{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T11:31:23Z","timestamp":1789558283585,"version":"build-2803163510"},"reference-count":32,"publisher":"Cambridge University Press (CUP)","issue":"1","license":[{"start":{"date-parts":[[2024,11,19]],"date-time":"2024-11-19T00:00:00Z","timestamp":1731974400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Cardiol Young"],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S1047951124026763_as1\"><jats:title>Objectives:<\/jats:title><jats:p>To evaluate the motor proficiency, identify risk factors for abnormal motor scores, and examine the relationship between motor proficiency and health-related quality of life in school-aged patients with CHD.<\/jats:p><\/jats:sec><jats:sec id=\"S1047951124026763_as2\"><jats:title>Study design:<\/jats:title><jats:p>Patients \u2265 4 years old referred to the cardiac neurodevelopmental program between June 2017 and April 2020 were included. Motor skills were evaluated by therapist-administered <jats:italic>Bruininks-Oseretsky Test of Motor Proficiency Second-Edition Short Form<\/jats:italic> and parent-reported <jats:italic>Adaptive Behavior Assessment System<\/jats:italic> and <jats:italic>Patient-Reported Outcomes Measurement Inventory System Physical Functioning<\/jats:italic> questionnaires. Neuropsychological status and health-related quality of life were assessed using a battery of validated questionnaires. Demographic, clinical, and educational variables were collected from electronic medical records. General linear modelling was used for multivariable analysis.<\/jats:p><\/jats:sec><jats:sec id=\"S1047951124026763_as3\"><jats:title>Results:<\/jats:title><jats:p>The median motor proficiency score was the 10<jats:sup>th<\/jats:sup> percentile, and the cohort (<jats:italic>n<\/jats:italic> = 272; mean age: 9.1 years) scored well below normative values on all administered neuropsychological questionnaires. In the final multivariable model, worse motor proficiency score was associated with family income, presence of a genetic syndrome, developmental delay recognised in infancy, abnormal neuroimaging, history of heart transplant, and executive dysfunction, and presence of an individualised education plan (<jats:italic>p<\/jats:italic> &lt; 0.03 for all predictors). Worse motor proficiency correlated with reduced health-related quality of life. Parent-reported adaptive behaviour (<jats:italic>p<\/jats:italic> &lt; 0.001) and physical functioning (<jats:italic>p<\/jats:italic> &lt; 0.001) had a strong association with motor proficiency scores.<\/jats:p><\/jats:sec><jats:sec id=\"S1047951124026763_as4\"><jats:title>Conclusion:<\/jats:title><jats:p>This study highlights the need for continued motor screening for school-aged patients with CHD. Clinical factors, neuropsychological screening results, and health-related quality of life were associated with worse motor proficiency.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s1047951124026763","type":"journal-article","created":{"date-parts":[[2024,11,19]],"date-time":"2024-11-19T13:17:03Z","timestamp":1732022223000},"page":"117-125","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":4,"title":["Motor proficiency in school-aged children with 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