{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T19:58:52Z","timestamp":1792180732778,"version":"4.4.0"},"reference-count":19,"publisher":"Cambridge University Press (CUP)","issue":"4","license":[{"start":{"date-parts":[[2012,1,24]],"date-time":"2012-01-24T00:00:00Z","timestamp":1327363200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cardiol Young"],"published-print":{"date-parts":[[2012,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S104795111100206X_abs1\" sec-type=\"general\"><jats:title>Objectives<\/jats:title><jats:p>To determine the gross motor skills of school-aged children after the Fontan procedure and compare the locomotor and object control skills with normative data.<\/jats:p><\/jats:sec><jats:sec id=\"S104795111100206X_abs2\" sec-type=\"general\"><jats:title>Study design<\/jats:title><jats:p>This study followed a cross-sectional design.<\/jats:p><\/jats:sec><jats:sec id=\"S104795111100206X_abs3\" sec-type=\"general\"><jats:title>Setting<\/jats:title><jats:p>This study was based on hospital outpatient visit, with accelerometry conducted at home.<\/jats:p><\/jats:sec><jats:sec id=\"S104795111100206X_abs4\" sec-type=\"general\"><jats:title>Patients<\/jats:title><jats:p>This study included 55 patients, including 22 girls in the age group of 6\u201310 years, 5.1 years after Fontan.<\/jats:p><\/jats:sec><jats:sec id=\"S104795111100206X_abs5\" sec-type=\"general\"><jats:title>Main outcome measures<\/jats:title><jats:p>Test of Gross Motor Development \u2013 Version 2, daily activity by accelerometer, medical history review, child and parent perceptions of activity.<\/jats:p><\/jats:sec><jats:sec id=\"S104795111100206X_abs6\" sec-type=\"results\"><jats:title>Results<\/jats:title><jats:p>Being involved in active team sports increased locomotor percentile score by 10.3 points (CI: 4.4, 16.1). Preference for weekend outdoor activities (6.9, CI: 2.0, 11.8), performing at least 30 minutes of moderate-to-vigorous physical activity daily (24.5, CI: 7.3, 41.8), and reporting that parents seldom criticise the child's physical activity (21.8, CI: 8.9, 34.8) were also associated with higher locomotor percentile scores (p &lt; 0.01). Object control percentile scores were higher (p &lt; 0.03) with involvement in formal instruction (5.9, CI: 1.1, 10.6) and being restricted to \u201cactivities within comfortable limits\u201d (27.6, CI: 7.7, 47.5). Older chronological age (r = 0.28), a more complicated medical history (r = 0.36), and older age at Fontan (r = 0.28) were associated with greater skill delay (p &lt; 0.04).<\/jats:p><\/jats:sec><jats:sec id=\"S104795111100206X_abs7\" sec-type=\"conclusion\"><jats:title>Conclusions<\/jats:title><jats:p>Children after Fontan attain basic motor skills at a later age than their peers, and deficits continue for more complex skills as age increases, suggesting a need for longitudinal monitoring of gross motor skill development through the elementary school years. Future research might investigate whether a gross motor skill rehabilitation programme can provide these children with the motor skills needed to successfully participate in a physically active lifestyle with peers.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s104795111100206x","type":"journal-article","created":{"date-parts":[[2012,1,24]],"date-time":"2012-01-24T10:28:01Z","timestamp":1327400881000},"page":"443-450","source":"Crossref","is-referenced-by-count":16,"title":["Cross-sectional study of motor development among children after the Fontan procedure"],"prefix":"10.1017","volume":"22","author":[{"given":"Patricia E.","family":"Longmuir","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura","family":"Banks","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brian W.","family":"McCrindle","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2012,1,24]]},"reference":[{"key":"S104795111100206X_ref13","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpeds.2007.12.019"},{"key":"S104795111100206X_ref12","first-page":"253","volume-title":"Nomenclature and Criteria for Diagnosis of Diseases of the Heart and Great Vessels","year":"1994"},{"key":"S104795111100206X_ref8","doi-asserted-by":"publisher","DOI":"10.1037\/0278-6133.18.4.410"},{"key":"S104795111100206X_ref2","doi-asserted-by":"publisher","DOI":"10.1136\/adc.2006.105239"},{"key":"S104795111100206X_ref7","volume-title":"Test of Gross Motor Development (TGMD-2)","author":"Ulrich","year":"2000"},{"key":"S104795111100206X_ref4","doi-asserted-by":"publisher","DOI":"10.1038\/oby.2008.214"},{"key":"S104795111100206X_ref3","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2009-1959"},{"key":"S104795111100206X_ref5","doi-asserted-by":"publisher","DOI":"10.1136\/heart.89.4.436"},{"key":"S104795111100206X_ref17","doi-asserted-by":"publisher","DOI":"10.1080\/10413209108406432"},{"key":"S104795111100206X_ref10","doi-asserted-by":"publisher","DOI":"10.1111\/j.1746-1561.1995.tb03365.x"},{"key":"S104795111100206X_ref9","doi-asserted-by":"publisher","DOI":"10.1097\/00042752-199207000-00007"},{"key":"S104795111100206X_ref1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5223(99)70101-7"},{"key":"S104795111100206X_ref14","doi-asserted-by":"publisher","DOI":"10.1067\/mpd.2000.108952"},{"key":"S104795111100206X_ref18","doi-asserted-by":"publisher","DOI":"10.1007\/s002469900397"},{"key":"S104795111100206X_ref15","doi-asserted-by":"publisher","DOI":"10.1017\/S1047951107001023"},{"key":"S104795111100206X_ref19","volume-title":"Foundations of Exercise Science","author":"Klavora","year":"2004"},{"key":"S104795111100206X_ref16","doi-asserted-by":"publisher","DOI":"10.1001\/archpedi.161.10.945"},{"key":"S104795111100206X_ref6","doi-asserted-by":"publisher","DOI":"10.1067\/mpd.2002.125227"},{"key":"S104795111100206X_ref11","volume-title":"Tri-Council Policy Statement: Ethical Conduct for Research Involving Humans","year":"1998"}],"container-title":["Cardiology in the Young"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S104795111100206X","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,4,25]],"date-time":"2019-04-25T19:16:13Z","timestamp":1556219773000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S104795111100206X\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,1,24]]},"references-count":19,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2012,8]]}},"alternative-id":["S104795111100206X"],"URL":"https:\/\/doi.org\/10.1017\/s104795111100206x","relation":{},"ISSN":["1047-9511","1467-1107"],"issn-type":[{"value":"1047-9511","type":"print"},{"value":"1467-1107","type":"electronic"}],"subject":[],"published":{"date-parts":[[2012,1,24]]}}}