Specialist Cardiac Physiotherapist
The specialist physiotherapist works with the cardiac specialist nurses and cardiologists to provide help and advice on all physical activities for children and young people with congenital heart conditions. The physiotherapist may be able to advise you: – If you have difficulty with physical activities at school or if you would like some advice on PE – Discussing if you need to limit/avoid particular activities – Help you achieve the level of fitness most appropriate for your child’s condition – Help your child get back to activity/exercise after heart surgery
Benefits of exercise: – Develops muscles and bones – Improves flexibility – Helps improve sleep and relaxation – Maintains healthy weight – Contributes to brain development and learning – Encourages movement & Co-ordination – Builds social skills – Releases endorphins to ‘feel good’
Development information: – As children grow they develop different motor and social skills. There are different milestones we can expect children to achieve, such as sitting and walking. It is important to: encourage your child to experience different positions to continue to develop their gross motor, fine motor and social skills. – For 6 weeks following surgery following a sternotomy your child should avoid ‘tummy time’ or crawling. We acknowledge that it can be difficult to stop your child rolling onto their tummy or crawling but where possible, please limit to allow the surgical site to heal.
Frequently asked questions
Can a child exercise when they have a heart condition?
Absolutely, in fact they should be encouraged to participate in exercise. Current guidelines recommend that children should participate in 60 minutes or more of moderate to vigorous activity daily.
Can my child participate in PE?
Yes they can. Children with CHD should not be made to feel different during PE lessons and should be included wherever possible.
Children with CHD should have a physical activity recommendation plan which will outline if there are any limitations to exercise.
Are there any limitations to my child exercising?
There are things to be aware of with exercise and CHD children should be allowed to self-limit their exertion and should have plenty of opportunity to rehydrate although it is good to become slightly out of breath.They should still be able to complete a sentence when speaking. Also take into consideration weather conditions and appropriate clothing. Activity restrictions depend on the exact nature of the child’s heart condition.
The most common restrictions are:
-Activities with a moderate to high risk of impact or injury or contact sports – Competitive sport
-Activities requiring strenuous exertion.
How will I know if they are doing too much?
Children with CHD are usually very aware of their own limitations. They should rest with the following signs and symptoms
-Dizziness or feeling faint
-Difficulty speaking due to breathlessness
-Complaining of palpitations or feeling of heart pounding/fluttering or beating irregularly
-Becoming pale and clammy
-Severe tiredness or fatigue.
If they persist – SEEK MEDICAL ASSISTANCE!
If you would like further information about your heart condition and the effects of exercise please contact: Sarah Hibbert (Specialist Cardiac Physiotherapist ) on 0113 3920609 or email Sarah.Hibbert3@nhs.net