TY - JOUR
T1 - Motor Developmental Delay After Cardiac Surgery in Children With a Critical Congenital Heart Defect
T2 - A Systematic Literature Review and Meta-analysis
AU - Sprong, Maaike C A
AU - Broeders, Willem
AU - van der Net, Janjaap
AU - Breur, Johannes M P J
AU - de Vries, Linda S
AU - Slieker, Martijn G
AU - van Brussel, Marco
N1 - Publisher Copyright:
© 2021 Lippincott Williams and Wilkins. All rights reserved.
PY - 2021/10/1
Y1 - 2021/10/1
N2 - PURPOSE: To systematically review evidence regarding the severity and prevalence of motor development in children with a critical congenital heart defect (CCHD) without underlying genetic anomalies.SUMMARY OF KEY POINTS: Twelve percent of all included studies reported abnormal mean motor developmental scores, and 38% reported below average motor scores. Children with single-ventricle physiology, especially those with hypoplastic left heart syndrome, had the highest severity and prevalence of motor delay, particularly at 0 to 12 months. Most included studies did not differentiate between gross and fine motor development, yet gross motor development was more affected.RECOMMENDATIONS FOR CLINICAL PRACTICE: We recommend clinicians differentiate between the type of heart defect, fine and gross motor development, and the presence of genetic anomalies. Furthermore, increased knowledge about severity and prevalence will enable clinicians to tailor their interventions to prevent motor development delays in CCHD.
AB - PURPOSE: To systematically review evidence regarding the severity and prevalence of motor development in children with a critical congenital heart defect (CCHD) without underlying genetic anomalies.SUMMARY OF KEY POINTS: Twelve percent of all included studies reported abnormal mean motor developmental scores, and 38% reported below average motor scores. Children with single-ventricle physiology, especially those with hypoplastic left heart syndrome, had the highest severity and prevalence of motor delay, particularly at 0 to 12 months. Most included studies did not differentiate between gross and fine motor development, yet gross motor development was more affected.RECOMMENDATIONS FOR CLINICAL PRACTICE: We recommend clinicians differentiate between the type of heart defect, fine and gross motor development, and the presence of genetic anomalies. Furthermore, increased knowledge about severity and prevalence will enable clinicians to tailor their interventions to prevent motor development delays in CCHD.
KW - cardiac surgery
KW - children
KW - complex congenital heart disease
KW - hypoplastic left heart syndrome
KW - motor development
KW - single-ventricle physiology
KW - tetralogy of Fallot
KW - transposition of the great arteries
UR - http://www.scopus.com/inward/record.url?scp=85116791687&partnerID=8YFLogxK
U2 - 10.1097/PEP.0000000000000827
DO - 10.1097/PEP.0000000000000827
M3 - Review article
C2 - 34618742
SN - 1538-005X
VL - 33
SP - 186
EP - 197
JO - Pediatric physical therapy : the official publication of the Section on Pediatrics of the American Physical Therapy Association
JF - Pediatric physical therapy : the official publication of the Section on Pediatrics of the American Physical Therapy Association
IS - 4
ER -