Children's heart sport

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Children's heart exercise is a rehabilitation measure for patients with cardiac diseases in childhood. After completing the acute pediatric cardiological treatment,

  • Restoration or optimization of motor skills or abilities that may have been reduced due to the disease
  • to catch up with the development of motor skills that has been delayed by the duration of the illness

the children's heart sport are medically prescribed.

In contrast to cardiac sports in adults, children's cardiac sports focus on promoting motor development during the entire growth and development phase.

execution

Children's heart sports are carried out by health sports clubs, sports clubs and rehabilitation clinics in the form of local children's heart groups. Therapy-capable young patients ( aged approx. 3-16 years ) are assessed after a cardiological examination with regard to their current performance and rehabilitation goals and assigned to one of six different groups:

  1. Patients after cardiac surgery / interventional catheter interventions
  2. Patients with heart defects that do not require surgery
  3. Patients with inoperable heart defects
  4. Patients with chronic myocardial disease
  5. Patients with problematic cardiac arrhythmias
  6. Heart transplant patients

On the basis of this classification, the children are instructed by a specially trained children's cardiological instructor under pediatric cardiological control. In view of the potential cardiac risk, the group size should not exceed 10 children.

It should also be noted that, according to the DGPR statement, in addition to the safety measures applicable to adult heart groups, a defibrillator with an ECG recording option that is especially suitable for children must be available.

aims

The children should learn to assess and take advantage of their possibilities within the framework of the respective illness ( and the resulting restrictions ). The situation after cardiac diseases is problematic for them in many ways:

  • they have to learn to accept the new physiological situation after an operative or interventional therapy and get to know their changed limits,
  • Due to their permanent development, they constantly need new experiences about the changing physical possibilities
  • they have to overcome the psychological problem ( recognizing their own weakness / weakening and the resulting fear of stress ).

According to the DGPR, the concrete goals and purpose of the children's heart groups are therefore:

  • General:
    • Avoidance, elimination, reduction, prevention of aggravation or reduction of the consequences of disability
    • Promotion of self-determination / self-responsibility (help for self-help)
    • Promotion of equal participation in life in society and avoidance or counteraction of possible disadvantages
    • Increase in quality of life
  • Specifically:
    • Medical-therapeutic effects
    • Experiencing the individual performance limits
    • Compensation for psycho-motor deficits
    • Stabilization of personality development
    • Improvement of the psycho-social situation
    • Transfer to everyday life
    • Social integration

Thus, the primary goal of children's heart sport is not an increase in endurance / performance, but the avoidance of false protection, the adaptation and development of coordination and the recognition of the existing and changing performance and its limits. The aim is to enable the children to use the physical possibilities available to them without fear and to develop as normal a child as possible.

The accompanying parents also experience the physical possibilities and limits of their children and can incorporate this knowledge into everyday life.

Medical background

Chronic heart diseases affect the entire organism. By taking it easy beyond what is necessary and sensible, the negative effects of the heart disease are intensified, physical activity adapted to the disease counteracts this and improves the motor skills and abilities, the physical performance and the psychological situation of the children and their families.

literature

Web links

Sources / individual references

  1. ↑ DGPR position paper on children's heart groups ( Memento of the original dated February 6, 2007 in the Internet Archive ) Info: The archive link was inserted automatically and has not yet been checked. Please check the original and archive link according to the instructions and then remove this notice. (PDF file; 356 kB), p. 5 @1@ 2Template: Webachiv / IABot / www.dgpr.de