Assessing the impact of technology of the physical rehabilitation on functionality of the respiratory system of the children with functional single ventricle

Purpose : to evaluate the effectiveness of technology in physical rehabilitation of children with functional single ventricle after hemodynamic correction. Material and Methods : 35 patients were examined, aimed at conducting hemodynamic correction including 23 boys and 12 girls aged from 6 to 14 years. A study was conducted using spirography at various stages of physical rehabilitation. The data were processed by adequate methods of mathematical statistics. Results : found reduced function of the respiratory system prior to the surgery. Operation led to a deterioration of most indicators of external respiration. After the rehabilitation course marked by recovery and improvement condition of the respiratory system. Conclusions : the applied technology of physical rehabilitation was effective

Statistically reliable changes were experienced also by the vital index (VI). It lowered from 56,68±9,18 ml•kg -1 to 47,80±9,12 ml•kg -1 . The comparative analysis of the results which are received at a hospitalization and in the remote period after passing of the rehabilitation course showed the improvement of almost all indicators of the test of the vital capacity of lungs in the remote period.
Apparently from the presented data, the average value of VCL in the remote period increased in comparison with initial results by 6,97% to 83,00±11,83% (р<0,01), that is for 9,2% of the initial value. From the presented data it is visible that the average value of V insp in the remote period increased by 3,63% to 88,74±20,88% (р<0,01). Thus, V insp in the remote period increased by 4,3% of the initial value. The indicator of RV exh increased from 65,46±23,76% to 78,08±24,85% (р<0,01) during passing of a rehabilitation that is grew by 12,6% of a norm, or for 19,3% of the initial value.
Considering the stated it is possible to draw a conclusion that VCL, after carrying out the expeditious treatment with sternotomy and the termination of a course of physical rehabilitation, grows in a bigger measure for the account of RV exh . Thus that the difference between average results at the time of an extract and in the remote period makes respectively 17,4% and 22,4% for indicators of V insp and RV exh .
In comparison with initial results, in the remote period of VI statistically authentically increased from 56,68±9,18 ml•kg -1 to 59,36±7,55 ml•kg -1 , pointing to the increase in volume of VCL which is the share on a kilogram of body weight.
It is necessary to emphasize that at the time of an extract of VFE 1 decreases authentically more for VFI 1 as we revealed the statistically reliable difference between quantitative changes of indicators in absolute (р<0,05) and relative (р<0,01) sizes at an extract. That is VFI 1 statistically decreased less by the extract moment in comparison with VFE 1 . In the remote period the similar comparison didn't establish the reliable difference in increases of VFI 1 and VFE 1 (р>0,05).
Calculations show that PVS exh and PVS insp decrease equally at the time of an extract as we didn't revealed statistically reliable differences (р>0,05) between quantitative changes of indicators at the time of inspection at an extract. The similar situation is developed with the improvement of peak speeds at inspection in the remote period.
Conclusions. Considering the stated, we come to a conclusion that the vast majority of indicators of an external breath don't renew to the initial level after surgery at an extract from a hospital which demands the continuation of rehabilitation actions. On the termination of a course of physical rehabilitation indicators of the spirography renewed and improved that testifies to the efficiency of the offered technology of physical rehabilitation concerning the functionality of the respiratory system.
Prospects of the subsequent researches consist in the research of the remote results of the influence of the conducted rehabilitation course, the research of changes of the quality of life and the improvement of technology of physical rehabilitation.