Reabilitação Cardíaca e Exercício nas Cardiopatias Congénitas em Idade Pediátrica

Autores

  • Mónica Bettencourt Dias Centro de Medicina e Reabilitação de Alcoitão, Alcoitão, Alcabideche, Cascais
  • Afonso Rocha Hospital de São João - Centro Hospitalar do Porto, Porto
  • Fernando Parada Hospital de São João - Centro Hospitalar do Porto, Porto

DOI:

https://doi.org/10.25759/spmfr.231

Palavras-chave:

Cardiopatias Congénitas/reabilitação, Criança, Exercício, Terapia por Exercício

Resumo

Atualmente a sobrevida tem aumentado em doentes com cardiopatias congénitas devido aos avanços da medicina. No entanto, a maioria ainda não realiza atividade física regular, não por impedimento devido à sua patologia de base, mas por receios dos próprios, familiares e professores. Além disso programas de reabilitação cardíaca com benefícios bem conhecidos nos adultos, ainda são pouco realizados em crianças e adolescentes, desconhecendo-se a sua metodologia e resultados a nível das capacidades funcionais e estado psicológico destes doentes. Os autores realizaram uma revisão da literatura sobre as evidências atuais dos programas de reabilitação cardíaca em crianças e adolescentes com cardiopatias congénitas e quais as recomendações atuais sobre a prática de exercício físico.

A maioria dos estudos relata os efeitos benéficos de programas de reabilitação cardíaca multidisciplinares, incluindo orientação psicológica e nutricional, na diminuição do número de reinternamentos, melhoria das capacidades funcionais e qualidade de vida destes doentes. Concomitantemente, são inúmeros os artigos que salientam que a prática de exercício físico e participação em desportos de competição na maioria dos casos é possível e segura, desde que seguidas as recomendações necessárias para a patologia em concreto e tendo em conta o doente de forma individual, cabendo ao médico assistente dar todo o aconselhamento necessário em relação a este assunto em particular.

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Bettencourt Dias M, Rocha A, Parada F. Reabilitação Cardíaca e Exercício nas Cardiopatias Congénitas em Idade Pediátrica. SPMFR [Internet]. 30 de Dezembro de 2016 [citado 9 de Outubro de 2024];28(2):20-8. Disponível em: https://www.spmfrjournal.org/index.php/spmfr/article/view/231

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