This article will 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.

Course Authors: Dawn Kelly James, PT, DPT, DSc; Mercedes Aguirre Valenzuela, PT, DPT; Martha Henao Bloyer, PT, DPT; Monica Krogmann, PT, MA, DPT; Cornelia Lieb-Lundell, PT, MA, DPT

Course Code: BTR-Oct 2021

Completion Instructions: Read the article, complete the assessment with at least a 70% score, download and save certificate

Course Level: Intermediate

Delivery Method: Online

Learning Objectives

1. Identify the prevalence of motor development delays in children with specific types of critical congenital heart disease (CCHD) without an underlying genetic disorder.
2. Relate severity of motor delays to diagnostic categories.
3. Identify factors which may contribute to delayed motor outcomes in children with CCHD.

E-Learning Course 0.1 CEUs (1 contact hours/CCUs) 

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