Rehabilitation post paediatric cardiac transplant: A case report

Abstract

The purpose of this case report is to present the outpatient cardiac transplant rehabilitation of a paediatric patient in New Zealand. Currently there is little evidence in the field of rehabilitation post paediatric cardiac transplant. After reviewing the literature and contacting internationally renowned centres, a novel rehabilitation programme was instigated at Starship Hospital (Auckland) for this cardiac transplant recipient (Jack), specific to his needs as a child. Outcomes measures that assessed aerobic capacity, balance, and strength were used to monitor progress. In addition, child appropriate assessments were conducted reviewing gross motor skills specific to both patient age and stage of development. This programme resulted in quantifiable improvements in outcomes across all areas, but more importantly allowed Jack to acquire new skills not present pre-transplant, that he could use in the playground.