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Motor dysfunction and behavioural problems frequently coexist with congenital heart disease in school-age children

R Liamlahi1, M von Rhein, S Bührer

  • 1Child Development Center, University Children's Hospital Zurich and Children Research Center Zurich, Zurich, Switzerland.

Acta Paediatrica (Oslo, Norway : 1992)
|March 26, 2014
PubMed

Insights

Children with congenital heart disease often experience motor and behavioral deficits. These issues frequently coexist, highlighting the need for comprehensive developmental assessments to ensure timely support.

Area of Science:

  • Pediatric Cardiology
  • Developmental Neuroscience
  • Child Psychology

Background:

  • Congenital heart disease (CHD) poses risks for neurodevelopmental deficits in children.
  • Motor and behavioral impairments are common in these patients, but their coexistence is understudied.

Purpose of the Study:

  • To investigate the occurrence of motor and behavioral deficits in children with surgically corrected CHD.
  • To examine the coexistence of motor and behavioral impairments in this population.

Main Methods:

  • Assessed 95 children with CHD post-cardiopulmonary bypass surgery (mean age 9.6 years).
  • Utilized the Zurich Neuromotor Assessment for motor function and the Strength and Difficulties Questionnaire for behavior.

Main Results:

  • Children with CHD showed significantly poorer motor function across all domains compared to controls (p ≤ 0.001).
  • Behavioral deficits were noted in emotional symptoms and hyperactivity/inattention (p < 0.01).
  • 54% of children with motor abnormalities also exhibited behavioral deficits, with coexistent issues linked to higher needs for support services.

Conclusions:

  • Children with CHD face significant risks for long-term motor and behavioral problems.
  • A high rate of coexisting motor and behavioral deficits necessitates early and ongoing developmental assessments.
  • Comprehensive evaluation is crucial for providing appropriate early intervention and support for affected children.
Abstract

Keywords:
BehaviourChildCongenital heart diseaseDevelopmentMotor

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