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

Autor: Christian Balmer, Joana S Corda Teixeira, Ingrid A. Beck, Aziz Chaouch, Maria Feldmann, Susanne Polentarutti, Beatrice Latal, Jon Caflisch
Přispěvatelé: University of Zurich, Latal, Beatrice
Rok vydání: 2022
Předmět:
ISSN: 1047-9511
DOI: 10.5167/uzh-209696
Popis: 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.
Databáze: OpenAIRE