• 37. KWON, Hae-Yeon; KIM, Byeong-Jo. Correlation between the dimensions of diaphragm movement, respiratory functions and pressures in accordance with the gross motor function classification system levels in children with cerebral palsy. Journal of exercise rehabilitation, 2018, 14.6: 998.
• 38. BLACKMORE, Amanda Marie, et al. Prevalence of symptoms associated with respiratory illness in children and young people with cerebral palsy. Developmental medicine and child neurology, 2016, 58.7: 780-781.