Heart Defects Clinical Trial
Official title:
Neurodevelopmental Rehabilitation for Toddlers With Complex Heart Defects
The purpose of this project is to investigate the feasibility of using a home-based, parent-delivered model for providing neurodevelopmental rehabilitation programmes to infants who have had surgery for a complex heart defect.
Neurodevelopmental deficits are a common morbidity among children who receive surgical
treatment for complex congenital heart defects in infancy. Over 40% of children with complex
heart defects will have neurodevelopmental deficits that persist throughout childhood even
after a successful surgical procedure in infancy1. These deficits are typically related to
basic motor perceptual motor or visual motor skills. Problems integrating what is seen
(visual perceptions) with body movement (motor skills) makes it difficult for children to
participate in peer play and limits their ability to succeed in school, thereby having a
significant impact on the child's quality of life.
Traditional, therapist-delivered rehabilitation programmes to address these delays in
neurodevelopment have not previously been attempted. It would be difficult to provide direct
rehabilitation programmes to these patients given that their defects are rare and few
patients are located within the same geographical area. Home-based, parent-delivered
rehabilitation programmes have previously been shown to be effective at improving the motor
skills of school-age children with complex heart defects5. Since a home-based parent
delivered model would enable the participation of infants regardless of geographic location,
the feasibility of using such a model for delivering neurodevelopmental rehabilitation
should be investigated.
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Endpoint Classification: Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Supportive Care
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