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Motor training of sixty minutes once per week improves motor ability in children with congenital heart disease and retarded motor development: a pilot study

Published online by Cambridge University Press:  21 November 2012

Jan Müller ,
Milka Pringsheim ,
Andrea Engelhardt ,
Juliana Meixner ,
Martin Halle ,
Renate Oberhoffer ,
John Hess  and
Alfred Hager
Jan Müller*
Affiliation:
Department of Pediatric Cardiology and Congenital Heart Disease, Deutsches Herzzentrum München, Germany Institute of Preventive Pediatrics, Technische Universität München, Germany
Milka Pringsheim
Affiliation:
Department of Pediatric Cardiology and Congenital Heart Disease, Deutsches Herzzentrum München, Germany
Andrea Engelhardt
Affiliation:
Department of Pediatric Cardiology and Congenital Heart Disease, Deutsches Herzzentrum München, Germany
Juliana Meixner
Affiliation:
Department of Pediatric Cardiology and Congenital Heart Disease, Deutsches Herzzentrum München, Germany
Martin Halle
Affiliation:
Preventive and Rehabilitative Sports Medicine, Technische Universität München, Germany Munich Heart Alliance, Munich, Germany
Renate Oberhoffer
Affiliation:
Department of Pediatric Cardiology and Congenital Heart Disease, Deutsches Herzzentrum München, Germany Institute of Preventive Pediatrics, Technische Universität München, Germany
John Hess
Affiliation:
Department of Pediatric Cardiology and Congenital Heart Disease, Deutsches Herzzentrum München, Germany
Alfred Hager
Affiliation:
Department of Pediatric Cardiology and Congenital Heart Disease, Deutsches Herzzentrum München, Germany
*
Correspondence to: J. Müller, PhD, Department of Pediatric Cardiology and Congenital Heart Disease, Deutsches Herzzentrum München, Technische Universität München, Lazarettstr. 36, D-80636 München, Germany. Tel: +49 89 1218 3009; Fax: +49 89 1218 3003; E-mail: muellerjan@dhm.mhn.de
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Abstract

Objective

Delay and impairment of motor development is reported in patients with congenital heart disease. This pilot study addressed the feasibility and effect of a low-dose motor training programme of 60 min once per week on motor ability in preschool children with congenital heart disease.

Patients and methods

In all, 14 children – including four girls, in the age group of 4–6 years – with various types of congenital heart disease performed the motor developmental test MOT 4–6 before and after 3 months of a playful exercise programme of 60 min once a week.

Results

At baseline, the motor quotient ranged from normal to slightly impaired (median 92.0; Quartile 1: 83.75; Quartile 3: 101.25). After intervention, motor quotient did not change significantly for the entire group (95.0 (88.0, 102.5); p = 0.141). However, in the subgroup of nine children with retarded motor development at baseline (motor quotient lower 100), seven children had an improved motor quotient after 3 months of intervention. In this subgroup, motor quotient increased significantly (p = 0.020) by 5%.

Conclusions

Overall, a short intervention programme of 60 min only once a week does not improve motor ability in all children with congenital heart disease. However, those with retarded motor development profit significantly from this low-dose intervention.

Keywords

Congenital heart diseaseinterventiontrainingmotor development
Type
Original Articles
Information
Cardiology in the Young , Volume 23 , Issue 5 , October 2013 , pp. 717 - 721
Copyright
Copyright © Cambridge University Press 2012 

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