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Motor skills of 5-year-old children who underwent early cardiac surgery

Published online by Cambridge University Press:  05 June 2015

Suzanne H. Long Open the ORCID record for Suzanne H. Long [Opens in a new window] ,
Beverley J. Eldridge ,
Susan R. Harris  and
Michael M. H. Cheung
Suzanne H. Long*
Affiliation:
Heart Research Group, Clinical Sciences, Murdoch Children’s Research Institute, Melbourne, Australia
Beverley J. Eldridge
Affiliation:
Department of Physiotherapy, Royal Children’s Hospital, Melbourne, Australia Department of Physiotherapy, Melbourne School of Health Sciences, University of Melbourne, Melbourne, Australia
Susan R. Harris
Affiliation:
Department of Physical Therapy, University of British Columbia, Vancouver, Canada
Michael M. H. Cheung
Affiliation:
Heart Research Group, Clinical Sciences, Murdoch Children’s Research Institute, Melbourne, Australia Department of Cardiology, Royal Children’s Hospital, Melbourne, Australia Department of Paediatrics, University of Melbourne, Melbourne, Australia
*
Correspondence to: S. H. Long, PhD, Heart Research Group, Murdoch Children’s Research Institute, South Level 6, 50 Flemington Road, Parkville, VIC 3052, Australia. Tel: +61 3 8341 6200; Fax: +61 3 9348 1391; E-mail: suzanne.long@mcri.edu.au
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Abstract

Aims

To describe the motor proficiency of 5-year-old children who underwent early infant cardiac surgery and had atypical infant gross motor development. To identify risk factors for motor dysfunction at 5 years of age.

Methods

A total of 33 children (80.5% participation rate) were re-assessed by a physiotherapist blinded to the diagnosis and previous clinical course, using standardised motor assessment tools.

Results

Motor proficiency was categorised as below average or well below average in 41% of the study patients. Approximately 30% of the cohort had balance deficits. Motor abilities at 4 months and 2 years of age were associated with motor proficiency at age 5; however, atypical motor development in infancy was not predictive of below-average or well below-average scores at age 5. Risk factors associated with motor ability at age 5 included respiratory support and intensive care length of stay in the 1st year of life, asymmetrical crawling in infancy, and cyanotic CHD at age 5.

Conclusions

Despite differences from other reported studies in terms of cohort diagnoses and age at surgery, the rate of motor dysfunction was similar, with rates much higher than expected in typical children. Further assessment is needed in later childhood to determine the significance of these findings.

Keywords

CHDmotor skillsBruininks–Oseretsky Test of Motor Proficiencysecond edition
Type
Original Articles
Information
Cardiology in the Young , Volume 26 , Issue 4 , April 2016 , pp. 650 - 657
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Copyright
© Cambridge University Press 2015 

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