Exercise and Physical Stamina
Physical considerations for your child:
Physical stamina will vary for each child with congenital (present
at birth) heart disease. Children with heart defects that cause
symptoms, such as shortness of breath, fast heart rate, or sweating,
may have less energy and endurance. Children with cyanotic congenital
heart defects also have less stamina because they have lower levels
of oxygen in the bloodstream to begin with, and can deplete their
oxygen levels even faster with play or exercise.
Many children with congenital heart disease can play and participate
in activities with friends, but may tire faster and will naturally
stop when they are tired. For others, it may be necessary to actually
place limits on physical activity. Some children can play sports
and participate in physical education in school, but cannot participate
in competitive or contact sports. Always consult your child's
physician as to what type of activities are appropriate for your
child. Once you know how active your child can be, allow him/her
participate in appropriate activities to foster muscle development,
coordination, and emotional relationships with friends and siblings.
If physical activity must be limited in a school-aged child,
your child's physician or nurse can write a letter to help teachers
understand the activities your child can and cannot participate
in. Many teachers can plan recreational activities creatively
so that your child feels included and does not feel different
because he/she cannot participate in all sports activities.
Physical therapists can also provide suggestions for exercises
and other activities that may be done at home to help improve
your child's muscle strength and coordination, as well as help
him/her achieve developmental milestones, such as sitting, crawling,
pulling up to stand, and walking. Physical therapy may be carried
out in sessions at the hospital, as well as by parents at home.
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