title: Cardiorespiratory response during physical therapist intervention for infants and young children with chronic respiratory insufficiency.
abstract: OBJECTIVE
  To document physical therapist intervention activities and cardiorespiratory response for young children with chronic respiratory insufficiency.
  
  
  METHODS
  Twelve children born prematurely, 6 to 30 months chronological age and admitted to inpatient pulmonary rehabilitation for oxygen and/or ventilation weaning, were included. During 3 intervention sessions, a second physical therapist recorded intervention activity and heart rate (HR), oxygen saturation (SaO2), and respiratory rate. Total time and median HR, SaO2, and respiratory rate for each activity were calculated. An analysis of variance was used to compare HR and SaO2 across activity based on intersession reliability.
  
  
  RESULTS
  Sitting activities were most frequent and prone least frequent. Median cardiorespiratory measures were within reference standards for age. No adverse effects were seen during intervention and no significant difference was found in HR and SaO2 among intervention activities.
  
  
  CONCLUSIONS
  Young children with chronic respiratory insufficiency are able to tolerate intervention with close monitoring by the physical therapist.
authors.affiliation: Research Center for Children with Special Health Care Needs, Franciscan Hospital for Children, Boston, Massachusetts, USA. hdumas@fhfc.org
authors.forename: Helene M
authors.initials: HM
authors.lastname: Dumas
authors.forename: Maria A
authors.initials: MA
authors.lastname: Fragala-Pinkham
authors.forename: Elaine L
authors.initials: EL
authors.lastname: Rosen
authors.forename: Diana
authors.initials: D
authors.lastname: Klar
authors.forename: Kelly
authors.initials: K
authors.lastname: Lombard
authors.forename: Hilary
authors.initials: H
authors.lastname: Smith
authors.forename: Patricia A
authors.initials: PA
authors.lastname: Shewokis
authors.forename: Margaret E
authors.initials: ME
authors.lastname: Oʼneil
mesh_terms: D002675:Child, Preschool; D002908:Chronic Disease; D005260:Female; D006339:Heart Rate; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D007234:Infant, Premature / Q000502:physiology*; D007235:Infant, Premature, Diseases / Q000503:physiopathology* / Q000534:rehabilitation*; D008297:Male; D010101:Oxygen Consumption; D011187:Posture / Q000502:physiology; D016684:Prone Position / Q000502:physiology; D012131:Respiratory Insufficiency / Q000503:physiopathology* / Q000534:rehabilitation*; D056152:Respiratory Rate; D015300:Ventilator Weaning