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Motor proficiency in school-aged children with CHD

Published online by Cambridge University Press:  19 November 2024

Casey Vogel Open the ORCID record for Casey Vogel [Opens in a new window] ,
Clayton Hinkle Open the ORCID record for Clayton Hinkle [Opens in a new window] ,
Amy Cassedy ,
Carrie Alden ,
Elizabeth Colla ,
Kaitlyn Cowan ,
Rachel Follmer ,
Sarah Johnson ,
Christina Lacci  and
Michael Natarus
...Show all authors
Casey Vogel*
Affiliation:
Ann & Robert H Lurie Children’s Hospital of Chicago, Chicago, IL, USA
Clayton Hinkle
Affiliation:
Ann & Robert H Lurie Children’s Hospital of Chicago, Chicago, IL, USA
Amy Cassedy
Affiliation:
Cincinnati Children’s Hospital Medical Center, Cincinnati, OH, USA
Carrie Alden
Affiliation:
Ann & Robert H Lurie Children’s Hospital of Chicago, Chicago, IL, USA
Elizabeth Colla
Affiliation:
Ann & Robert H Lurie Children’s Hospital of Chicago, Chicago, IL, USA
Kaitlyn Cowan
Affiliation:
Ann & Robert H Lurie Children’s Hospital of Chicago, Chicago, IL, USA
Rachel Follmer
Affiliation:
Ann & Robert H Lurie Children’s Hospital of Chicago, Chicago, IL, USA
Sarah Johnson
Affiliation:
Ann & Robert H Lurie Children’s Hospital of Chicago, Chicago, IL, USA
Christina Lacci
Affiliation:
Ann & Robert H Lurie Children’s Hospital of Chicago, Chicago, IL, USA
Michael Natarus
Affiliation:
Ann & Robert H Lurie Children’s Hospital of Chicago, Chicago, IL, USA
Cheryl Patrick
Affiliation:
Ann & Robert H Lurie Children’s Hospital of Chicago, Chicago, IL, USA
Amy O’Connor
Affiliation:
Ann & Robert H Lurie Children’s Hospital of Chicago, Chicago, IL, USA
Pooja Parikh
Affiliation:
Ann & Robert H Lurie Children’s Hospital of Chicago, Chicago, IL, USA
Crystal Ruiz
Affiliation:
Ann & Robert H Lurie Children’s Hospital of Chicago, Chicago, IL, USA
Brian Wolfe
Affiliation:
Ann & Robert H Lurie Children’s Hospital of Chicago, Chicago, IL, USA
Raye-Ann deRegnier
Affiliation:
Ann & Robert H Lurie Children’s Hospital of Chicago, Chicago, IL, USA
Bradley S. Marino
Affiliation:
Ann & Robert H Lurie Children’s Hospital of Chicago, Chicago, IL, USA Cleveland Clinic Children’s Hospital, Cleveland, OH, USA
Kiona Allen
Affiliation:
Ann & Robert H Lurie Children’s Hospital of Chicago, Chicago, IL, USA
*
Corresponding author: C. Vogel; Email: [email protected]
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Abstract

Objectives:

To evaluate the motor proficiency, identify risk factors for abnormal motor scores, and examine the relationship between motor proficiency and health-related quality of life in school-aged patients with CHD.

Study design:

Patients ≥ 4 years old referred to the cardiac neurodevelopmental program between June 2017 and April 2020 were included. Motor skills were evaluated by therapist-administered Bruininks-Oseretsky Test of Motor Proficiency Second-Edition Short Form and parent-reported Adaptive Behavior Assessment System and Patient-Reported Outcomes Measurement Inventory System Physical Functioning questionnaires. Neuropsychological status and health-related quality of life were assessed using a battery of validated questionnaires. Demographic, clinical, and educational variables were collected from electronic medical records. General linear modelling was used for multivariable analysis.

Results:

The median motor proficiency score was the 10th percentile, and the cohort (n = 272; mean age: 9.1 years) scored well below normative values on all administered neuropsychological questionnaires. In the final multivariable model, worse motor proficiency score was associated with family income, presence of a genetic syndrome, developmental delay recognised in infancy, abnormal neuroimaging, history of heart transplant, and executive dysfunction, and presence of an individualised education plan (p < 0.03 for all predictors). Worse motor proficiency correlated with reduced health-related quality of life. Parent-reported adaptive behaviour (p < 0.001) and physical functioning (p < 0.001) had a strong association with motor proficiency scores.

Conclusion:

This study highlights the need for continued motor screening for school-aged patients with CHD. Clinical factors, neuropsychological screening results, and health-related quality of life were associated with worse motor proficiency.

Keywords

Neurodevelopmentcardiac surgerymotor outcomeshealth-related quality of life
Type
Original Article
Information
Cardiology in the Young , Volume 35 , Issue 1 , January 2025 , pp. 117 - 125
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Copyright
© The Author(s), 2024. Published by Cambridge University Press

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