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Motor and visuomotor function in 10-year-old children with congenital heart disease: association with behaviour

Published online by Cambridge University Press:  13 October 2021

Joana Teixeira
Affiliation:
Child Development Center, University Children’s Hospital, Zurich, Switzerland
Jon Caflisch
Affiliation:
Child Development Center, University Children’s Hospital, Zurich, Switzerland
Aziz Chaouch
Affiliation:
Division of Biostatistics, Center for Primary Care and Public Health (Unisanté), University of Lausanne, Lausanne, Switzerland
Ingrid Beck
Affiliation:
Child Development Center, University Children’s Hospital, Zurich, Switzerland
Maria Feldmann
Affiliation:
Child Development Center, University Children’s Hospital, Zurich, Switzerland
Susanne Polentarutti
Affiliation:
Child Development Center, University Children’s Hospital, Zurich, Switzerland
Christian Balmer
Affiliation:
Department of Cardiology, University Children’s Hospital, Zurich, Switzerland
Beatrice Latal*
Affiliation:
Child Development Center, University Children’s Hospital, Zurich, Switzerland Children’s Research Center, University Children’s Hospital, Zurich, Switzerland
*
Author for correspondence: B. Latal, MD, Child Development Center, University Children’s Hospital Zurich, Steinwiesstrasse 75, CH-8032Zurich, Switzerland. Tel: +41 44 266 79 24; Fax +41 44 266 71 64. E-mail: bea.latal@kispi.uzh.ch

Abstract

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:

To assess motor function and behaviour in a cohort of 10-year-old children with CHD after cardiopulmonary bypass surgery.

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:

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:

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.

Type
Original Article
Copyright
© The Author(s), 2021. Published by Cambridge University Press

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