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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 ,
Jon Caflisch ,
Aziz Chaouch ,
Ingrid Beck ,
Maria Feldmann ,
Susanne Polentarutti ,
Christian Balmer Open the ORCID record for Christian Balmer [Opens in a new window]  and
Beatrice Latal Open the ORCID record for Beatrice Latal [Opens in a new window]
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: [email protected]
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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.

Keywords

CHDvisuomotor functionmotor outcomebehaviourZurich Neuromotor Assessment
Type
Original Article
Information
Cardiology in the Young , Volume 32 , Issue 8 , August 2022 , pp. 1310 - 1315
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Copyright
© The Author(s), 2021. Published by Cambridge University Press

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References

Hoffman, JI, Kaplan, S. The incidence of congenital heart disease. J Am Coll Cardiol 2002; 39: 1890–1900.CrossRefGoogle ScholarPubMed
Wernovsky, G. The paradigm shift toward surgical intervention for neonates with hypoplastic left heart syndrome. Arch Pediatr Adolesc Med 2008; 162: 849–854.CrossRefGoogle ScholarPubMed
Majnemer, A, Limperopoulos, C, Shevell, MI, Rohlicek, C, Rosenblatt, B, Tchervenkov, C. A new look at outcomes of infants with congenital heart disease. Pediatr Neurol 2009; 40: 197–204.CrossRefGoogle Scholar
von Rhein, M, Scheer, I, Loenneker, T, Huber, R, Knirsch, W, Latal, B. Structural brain lesions in adolescents with congenital heart disease. J Pediatr 2011; 158: 984–989.CrossRefGoogle ScholarPubMed
Miller, SP, McQuillen, PS, Hamrick, S, et al. Abnormal brain development in newborns with congenital heart disease. N Engl J Med 2007; 357: 1928–1938.CrossRefGoogle ScholarPubMed
Latal, B. Neurodevelopmental outcomes of the child with congenital heart disease. Clin Perinatol 2016; 43: 173–185.CrossRefGoogle ScholarPubMed
Gaynor, JW, Stopp, C, Wypij, D, et al. Neurodevelopmental outcomes after cardiac surgery in infancy. Pediatrics 2015; 135: 816–825.CrossRefGoogle ScholarPubMed
Snookes, SH, Gunn, JK, Eldridge, BJ, et al. A systematic review of motor and cognitive outcomes after early surgery for congenital heart disease. Pediatrics 2010; 125: e818–827.CrossRefGoogle ScholarPubMed
Mussatto, KA, Hoffmann, RG, Hoffman, GM, et al. Risk and prevalence of developmental delay in young children with congenital heart disease. Pediatrics 2014; 133: e570–577.CrossRefGoogle ScholarPubMed
Karl, TR, Hall, S, Ford, G, et al. Arterial switch with full-flow cardiopulmonary bypass and limited circulatory arrest: neurodevelopmental outcome. J Thorac Cardiovasc Surg 2004; 127: 213–222.CrossRefGoogle ScholarPubMed
Holm, I, Fredriksen, PM, Fosdahl, MA, Olstad, M, Vøllestad, N. Impaired motor competence in school-aged children with complex congenital heart disease. Arch Pediatr Adolesc Med 2007; 161: 945–950.CrossRefGoogle ScholarPubMed
Bolduc, ME, Dionne, E, Gagnon, I, Rennick, JE, Majnemer, A, Brossard-Racine, M. Motor impairment in children with congenital heart defects: a systematic review. Pediatrics 2020; 146: e20200083.CrossRefGoogle ScholarPubMed
Liamlahi, R, von Rhein, M, Bührer, S, et al. Motor dysfunction and behavioural problems frequently coexist with congenital heart disease in school-age children. Acta Paediatr 2014; 103: 752–758.Google ScholarPubMed
Bellinger, DC, Wypij, D, duPlessis, AJ, et al. Neurodevelopmental status at eight years in children with dextro-transposition of the great arteries: the Boston Circulatory Arrest Trial. J Thorac Cardiovasc Surg 2003; 126: 1385–1396.CrossRefGoogle ScholarPubMed
Schaefer, C, von Rhein, M, Knirsch, W, et al. Neurodevelopmental outcome, psychological adjustment, and quality of life in adolescents with congenital heart disease. Dev Med Child Neurol 2013; 55: 1143–1149.CrossRefGoogle ScholarPubMed
Jenni, OG, Chaouch, A, Locatelli, I, et al. Intra-individual stability of neuromotor tasks from 6 to 18 years: a longitudinal study. Hum Mov Sci 2011; 30: 1272–1282.CrossRefGoogle ScholarPubMed
Jenni, O, Caflisch, J, Latal, B. Motorik im Schulalter. Pädiatrie Up2date 2008; 4: 339–356.CrossRefGoogle Scholar
Naef, N, Wehrle, F, Rousson, V, Latal, B. Cohort and individual neurodevelopmental stability between 1 and 6 years of age in children with congenital heart disease. J Pediatr 2019; 215: 83–89.e82.CrossRefGoogle ScholarPubMed
Heye, KN, Rousson, V, Knirsch, W, et al. Growth and intellectual abilities of six-year-old children with congenital heart disease. J Pediatr 2019; 204: 24–30.e10.CrossRefGoogle ScholarPubMed
Largo, RH, Fischer, JE, Caflisch, JA. Zürcher Neuromotorik. AWE-Verlag, Zürich, 2002.Google Scholar
Largo, RH, Caflisch, JA, Hug, F, et al. Neuromotor development from 5 to 18 years. Part 1: timed performance. Dev Med Child Neurol 2001; 43: 436–443.CrossRefGoogle ScholarPubMed
Rousson, V, Gasser, T, Caflisch, J, Largo, R. Reliability of the Zurich Neuromotor Assessment. Clin Neuropsychol 2008; 22: 60–72.CrossRefGoogle ScholarPubMed
Largo, RH, Caflisch, JA, Hug, F, Muggli, K, Molnar, AA, Molinari, L. Neuromotor development from 5 to 18 years. Part 2: associated movements. Dev Med Child Neurol 2001; 43: 444–453.CrossRefGoogle ScholarPubMed
Kakebeeke, TH, Egloff, K, Caflisch, J, et al. Similarities and dissimilarities between the movement ABC-2 and the Zurich neuromotor assessment in children with suspected developmental coordination disorder. Res Dev Disabil 2014; 35: 3148–3155.CrossRefGoogle ScholarPubMed
Beery, K, Beery, N, Buktenica, N. The Beery-Buktenica Developmental Test of Visual-Motor Integration, 6th edn. Pearson, Minneapolis, MN, 2010.Google Scholar
Goodman, R. Psychometric properties of the strengths and difficulties questionnaire. J Am Acad Child Adolesc Psychiatry 2001; 40: 1337–1345.CrossRefGoogle ScholarPubMed
Goodman, A, Lamping, DL, Ploubidis, GB. When to use broader internalising and externalising subscales instead of the hypothesised five subscales on the Strengths and Difficulties Questionnaire (SDQ): data from British parents, teachers and children. J Abnorm Child Psychol 2010; 38: 1179–1191.CrossRefGoogle ScholarPubMed
Janitza, S, Klipker, K, Hölling, H. Age-specific norms and validation of the German SDQ parent version based on a nationally representative sample (KiGGS). Eur Child Adolesc Psychiatry 2020; 29: 123–136.CrossRefGoogle Scholar
Bertholdt, S, Latal, B, Liamlahi, R, et al. Cerebral lesions on magnetic resonance imaging correlate with preoperative neurological status in neonates undergoing cardiopulmonary bypass surgery. Eur J Cardiothorac Surg 2014; 45: 625–632.CrossRefGoogle ScholarPubMed
Bayley, N. Bayley Scales of Infant Development Manual. 2nd edn. The Psychological Corporation, San Antonio, TX, 1993.Google Scholar
Largo, RH, Pfister, D, Molinari, L, Kundu, S, Lipp, A, Duc, G. Significance of prenatal, perinatal and postnatal factors in the development of AGA preterm infants at five to seven years. Dev Med Child Neurol 1989; 31: 440–456.CrossRefGoogle ScholarPubMed
Schmidhauser, J, Caflisch, J, Rousson, V, Bucher, HU, Largo, RH, Latal, B. Impaired motor performance and movement quality in very-low-birthweight children at 6 years of age. Dev Med Child Neurol 2006; 48: 718–722.CrossRefGoogle ScholarPubMed
Volpe, JJ. Encephalopathy of congenital heart disease- destructive and developmental effects intertwined. J. Pediatr 2014; 164: 962–965.CrossRefGoogle ScholarPubMed
Guo, T, Chau, V, Peyvandi, S, et al. White matter injury in term neonates with congenital heart diseases: topology & comparison with preterm newborns. Neuroimage 2019; 185: 742–749.CrossRefGoogle ScholarPubMed
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