{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T17:58:17Z","timestamp":1785434297510,"version":"3.56.0"},"reference-count":26,"publisher":"Cambridge University Press (CUP)","issue":"3","license":[{"start":{"date-parts":[[2026,4,6]],"date-time":"2026-04-06T00:00:00Z","timestamp":1775433600000},"content-version":"unspecified","delay-in-days":36,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Cardiol Young"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"S1047951126111627_as1\">\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>Following paediatric and congenital heart surgery, recognition of rehabilitation needs is variable. This study aims to identify rehabilitation needs and gaps in care for patients in a post-operative congenital heart clinic.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1047951126111627_as2\">\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Retrospective review of all patients following congenital heart surgery requiring sternotomy attending their first post-operative clinic appointment between 1\/21\/2022 and 8\/18\/2023. Physical therapy evaluation included assessment of posture, mobility, and pain. Patient demographics and clinical data were reviewed. Descriptive and univariate statistics were applied.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1047951126111627_as3\">\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Two hundred seventeen patients were identified: 88 (40%) infants (&lt;12 months), 34 (16%) toddlers (1\u20133 years), 43 (20%) school aged children (4\u201312 years), and 52 (24%) teens\/adults (13+ years). Twenty-one (10%) demonstrated no additional physical therapy needs. Eighty-two (28%) needed clarification of sternal precautions. Teens and adults had significantly higher incidence of impaired posture, difficulty sleeping, and pain. Seventy (32%) patients were referred to physical therapy at time of discharge. Among the 147 not referred, 89 (60%) were identified as needing outpatient physical therapy. Physical therapy assessment discovered previously undiagnosed developmental delay in 9 (4%) patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1047951126111627_as4\">\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Significant physical therapy needs were identified in a congenital heart post-operative clinic, including needs not identified while inpatient. Integrating physical therapy in clinic improves timely access to rehabilitation care in the subacute phase of recovery.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1017\/s1047951126111627","type":"journal-article","created":{"date-parts":[[2026,4,6]],"date-time":"2026-04-06T11:14:52Z","timestamp":1775474092000},"page":"558-564","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":0,"title":["Physical therapy enhances patient care in post-congenital heart surgery clinic"],"prefix":"10.1017","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-0759-9358","authenticated-orcid":false,"given":"Sarah Mabe","family":"Barr","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/015yf2b46","id-type":"ROR","asserted-by":"publisher"}],"name":"Dell Children\u2019s Medical Center of Central Texas"},{"id":[{"id":"https:\/\/ror.org\/00hj54h04","id-type":"ROR","asserted-by":"publisher"}],"name":"The University of Texas at Austin UT Health Austin\/Dell Children\u2019s Medical Cente"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hitakshi","family":"Modi","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/00hj54h04","id-type":"ROR","asserted-by":"publisher"}],"name":"The University of Texas at Austin UT Health Austin\/Dell Children\u2019s Medical Cente"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kimberly","family":"Krauklis","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/00hj54h04","id-type":"ROR","asserted-by":"publisher"}],"name":"The University of Texas at Austin UT Health Austin\/Dell Children\u2019s Medical Cente"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura","family":"Morton","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/00hj54h04","id-type":"ROR","asserted-by":"publisher"}],"name":"The University of Texas at Austin UT Health Austin\/Dell Children\u2019s Medical Cente"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"suffix":"Jr.","given":"Charles D.","family":"Fraser","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/00hj54h04","id-type":"ROR","asserted-by":"publisher"}],"name":"The University of Texas at Austin UT Health Austin\/Dell Children\u2019s Medical Cente"},{"name":"The University of Texas at Austin Dell Medical School"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carlos M.","family":"Mery","sequence":"additional","affiliation":[{"name":"Monroe Carell Jr Children\u2019s Hospital at Vanderbilt"},{"name":"Vanderbilt University School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew","family":"Well","sequence":"additional","affiliation":[{"name":"Monroe Carell Jr Children\u2019s Hospital at Vanderbilt"},{"name":"Vanderbilt University School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael D.","family":"Taylor","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/00hj54h04","id-type":"ROR","asserted-by":"publisher"}],"name":"The University of Texas at Austin UT Health Austin\/Dell Children\u2019s Medical Cente"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2026,4,6]]},"reference":[{"key":"S1047951126111627_ref15","volume-title":"R: A language and environment for statistical computing. 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