Motor Development of Infants With Univentricular Heart at the Ages of 16 and 52 Weeks

Rajantie, Irmeli PT, MSc; Laurila, Maarit PT, MSc; Pollari, Kirsi PT, MSc; Lönnqvist, Tuula MD, PhD; Sarajuuri, Anne MD, PhD; Jokinen, Eero MD, PhD; Mälkiä, Esko PT, PhD

Pediatric Physical Therapy:
doi: 10.1097/PEP.0b013e3182a31704
Research Article
Abstract

Purpose: To compare the motor development of patients with hypoplastic left heart syndrome (HLHS) and other types of univentricular heart (UVH) with peers who are healthy at the ages of 16 and 52 weeks.

Methods: Motor development was assessed with the Alberta Infant Motor Scale (AIMS).

Results: Both the 23 patients with HLHS and the 13 patients with UVH had lower total AIMS scores in both observations than the controls. At the age of 52 weeks, patients with HLHS had significantly lower scores in all 4 AIMS subscales, whereas patients with UVH had lower scores only in the prone and standing subscales.

Conclusion: Motor development of patients with HLHS or UVH is delayed during the first year of life, especially in the prone and standing subscales.

In Brief

Motor development of infants with univentricular heart is delayed during the first year of life, especially on the prone and standing subscales of the AIMS. Although the AIMS was found to be a valid and reliable tool for this population, the authors believe more items assessing early standing skills would improve discrimination between typical and delayed motor development.

Author Information

Children's Hospital (Ms Rajantie and Drs Lönnqvist, Sarajuuri, and Jokinen), University of Helsinki, Helsinki, Finland; Department of Neurology (Ms Laurila), Helsinki University Hospital, Helsinki, Finland; Office of the Ombudsman for Children (Ms Pollari), Jyväskylä, Finland; Faculty of Sport and Health Sciences (Dr Mälkiä), University of Jyväskylä, Jyväskylä, Finland.

Irmeli Rajantie, PT, MSc, Children's Hospital, University of Helsinki, PL 280, 00029 HUS, Helsinki, Finland (irmeli.rajantie@hus.fi).

The authors declare no conflict of interest.

Irmeli Rajantie, Maarit Laurila, and Kirsi Pollari were students in the MSc program at the University of Jyväskylä, Faculty of Sport and Health Sciences, at the time this article was written.

© 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins and the Section on Pediatrics of the American Physical Therapy Association.