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Gross Motor Development of Children with Congenital Heart Disease Receiving Early Systematic Surveillance and Individualized Intervention: Brief Report
: Received: 21 August 2019 / Approved: 23 August 2019 / Online: 23 August 2019 (11:51:01 CEST)
A peer-reviewed article of this Preprint also exists.
Journal reference: Developmental Neurorehabilitation 2020
Objective: In this pilot study, we described the gross motor development of infants aged 4 to 24 months with congenital heart disease (CHD) and assessed through a systematic developmental screening programme, with individualised motor interventions. Methods: Thirty infants who had cardiac repair underwent gross motor evaluations using the AIMS at 4 months, and the Bayley-III at 12 and 24 months. Results: Based on AIMS, 80% of 4-month-old infants had a delay in gross motor development and required physical therapy. Gross motor abilities significantly improved by 24 months. Infants who benefited from regular physiotherapy tended to show better improvement in motor scores. Conclusion: Our study highlights the importance of early motor screening in infants with CHD and suggests a potential benefit of early physical therapy in those at-risk. Further research is needed to assess the effectiveness of systematic developmental screening and individualized intervention programmes at identifying at risk patients, and their impact on developmental outcomes.
congenital heart disease; gross motor development; early intervention; Alberta Infant Motor Scales (AIMS); Bayley Scales of Infant and Toddler Development; Third edition (Bayley-III)
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