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Introduction/Background Heart transplantation (HT) is the treatment indicated in those patients who are in the final phase of their heart disease. It is known that heart transplant improves their ability to exercise, although this capacity for effort is diminished. After transplantation, the physiological response of exercise is altered, with its multifactorial etiology (decreased chronotropic activity and musculoskeletal dysfunction), cardiac rehabilitation is recommended in adults and in children, as it improves exercise capacity. The implementation of these programs in pediatric age is scarce in our country. The aim was evaluate the functional results after cardiac rehabilitation program (CRP) in child heart transplantation in our hospital. Material and method Retrospective study with series cases: 10 patients HT between 2015 and 2017. CRP consists of: –phase entered: where the rehabilitation treatment begins before the transplant if it is admitted and/or after the transplant; –ambulatory phase: at hospital discharge. Assessment: six-minute walking test (6MWT) and determination of the maximum inspiratory pressure at the beginning of the treatment and after its completion. Results Ten children with an average age of 13.5 years (SD 3.74). The mean time from the inclusion in the cardiac transplant waiting list was 74.90 days (SD 100.82). The average stay in the ICU was 37.30 days (SD 21.66) and the total time of admission was 60.70 days (SD 37.44). Five cases started rehabilitation before transplantation and all of them underwent rehabilitation in the ICU, continuing in the ward. At discharge, the ambulatory phase continued with an average of 17.90 sessions (SD 6.15). After the program, they have improved of average 175.70 meters (SD 170.31) in the 6MWT ( P < 0.010). The rest of the parameters analyzed did not show statistically significant differences. Conclusion CRP after heart transplantation has helped improve functional capacity demonstrated in the improvement in the 6MWT. All the patients continued to perform physical activity after completing the CRP. [ABSTRACT FROM AUTHOR]

Introduction/Background Spinal cord injury (SCI) in the pediatric age continues to be an unusual pathology. In Spain, the incidence of SCI in children is low, being approximately 1 per million inhabitants per year, corresponding to the 4%. However, there is not enough statistical data to determine how many of these correspond to traumatic injuries. In the acute phase, especially in cervical and upper thoracic SCI, respiratory complications remain the leading cause of death. Material and method Retrospective study of all patients aged 0–18 years, who suffered traumatic acute spinal cord injury above D6, admitted to the University Hospital Vall D’Hebron, Barcelona from March 2010 to August 2017 using a database specific of the unit. The objective of the study was to determine the incidence of respiratory complications in these patients with respect to the adult population of our center and to correlate the appearance of these complications with the early onset of respiratory physiotherapy. Results The total number of children with spinal cord injury was 46, of which 27 were excluded due to spinal cord injury below D6 or traumatic brain injury, thus obtaining a study sample of 19 patients. The 52.6% presented respiratory complications; this result is higher when compared with the adult population of our center (incidence of 36.5%). When correlating the early onset of respiratory physiotherapy and the development of these complications, we found that none of the patients who started the treatment within 72 hours after the injury presented respiratory complications. Conclusion In our center, there is a higher incidence of respiratory complications in pediatric patients affected by acute traumatic SCI when compared to adults. There is a significant relationship regarding the impact and importance of the initiation of early physiotherapy, between 72 hours after the SCI, in the prevention of the development of respiratory complications. [ABSTRACT FROM AUTHOR]