Cargando…

A systematic review of early motor interventions for infants with congenital heart disease and open-heart surgery

BACKGROUND: Motor development delay is the first neurodevelopmental impairment that becomes apparent in infants with congenital heart disease (CHD). Early interventions have addressed high-risk groups like infants born preterm, but little is known about interventions to improve motor outcome in CHD...

Descripción completa

Detalles Bibliográficos
Autores principales: Kaeslin, Rahel, Latal, Beatrice, Mitteregger, Elena
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10463862/
https://www.ncbi.nlm.nih.gov/pubmed/37626406
http://dx.doi.org/10.1186/s13643-023-02320-3
_version_ 1785098331298463744
author Kaeslin, Rahel
Latal, Beatrice
Mitteregger, Elena
author_facet Kaeslin, Rahel
Latal, Beatrice
Mitteregger, Elena
author_sort Kaeslin, Rahel
collection PubMed
description BACKGROUND: Motor development delay is the first neurodevelopmental impairment that becomes apparent in infants with congenital heart disease (CHD). Early interventions have addressed high-risk groups like infants born preterm, but little is known about interventions to improve motor outcome in CHD infants at risk of motor delay. The purpose of this review was to systematically review the literature on type and effect of motor intervention applied during the first year of life in infants with CHD following open-heart surgery. METHODS: Scoping searches were performed in May 2020 and April 2023 via MEDLINE, Embase, CINAHL, Cochrane, PsycINFO, PEDro, and Scopus. The review included studies published in English from 2015 to 2022. Primary outcome was infants’ motor development measured by standardized and non-standardized motor assessments, and if available, infants’ language and cognitive development, and any parental quality-of-life assessments as secondary outcomes. The studies’ quality was evaluated with a modified Newcastle-Ottawa scale. RESULTS: Four papers with low to high methodological quality met inclusion criteria. All studies investigated the influence of early physiotherapy. Four studies involved parents, and three studies used standardized tools to assess motor outcomes. No conclusion can be drawn about any positive effect of early motor interventions. CONCLUSIONS: Early motor intervention in CHD infants may improve motor development; however, the few existing studies do not provide clear evidence. Thus, more prospective early intervention studies are needed. TRIAL REGISTRATION: PROSPERO CRD42020200981. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s13643-023-02320-3.
format Online
Article
Text
id pubmed-10463862
institution National Center for Biotechnology Information
language English
publishDate 2023
publisher BioMed Central
record_format MEDLINE/PubMed
spelling pubmed-104638622023-08-30 A systematic review of early motor interventions for infants with congenital heart disease and open-heart surgery Kaeslin, Rahel Latal, Beatrice Mitteregger, Elena Syst Rev Research BACKGROUND: Motor development delay is the first neurodevelopmental impairment that becomes apparent in infants with congenital heart disease (CHD). Early interventions have addressed high-risk groups like infants born preterm, but little is known about interventions to improve motor outcome in CHD infants at risk of motor delay. The purpose of this review was to systematically review the literature on type and effect of motor intervention applied during the first year of life in infants with CHD following open-heart surgery. METHODS: Scoping searches were performed in May 2020 and April 2023 via MEDLINE, Embase, CINAHL, Cochrane, PsycINFO, PEDro, and Scopus. The review included studies published in English from 2015 to 2022. Primary outcome was infants’ motor development measured by standardized and non-standardized motor assessments, and if available, infants’ language and cognitive development, and any parental quality-of-life assessments as secondary outcomes. The studies’ quality was evaluated with a modified Newcastle-Ottawa scale. RESULTS: Four papers with low to high methodological quality met inclusion criteria. All studies investigated the influence of early physiotherapy. Four studies involved parents, and three studies used standardized tools to assess motor outcomes. No conclusion can be drawn about any positive effect of early motor interventions. CONCLUSIONS: Early motor intervention in CHD infants may improve motor development; however, the few existing studies do not provide clear evidence. Thus, more prospective early intervention studies are needed. TRIAL REGISTRATION: PROSPERO CRD42020200981. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s13643-023-02320-3. BioMed Central 2023-08-25 /pmc/articles/PMC10463862/ /pubmed/37626406 http://dx.doi.org/10.1186/s13643-023-02320-3 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Kaeslin, Rahel
Latal, Beatrice
Mitteregger, Elena
A systematic review of early motor interventions for infants with congenital heart disease and open-heart surgery
title A systematic review of early motor interventions for infants with congenital heart disease and open-heart surgery
title_full A systematic review of early motor interventions for infants with congenital heart disease and open-heart surgery
title_fullStr A systematic review of early motor interventions for infants with congenital heart disease and open-heart surgery
title_full_unstemmed A systematic review of early motor interventions for infants with congenital heart disease and open-heart surgery
title_short A systematic review of early motor interventions for infants with congenital heart disease and open-heart surgery
title_sort systematic review of early motor interventions for infants with congenital heart disease and open-heart surgery
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10463862/
https://www.ncbi.nlm.nih.gov/pubmed/37626406
http://dx.doi.org/10.1186/s13643-023-02320-3
work_keys_str_mv AT kaeslinrahel asystematicreviewofearlymotorinterventionsforinfantswithcongenitalheartdiseaseandopenheartsurgery
AT latalbeatrice asystematicreviewofearlymotorinterventionsforinfantswithcongenitalheartdiseaseandopenheartsurgery
AT mittereggerelena asystematicreviewofearlymotorinterventionsforinfantswithcongenitalheartdiseaseandopenheartsurgery
AT kaeslinrahel systematicreviewofearlymotorinterventionsforinfantswithcongenitalheartdiseaseandopenheartsurgery
AT latalbeatrice systematicreviewofearlymotorinterventionsforinfantswithcongenitalheartdiseaseandopenheartsurgery
AT mittereggerelena systematicreviewofearlymotorinterventionsforinfantswithcongenitalheartdiseaseandopenheartsurgery