Motor and visuomotor function in 10-year-old children with congenital heart disease: association with behaviour.
CHD
Zurich Neuromotor Assessment
behaviour
motor outcome
visuomotor function
Journal
Cardiology in the young
ISSN: 1467-1107
Titre abrégé: Cardiol Young
Pays: England
ID NLM: 9200019
Informations de publication
Date de publication:
Aug 2022
Aug 2022
Historique:
pubmed:
14
10
2021
medline:
18
8
2022
entrez:
13
10
2021
Statut:
ppublish
Résumé
Children with CHD are at increased risk for neurodevelopmental impairments. There is little information on long-term motor function and its association with behaviour. To assess motor function and behaviour in a cohort of 10-year-old children with CHD after cardiopulmonary bypass surgery. Motor performance and movement quality were examined in 129 children with CHD using the Zurich Neuromotor Assessment providing four timed and one qualitative component, and a total timed motor score was created based on the four timed components. The Beery Test of Visual-Motor Integration and the Strengths and Difficulties Questionnaire were administered. All Zurich Neuromotor Assessment motor tasks were below normative values (all p ≤ 0.001), and the prevalence of poor motor performance (≤10th percentile) ranged from 22.2% to 61.3% in the different components. Visuomotor integration and motor coordination were poorer compared to norms (all p ≤ 0.001). 14% of all analysed children had motor therapy at the age of 10 years. Children with a total motor score ≤10th percentile showed more internalising (p = 0.002) and externalising (p = 0.028) behavioural problems. School-aged children with CHD show impairments in a variety of motor domains which are related to behavioural problems. Our findings emphasise that motor problems can persist into school-age and require detailed assessment and support.
Sections du résumé
BACKGROUND
BACKGROUND
Children with CHD are at increased risk for neurodevelopmental impairments. There is little information on long-term motor function and its association with behaviour.
AIMS
OBJECTIVE
To assess motor function and behaviour in a cohort of 10-year-old children with CHD after cardiopulmonary bypass surgery.
METHODS
METHODS
Motor performance and movement quality were examined in 129 children with CHD using the Zurich Neuromotor Assessment providing four timed and one qualitative component, and a total timed motor score was created based on the four timed components. The Beery Test of Visual-Motor Integration and the Strengths and Difficulties Questionnaire were administered.
RESULTS
RESULTS
All Zurich Neuromotor Assessment motor tasks were below normative values (all p ≤ 0.001), and the prevalence of poor motor performance (≤10th percentile) ranged from 22.2% to 61.3% in the different components. Visuomotor integration and motor coordination were poorer compared to norms (all p ≤ 0.001). 14% of all analysed children had motor therapy at the age of 10 years. Children with a total motor score ≤10th percentile showed more internalising (p = 0.002) and externalising (p = 0.028) behavioural problems.
CONCLUSIONS
CONCLUSIONS
School-aged children with CHD show impairments in a variety of motor domains which are related to behavioural problems. Our findings emphasise that motor problems can persist into school-age and require detailed assessment and support.
Identifiants
pubmed: 34643175
pii: S1047951121004145
doi: 10.1017/S1047951121004145
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM