PDF(Pubmed)
Abstract：
Congenital heart defects (CHDs) are one of the most prevalent anomalies present at birth globally. Children with CHD often face developmental challenges, including motor, language, and cognitive impairments. This case report presents the clinical profile of a 1.2-year-old female child with CHD and developmental delay (DD) post-CHD surgery. The child exhibited delayed gross motor, fine motor, language, and personal-social milestones, along with significant cardiac anomalies observed on CT angiograms. Physiotherapy interventions were initiated to address these DDs, encompassing manual techniques, neurodevelopmental treatment, and multimodal stimulation. The objective of this study was to assess the impact of physiotherapy interventions on improving developmental outcomes in infants with CHD-associated DD. The New Ballard Score and Hammersmith Infant Neurological Examination were utilized to evaluate improvements post-intervention. Significant enhancements in developmental outcomes were observed. This case underscores the significance of holistic care approaches in mitigating the impact of CHD on developmental trajectories and improving the quality of life for affected children.
摘要：
先天性心脏病（CHDs）是全球出生时最常见的异常之一。患有冠心病的儿童经常面临发展挑战，包括电机，语言,和认知障碍。该病例报告介绍了一名1.2岁的CHD和CHD手术后发育迟缓（DD）的女性儿童的临床资料。孩子表现出延迟的粗大运动，精细电机，语言,和个人社会的里程碑，以及在CT血管造影照片上观察到的明显心脏异常。启动了物理治疗干预措施来解决这些DDs，包括手动技术，神经发育治疗，和多模态刺激。这项研究的目的是评估理疗干预对改善CHD相关DD婴儿发育结局的影响。新巴拉德评分和哈默史密斯婴儿神经系统检查用于评估干预后的改善情况。观察到发育结果的显着增强。该病例强调了整体护理方法在减轻CHD对发育轨迹的影响和改善受影响儿童的生活质量方面的重要性。
