Clinical feasibility of pre‐operative neurodevelopmental assessment of infants undergoing open heart surgery

Campbell, Miranda; Rabbidge, Bridgette; Ziviani, Jenny; Sakzewski, Leanne

doi:10.1111/jpc.13565

Cited by 4 publications

(2 citation statements)

References 30 publications

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“…Of the 60 infants enrolled in the study, 23 (38%) participated in pre-operative assessment, 15 (25%) in both the General Movements and Test of Infant Motor Performance, and eight (13%) in the General Movements test only owing to medical and/or physiological instability with handling. We have previously reported the feasibility of pre-operative assessment in this cohort 41 …”

Section: Resultsmentioning

confidence: 91%

Neuromotor performance in infants before and after early open-heart surgery and risk factors for delayed development at 6 months of age

et al. 2018

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BackgroundEarly identification of infants with CHD at heightened risk of developmental delays can inform surveillance priorities. This study investigated pre-operative and post-operative neuromotor performance in infants undergoing open-heart surgery, and their developmental status at 6 months of age, to identify risk factors and inform care pathways.MethodsInfants undergoing open-heart surgery before 4 months of age were recruited into a prospective cohort study. Neuromotor performance was assessed pre-operatively and post-operatively using the Test of Infant Motor Performance and Prechtl’s Assessment of General Movements. Development was assessed at 6 months of age using the Ages and Stages Questionnaire third edition. Pre-operative and post-operative General Movements performance was compared using McNemar’s test and test of infant motor performance z-scores using Wilcoxon’s signed rank test. Risk factors for delayed development at 6 months were explored using logistic regression.ResultsSixty infants were included in this study. In the 23 (38%) infants. A total of 60 infants were recruited. In the 23 (38%) infants assessed pre-operatively, there was no significant difference between pre- and post-operative performance on the GMs (p=0.63) or TIMP (p=0.28). At discharge, 15 (26%) infants presented with abnormal GMs, and the median TIMP z-score was −0.93 (IQR: −1.4 to −0.69). At 6 months, 28 (52.8%) infants presented with gross motor delay on the ASQ-3, significantly negatively associated with gestational age (p=0.03), length of hospital stay (p=0.04) and discharge TIMP score (p=0.01).ConclusionsPost-operative assessment using the GMs and TIMP may be useful to identify infants requiring individualised care and targeted developmental follow-up. Long-term developmental surveillance beyond 6 months of age is recommended.

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Section: Resultsmentioning

confidence: 91%

Neuromotor performance in infants before and after early open-heart surgery and risk factors for delayed development at 6 months of age

et al. 2018

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“…For the younger populations, the Alberta Infant Motor Scale (AIMS) (0-18 months) (81), Test of Infant Motor Performance (TIMP) (82) (34 weeks post conceptual age to 4 months) and Peabody Developmental Motor Scales 2 (PDMS-2) (83) (0-5 years of age) are useful tools to assess gross and fine motor skills, identify developmental delay and assign age equivalences when appropriate. The TIMP has been widely used in the congenital heart disease population to assess neuromotor performance before and after open heart surgery (84)(85)(86). In the inpatient setting, limitations in completion of standardized testing may exist due to presence of lines and tubes, post-surgical precautions, or limited tolerance and endurance.…”

Section: Physical Therapymentioning

confidence: 99%

Rehabilitation in Pediatric Heart Failure and Heart Transplant

et al. 2021

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Survival of pediatric patients with heart failure has improved due to medical and surgical advances over the past decades. The complexity of pediatric heart transplant patients has increased as medical and surgical management for patients with congenital heart disease continues to improve. Quality of life in patients with heart failure and transplant might be affected by the impact on functional status that heart failure, heart failure complications or treatment might have. Functional areas affected might be motor, exercise capacity, feeding, speech and/or cognition. The goal of rehabilitation is to enhance and restore functional ability and quality of life to those with physical impairments or disabilities. Some of these rehabilitation interventions such as exercise training have been extensively evaluated in adults with heart failure. Literature in the pediatric population is limited yet promising. The use of additional rehabilitation interventions geared toward specific complications experienced by patients with heart failure or heart transplant are potentially helpful. The use of individualized multidisciplinary rehabilitation program that includes medical management, rehabilitation equipment and the use of physical, occupational, speech and feeding therapies can help improve the quality of life of patients with heart failure and transplant.

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Functional movement assessment with the Test of Infant Motor Performance

Campbell

2021

J Perinatol

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Clinical feasibility of pre‐operative neurodevelopmental assessment of infants undergoing open heart surgery

Cited by 4 publications

References 30 publications

Neuromotor performance in infants before and after early open-heart surgery and risk factors for delayed development at 6 months of age

Neuromotor performance in infants before and after early open-heart surgery and risk factors for delayed development at 6 months of age

Rehabilitation in Pediatric Heart Failure and Heart Transplant

Functional movement assessment with the Test of Infant Motor Performance

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