Vikhe Chaitali S, Sharath H V, Brahmane Neha A, Ramteke Swapnil U
Department of Sports Physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.
Department of Pediatric Physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.
Cureus. 2024 May 13;16(5):e60215. doi: 10.7759/cureus.60215. eCollection 2024 May.
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.
先天性心脏病（CHD）是全球出生时最常见的先天性异常之一。患有先天性心脏病的儿童经常面临发育挑战，包括运动、语言和认知障碍。本病例报告展示了一名1.2岁患有先天性心脏病且在先天性心脏病手术后出现发育迟缓（DD）的女童的临床概况。该儿童表现出粗大运动、精细运动、语言和个人社交方面的发育里程碑延迟，同时在CT血管造影中观察到明显的心脏异常。开始进行物理治疗干预以解决这些发育迟缓问题，包括手法技术、神经发育治疗和多模式刺激。本研究的目的是评估物理治疗干预对改善先天性心脏病相关发育迟缓婴儿发育结局的影响。采用新巴拉德评分和哈默史密斯婴儿神经学检查来评估干预后的改善情况。观察到发育结局有显著改善。本病例强调了整体护理方法在减轻先天性心脏病对发育轨迹的影响以及改善受影响儿童生活质量方面的重要性。
