Rehabilitation in children with home invasive mechanical ventilation
Corresponding Author
Aysun Genç MD
Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Ankara University, Ankara, Turkey
Correspondence Aysun Genç, MD, Department of Physical Medicine and Rehabilitation, Ibn-i Sina Hospital, Faculty of Medicine, Ankara University, 4th floor, 06100 Sıhhiye, Ankara, Turkey.
Email: [email protected]
Contribution: Conceptualization (equal), Data curation (equal), Formal analysis (equal), Investigation (equal), Methodology (equal), Project administration (equal), Resources (equal), Software (equal), Validation (equal), Writing - original draft (equal), Writing - review & editing (equal)
Search for more papers by this authorBirkan Sonel Tur MD
Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Ankara University, Ankara, Turkey
Contribution: Conceptualization (equal), Data curation (equal), Formal analysis (equal), Investigation (equal), Methodology (equal), Project administration (equal), Resources (equal), Software (equal), Validation (equal), Writing - original draft (equal), Writing - review & editing (equal)
Search for more papers by this authorCorresponding Author
Aysun Genç MD
Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Ankara University, Ankara, Turkey
Correspondence Aysun Genç, MD, Department of Physical Medicine and Rehabilitation, Ibn-i Sina Hospital, Faculty of Medicine, Ankara University, 4th floor, 06100 Sıhhiye, Ankara, Turkey.
Email: [email protected]
Contribution: Conceptualization (equal), Data curation (equal), Formal analysis (equal), Investigation (equal), Methodology (equal), Project administration (equal), Resources (equal), Software (equal), Validation (equal), Writing - original draft (equal), Writing - review & editing (equal)
Search for more papers by this authorBirkan Sonel Tur MD
Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Ankara University, Ankara, Turkey
Contribution: Conceptualization (equal), Data curation (equal), Formal analysis (equal), Investigation (equal), Methodology (equal), Project administration (equal), Resources (equal), Software (equal), Validation (equal), Writing - original draft (equal), Writing - review & editing (equal)
Search for more papers by this authorAbstract
Children with home invasive mechanical ventilation need special health care and rehabilitation services due to complications caused by both the pulmonary system and physical inactivity. Children who are dependent on invasive mechanical ventilators due to breathing difficulties and lung problems can benefit from rehabilitation programs. Rehabilitation requires a close relationship between the child, parents and/or caregivers, and healthcare professionals. The main goal of rehabilitation is to improve breathing, lung function and overall quality of life. In this review, although full standard approaches have not been determined yet, rehabilitation approaches for children dependent on home-type invasive mechanical ventilator will be discussed.
CONFLICT OF INTEREST STATEMENT
The authors declare no conflict of interest.
Open Research
DATA AVAILABILITY STATEMENT
We confirm that the data supporting the findings of this study are available within the article and its supplementary materials.
REFERENCES
- 1Moore PE, Boyer D, O'Connor MG, et al. Pediatric chronic home invasive ventilation. Ann Am Thorac Soc. 2016; 13: 1170-1172.
- 2MacIntyre EJ, Asadi L, Mckim DA, Bagshaw SM. Clinical outcomes associated with home mechanical ventilation: a systematic review. Can Respir J. 2016; 2016: 1-10.
- 3Mendez-Tellez PA, Needham DM. Early physical rehabilitation in the ICU and ventilator liberation. Respir Care. 2012; 57: 1663-1669.
- 4Venkataraman ST. Long-term ventilation and home care. In: AP Sarnaik, ST Venkataraman, BA Kuch, eds. A Pathophysiology-Based Management Approach, 2022. First Online: 01 January, 528 Accesses.
- 5Dumas HM. Rehabilitation considerations for children dependent on long-term mechanical ventilation. Int Sch Res Notices. 2012; 2012:756103.
10.5402/2012/756103 Google Scholar
- 6West JB. Respiratory physiology- the Essentials. 8th ed. Williams and Wilkins; 2004.
- 7Boroughs DS, Dougherty J. A multidisciplinary approach to the care of the ventilator-dependent child at home: a case study. Home Healthc Nurse. 2010; 28: 24-28.
- 8Casaburi R, ZuWallack R. Pulmonary rehabilitation for management of chronic obstructive pulmonary disease. N Engl J Med. 2009; 360(360): 1329-1335.
- 9Nici L, Raskin J, Rochester CL, et al. Pulmonary rehabilitation: what we know and what we need to know. J Cardiopulm Rehabil Prev. 2009; 29: 141-151.
- 10Pohlman MC, Schweickert WD, Pohlman AS, et al. Feasibility of physical and occupational therapy beginning from initiation of mechanical ventilation. Crit Care Med. 2010; 38: 2089-2094.
- 11Jung A, Heinrichs I, Geidel C, Lauener R. Inpatient paediatric rehabilitation in chronic respiratory disorders. Paediatr Respir Rev. 2012; 13: 123-129.
- 12Sterni LM, Collaco JM, Baker CD, et al. ATS Pediatric Chronic Home Ventilation Workgroup. An Official American Thoracic Society clinical practice guideline: pediatric chronic home invasive ventilation. Am J Respir Crit Care Med. 2016; 15(193): 16-35.
10.1164/rccm.201602-0276ST Google Scholar
- 13Jung A, Heinrichs I, Geidel C, Lauener R. Inpatient paediatric rehabilitation in chronic respiratory disorders. Paediatr Respir Rev. 2012; 13: 123-129.
- 14Dunn H, Quinn L, Corbridge SJ, Eldeirawi K, Kapella M, Collins EG. Mobilization of prolonged mechanical ventilation patients: an integrative review. Heart Lung. 2017; 46: 221-233.
- 15Denehy L, Berney S. Physiotherapy in the intensive care unit. Physic Ther Rev. 2006; 11: 49-56.
10.1179/108331906X98921 Google Scholar
- 16Li Z, Peng X, Zhu B, Zhang Y, Xi X. Active mobilization for mechanically ventilated patients: a systematic review. Arch Phys Med Rehabil. 2013; 94: 551-561.
- 17Chen YH, Lin HL, Hsiao HF, et al. Effects of exercise training on pulmonary mechanics and functional status in patients with prolonged mechanical ventilation. Respir Care. 2012; 57: 727-734.
- 18Watson K, Egerton T, Sheers N, et al. Respiratory muscle training in neuromuscular disease: a systematic review and meta-analysis. Eur Respir Rev. 2022; 31(31):220065
- 19Balachandran A, Shivbalan S, Thangavelu S. Chest physiotherapy in pediatric practice. Indian Pediatr. 2005; 42: 559-568.
- 20Chatwin M, Toussaint M, Gonçalves MR, et al. Airway clearance techniques in neuromuscular disorders: a state of the art review. Respir Med. 2018; 136: 98-110.
- 21Freitas DA, Chaves GS, Santino TA, et al. Standard (head-down tilt) versus modified (without head-down tilt) postural drainage in infants and young children with cystic fibrosis. Cochrane Database Syst Rev. 2018; 3:010297.
- 22Morrow BM. Airway clearance therapy in acute paediatric respiratory illness: a state-of-the-art review. S Afr J Physiother. 2019; 75(1): 1295.
- 23Bhammar DM, Jones HN, Lang JE. Inspiratory muscle rehabilitation training in pediatrics: what is the evidence? Can Respir J. 2022; 18:5680311.
- 24McAlinden BM, Hough JL, Kuys S. Measuring the effects of airway clearance in mechanically ventilated infants and children: a systematic review. Physiotherapy. 2022; 117: 47-62.
- 25O'Brien JE, Dumas HM, Haley SM, et al. Clinical findings and resource use of infants and toddlers dependent on oxygen and ventilators. Clin Pediatr. 2002; 41: 155-162.
- 26Kalm B, Lai K, Darro N. Care of children with home mechanical ventilation in the healthcare continuum. Hosp Pract. 2021; 49(1995): 456-466.
10.1080/21548331.2021.1988608 Google Scholar
- 27Mistri S, Dhochak N, Jana M, et al. Diaphragmatic atrophy and dysfunction in critically ill mechanically ventilated children. Pediatr Pulmonol. 2020; 55: 3457-3464.
- 28Goligher EC, Dres M, Fan E, et al. Mechanical ventilation-induced diaphragm atrophy strongly impacts clinical outcomes. Am J Respir Crit Care Med. 2018; 197(197): 204-213.
- 29Jarosz R, Littlepage M, Creasey G, McKenna S. Functional electrical stimulation in spinal cord injury respiratory care. Top Spinal Cord Inj Rehabil. 2012; 18: 315-321.
- 30Routsi C, Gerovasili V, Vasileiadis I, et al. Electrical muscle stimulation prevents critical illness polyneuromyopathy: a randomized parallel intervention trial. Crit Care. 2010; 14(2):R74.
- 31Greve KR, Joseph CF, Berry BE, Schadl K, Rose J. Neuromuscular electrical stimulation to augment lower limb exercise and mobility in individuals with spastic cerebral palsy: a scoping review. Front Physiol. 2022; 30(13):951899.
10.3389/fphys.2022.951899 Google Scholar
- 32Maffiuletti NA. Physiological and methodological considerations for the use of neuromuscular electrical stimulation. Eur J Appl Physiol. 2010; 110: 223-234.
- 33Novak I, Honan I. Effectiveness of paediatric occupational therapy for children with disabilities: a systematic review. Aust Occup Ther J. 2019; 66: 258-273.
- 34Kwak S. Home mechanical ventilation in children with chronic respiratory failure: a narrative review. J Yeungnam Med Sci. 2023; 40: 123-135.
- 35Jiang D, Morrison GAJ. The influence of long-term tracheostomy on speech and language development in children. Int J Pediatr Otorhinolaryngol. 2003; 67: S217-S220.
- 36Hess DR. Facilitating speech in the patient with a tracheostomy. Respir Care. 2005; 50: 519-525.
- 37González R, Bustinza A, Fernandez SN, et al. Quality of life in home-ventilated children and their families. Eur J Pediatr. 2017; 176: 1307-1317.
- 38Portaro S, Calabrò RS, Bramanti P, et al. Telemedicine for Facio-Scapulo-Humeral muscular dystrophy: a multidisciplinary approach to improve quality of life and reduce hospitalization rate? Disabil Health J. 2018; 11(2): 306-309.
- 39Onofri A, Pavone M, De Santis S, et al. Telemedicine in children with medical complexity on home ventilation during the COVID-19 pandemic. Pediatr Pulmonol. 2021; 56(6): 1395-1400.