Reabilitação Cardíaca e Exercício nas Cardiopatias Congénitas em Idade Pediátrica

Mónica Bettencourt Dias, Afonso Rocha, Fernando Parada

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.


Palavras-chave


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

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Referências


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DOI: http://dx.doi.org/10.25759/spmfr.231

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Revista da Sociedade Portuguesa de Medicina Física e de Reabilitação