European Journal of Pediatrics

, Volume 167, Issue 3, pp 331–336

Mechanographic characteristics of adolescents and young adults with congenital heart disease


    • Children’s HospitalUniversity of Cologne
  • Cordelia Witzel
    • Department of Pediatric CardiologyUniversity of Cologne
  • Sabine Schickendantz
    • Department of Pediatric CardiologyUniversity of Cologne
  • Narayanswami Sreeram
    • Department of Pediatric CardiologyUniversity of Cologne
  • Konrad Brockmeier
    • Department of Pediatric CardiologyUniversity of Cologne
  • Eckhard Schoenau
    • Children’s HospitalUniversity of Cologne
Original Paper

DOI: 10.1007/s00431-007-0495-y

Cite this article as:
Fricke, O., Witzel, C., Schickendantz, S. et al. Eur J Pediatr (2008) 167: 331. doi:10.1007/s00431-007-0495-y


The present study comprised 29 adolescents and young adults (15 females, 14 males; aged 14.1–23.9 years) with congenital heart disease (CHD) and focused on the interaction between the biomechanical system and CHD. Individuals were characterized by auxological (height, weight), dynamometric (MIGF, maximal isometric grip force) and mechanograpic parameters (Vmax, maximal velocity; PJF, peak jump force; PJP, peak jump power; time of five stand-ups in chair-rising test). PJF, PJP and MIGF were transformed into height-related SD-scores. MIGF-SDS and PJP-SDS were lower in the CHD patients than in reference individuals. PJP-SDS was lower than PJF-SDS. PJP-SDS was correlated to Vmax (r = 0.62) and to the time of five-stand-ups in chair-rising (r = −0.62). Transcutaneous oxygen saturation and NYHA classes were correlated to Vmax (r = 0.42 and r = −0.57, respectively) and to chair-rising performance (r = −0.60 and r = 0.50, respectively). To conclude, individuals with CHD are characterized by an impaired inter- and intramuscular coordination, which is characterized by a greater decrease in muscular power than muscle force.


Chair-rising testMaximal isometric grip forcePeak jump forcePeak jump power



bone mineral count at 4% site of measurement


congenital heart disease


height of jumping


cross-sectional muscle area


maximal isometric grip force


peak jump force


peak jump power


peripheral quantitative computed tomography


transcutaneous oxygen saturation


maximal velocity

Copyright information

© Springer-Verlag 2007