| Title |
Home-Based Rehabilitation Enhances Daily Physical Activity and Motor Skill in Children Who Have Undergone the Fontan Procedure
|
|---|---|
| Published in |
Pediatric Cardiology, January 2013
|
| DOI | 10.1007/s00246-012-0618-8 |
| Pubmed ID | |
| Authors |
Patricia E. Longmuir, Pascal N. Tyrrell, Mary Corey, Guy Faulkner, Jennifer L. Russell, Brian W. McCrindle |
| Abstract |
This randomized trial compared physical activity enhancing exercise prescription and education programs in 61 children (36 male) with single-ventricle physiology after Fontan. After Fontan, children are less active than recommended for optimal health. They are often geographically dispersed and unable to attend weekday programs. Participants, 5.9-11.7 years of age who were status 5.3 years post-Fontan, received 12-month, parent-delivered home programs to enhance physical activity, motor skill, fitness, and activity attitudes. Daily moderate-to-vigorous physical activity (MVPA) was measured at baseline and again at 6, 12, and 24 months. Secondary outcomes were gross motor skill, fitness, and activity attitudes. Gross motor skill (p = .01) was significantly greater at the end of the 2-year study period for both intervention groups combined. MVPA at 2 years was significantly greater (p = .03) than the predicted decrease with age. Spring season (85 ± 25 min), male sex (69 ± 21 min), greater baseline activity (0.3 ± 0.1 min/baseline minute), and better gross motor skill (1.1 ± 0.4 min/percentile) increased weekly MVPA in a multivariable repeated-measures regression model adjusted for intervention, maturation during the 2-year study, sex, season, and baseline activity. Benefits were not influenced by type of rehabilitation, compliance, or rural/urban location. Home-based, pediatric physical activity rehabilitation enhances physical activity, gross motor skill, exercise capacity, and physical fitness among preadolescent children after Fontan regardless of rural/urban location. Prescribed education and exercise programs are similarly effective for providing the important health benefits of daily physical activity. Enhanced gross motor skill is associated with increased MVPA despite exercise capacity limitations after Fontan. Rehabilitation attenuates the expected decrease in MVPA with age. |
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Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Canada | 1 | 100% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Practitioners (doctors, other healthcare professionals) | 1 | 100% |
Mendeley readers
The data shown below were compiled from readership statistics for 197 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| United Kingdom | 1 | <1% |
| Spain | 1 | <1% |
| United States | 1 | <1% |
| Canada | 1 | <1% |
| Unknown | 193 | 98% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Student > Master | 32 | 16% |
| Student > Bachelor | 26 | 13% |
| Researcher | 18 | 9% |
| Student > Ph. D. Student | 17 | 9% |
| Student > Doctoral Student | 16 | 8% |
| Other | 27 | 14% |
| Unknown | 61 | 31% |
| Readers by discipline | Count | As % |
|---|---|---|
| Medicine and Dentistry | 49 | 25% |
| Nursing and Health Professions | 33 | 17% |
| Sports and Recreations | 20 | 10% |
| Social Sciences | 7 | 4% |
| Psychology | 5 | 3% |
| Other | 13 | 7% |
| Unknown | 70 | 36% |
Attention Score in Context
This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 16 May 2013.
All research outputs
#18,327,422
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Outputs from Pediatric Cardiology
#859
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#217,670
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Outputs of similar age from Pediatric Cardiology
#10
of 16 outputs
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