0000000000732381
AUTHOR
José Ignacio Carrasco Moreno
Cardiopulmonary rehabilitation improves respiratory muscle function and functional capacity in children with congenital heart disease : a prospective cohort study
Critical surgical and medical advances have shifted the focus of congenital heart disease (CHD) patients from survival to achievement of a greater health-related quality of life (HRQoL). HRQoL is influenced, amongst other factors, by aerobic capacity and respiratory muscle strength, both of which are reduced in CHD patients. This study evaluates the influence of a cardiopulmonary rehabilitation program (CPRP) on respiratory muscle strength and functional capacity. Fifteen CHD patients, ages 12 to 16, with reduced aerobic capacity in cardiopulmonary exercise testing (CPET) were enrolled in a CPRP involving strength and aerobic training for three months. Measurements for comparison were obtai…
Estrés oxidativo y osteonecrosis de la cabeza femoral
La osteonecrosis no traumática de la cabeza femoral representa un problema clínico importante, ya que hasta un 80% de los casos terminan en un colapso osteocondral con gran destrucción ósea y daño articular, con dolor y pérdida de la función de la cadera, necesitando finalmente una intervención de prótesis de sustitución a una edad temprana. La patogénesis de esta enfermedad es multifactorial y se conocen diversidad de factores etiológicos asociados a ella: consumo de alcohol y tabaco, uso de costicosteroides, alteraciones hemostáticas, alteraciones en el metabolismo lipídico y presencia de ciertos polimorfismos genéticos. Sin embargo, un gran número están descritas como idiopáticas y no pr…
Effects of cardiopulmonary rehabilitation on the muscle function of children with Congenital Heart Disease : a prospective cohort study
Critical medical and surgical advances have led to a shift in the care and management of children with congenital heart disease (CHD). These patients present with muscle deconditioning, which negatively influences their response to exercise, functional capacities, and quality of life. This study evaluates the influence of a cardiopulmonary rehabilitation program (CPRP) on the function of peripheral musculature of children with CHD. A single-center prospective cohort study was designed. Fifteen CHD subjects, between 12 and 16 years of age, with reduced aerobic capacity on a cardiopulmonary exercise test, were included in a three-month, 24-session CPRP. Measurements of the subjects’ handgrip …