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Rehabilitation Practice and Science

Translated Title

川崎氏症兒童之心肺功能及運動能力

Abstract

Kawasaki disease complicated by coronary artery disease is the leading cause of acquired heart disease in children. Maximal anaerobic capacity and factors of restrictive exercise capacity need to be evaluated.To study the influence of Kawasaki disease on cardiopulmonary function and exercise capacity, sixteen children were recruited for the experimental group and given a cardiopulmonary exercise stress test. Sixteen healthy children were recruited as the control group. Based on the findings, the VO2(subscript max) (8.06±2.13/10.24±2.39MET, p=0.01) and the maximal systolic blood pressure (144.19±27.39/163.40±21.64mmHg, p=0.02) demonstrated statistically significant differences between children with Kawasaki disease and healthy children, but no significant difference in maximum heart rate (178.10±11.3/176.56±10.00 bpm, p=0.34). Pulmonary function tests showed significant differences in forced vital capacity (FVC) (2.60±0.85/2.00±0.82L, p=0.03), but no statistical differences in forced expiratory volume in one second (FEV1), maximum voluntary ventilation (MVV), and FEV1/FVC. Our results show that the cardiopulmonary function of children with Kawasaki disease was worse than that of healthy children. Lower maximal exercise capacity might be caused by over-restricted exercise or cardio-pulmonary dysfunction. We believe that an appropriate exercise prescription and cardiac rehabilitation can improve cardiopulmonary function and quality of life in children with Kawasaki disease.

Language

Traditional Chinese

First Page

209

Last Page

215

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