title: Rehabilitation protocols in children with corrected congenital heart defects due to the presence of pulmonary complications.
abstract: BACKGROUND
  The Aim of our study was to present early rehabilitation protocols for children with and without pulmonary complications after the correction of congenital heart defects and to estimate the optimal time for the initiation of early rehabilitation in both groups of children.
  
  
  METHODS
  In our study, 176 children treated at the University Children's Hospital in Belgrade were evaluated during the period 2003-2007. All patients were children with the corrected congenital heart defects from birth to 12 months of life.
  
  
  RESULTS
  In the group of patients without pulmonary complications we administered 3.64 +/- 1.02 exercises and in the group with present pulmonary complications we implemented 2.71 +/- 0.79 exercises. The optimal time for the initiation of early rehabilitation is 1.54 +/- 1.37 days for the group of children that did not have pulmonary complications, but for the other group the period was longer: 2.27 +/- 1.68 days.
  
  
  CONCLUSIONS
  The optimal number of exercises in children younger than one year of life is from 2 to 4 and the early rehabilitation should start as soon as possible. A desirable time for beginning of such program is within 24 to 48 hours post surgery but it cannot be limited to this interval due to possible complications stating that every child should have an individual approach (Tab. 3, Ref. 14).
authors.affiliation: Department of Physical Medicine and Rehabilitation, University Children's Hospital, Belgrade, Serbia. denikol27@yahoo.com
authors.forename: D
authors.initials: D
authors.lastname: Nikolic
authors.forename: I
authors.initials: I
authors.lastname: Petronic
authors.forename: D
authors.initials: D
authors.lastname: Cirovic
authors.forename: Z
authors.initials: Z
authors.lastname: Milincic
authors.forename: P
authors.initials: P
authors.lastname: Pavicevic
authors.forename: R
authors.initials: R
authors.lastname: Brdar
mesh_terms: D005081:Exercise Therapy; D006330:Heart Defects, Congenital / Q000534:rehabilitation* / Q000601:surgery; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D011030:Pneumothorax / Q000150:complications*; D001261:Pulmonary Atelectasis / Q000150:complications*