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Persisting Motor Function Problems in Children With Oesophageal Atresia Associated With Surgical Approach and Sports

Anne-Fleur R L van Hal1, Sophie de Munck1, Tabitha P L Zanen-van den Adel1,2

  • 1Department of Paediatric Surgery, Erasmus MC Sophia Children's Hospital, Rotterdam, the Netherlands.

Acta Paediatrica (Oslo, Norway : 1992)
|March 26, 2025
PubMed

Insights

Children with oesophageal atresia often experience persistent motor impairments throughout school age. Encouraging sports participation may help mitigate these challenges, but further research is needed.

Area of Science:

  • Pediatric Surgery
  • Developmental Pediatrics
  • Motor Function Research

Background:

  • Children born with oesophageal atresia (OA) face risks of impaired motor function.
  • Longitudinal data on motor development in this population are limited.

Purpose of the Study:

  • To assess overall motor functioning and specific motor domains in school-aged children with OA over time.
  • To identify potential predictors of motor impairment in this cohort.

Main Methods:

  • A prospective observational cohort study involving 161 children with OA.
  • Motor performance, including manual dexterity, ball skills, and balance, was assessed at ages 5, 8, and 12 years.

Main Results:

  • Children with OA consistently showed significantly higher rates of motor impairments compared to the normative population across all assessed ages and subdomains.
  • Risk factors identified included lower gestational age, longer anesthetic exposure, and lower socioeconomic status.
  • Sports participation and, at age 8, absence of thoracotomy were independent predictors of better motor function.

Conclusions:

  • School-aged children with OA are at risk for persistent motor impairments.
  • Promoting sports participation is recommended to support motor development.
  • Further investigation into the mechanisms underlying motor impairment in OA is warranted.
Abstract

Keywords:
developmental outcomefollow‐up studiesmotor performanceoesophageal atresiathoracotomy

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