Visual-motor integration,visual perception,and fine motor coordination in a population of children with high levels of Fetal Alcohol Spectrum Disorder |
| |
| Institution: | 1. School of Public Health, Curtin University, Perth, Australia;2. Discipline of Paediatrics and Child Health, Sydney Medical School, The University of Sydney, Sydney, Australia;3. The George Institute for Global Health, Sydney Medical School, The University of Sydney, Australia;4. Poche Center for Indigenous Health, Sydney Medical School, The University of Sydney, Sydney, Australia;5. Physiotherapy Department, Royal North Shore Hospital, Sydney, Australia;6. Telethon Kids Institute, University of Western Australia, Perth, Australia;7. Centre for Behavioural Research in Cancer Control, Curtin University, Perth, Australia;8. Marninwarntikura Women’s Resource Centre, Fitzroy Crossing, Australia;9. University of Notre Dame, Broome, Australia;10. Nindilingarri Cultural Health Services, Fitzroy Crossing, Australia;11. The Sydney Children’s Hospitals Network (Westmead), Sydney, Australia;1. The University of North Carolina at Chapel Hill, Nutrition Research Institute, United States;2. Stellenbosch University, Faculty of Medicine and Health Sciences, South Africa;3. The University of New Mexico, Center on Alcoholism, Substance Abuse and Addictions, United States;4. University of Cape Town, Department of Psychiatry and Mental Health, South Africa;5. California State University, Northridge, United States;6. State University of New York, Buffalo, Department of Pediatrics, United States;7. Stanford University School of Medicine, Departments of Pathology and Pediatrics, United States;8. University of California San Diego School of Medicine, Department of Pediatrics, United States;9. South African Medical Research Council, South Africa;10. Sanford Research, University of South Dakota Sanford School of Medicine, Department of Pediatrics, United States;11. The University of Arizona College of Medicine, Department of Pediatrics and the Center for Applied Genetics and Genomic Medicine, United States;1. University of the Sunshine Coast, Australia;2. Queensland Health Child Development Service, Australia;1. School of Medicine, University of California, San Diego, La Jolla, CA, USA;2. Institute for Neural Computation, University of California, San Diego, La Jolla, CA, USA;3. Department of Neurosciences, University of California, San Diego, 9500 Gilman Drive, MC-0959, La Jolla, CA 92093-0959, USA;1. Radboud University Medical Centre, Department of Rehabilitation, Nijmegen Centre for Evidence Based Practice, Postbox 9101, 6500 HB Nijmegen, The Netherlands;2. Amsterdam University of Applied Sciences, Institute of Health, Occupational Therapy, Tafelbergweg 51, 1105 BD Amsterdam, The Netherlands;3. Radboud University Medical Centre, Department for Health Evidence, Nijmegen Centre for Evidence Based Practice, Postbox 9101, 6500 HB Nijmegen, The Netherlands;4. University Medical Centre Groningen, Centre for Rehabilitation Beatrixoord, Dilgtweg 5, 9751 ND Haren, The Netherlands;5. Radboud University Medical Centre, Scientific Institute for Quality of Healthcare, Postbox 9101, 6500 HB Nijmegen, The Netherlands |
| |
| Abstract: | BackgroundVisual-motor integration (VMI) skills are essential for successful academic performance, but to date no studies have assessed these skills in a population-based cohort of Australian Aboriginal children who, like many children in other remote, disadvantaged communities, consistently underperform academically. Furthermore, many children in remote areas of Australia have prenatal alcohol exposure (PAE) and Fetal Alcohol Spectrum Disorder (FASD), which are often associated with VMI deficits.MethodsVMI, visual perception, and fine motor coordination were assessed using The Beery-Buktenica Developmental Test of Visual-Motor Integration, including its associated subtests of Visual Perception and Fine Motor Coordination, in a cohort of predominantly Australian Aboriginal children (7.5–9.6 years, n = 108) in remote Western Australia to explore whether PAE adversely affected test performance. Cohort results were reported, and comparisons made between children i) without PAE; ii) with PAE (no FASD); and iii) FASD. The prevalence of moderate (≤16th percentile) and severe (≤2nd percentile) impairment was established.ResultsMean VMI scores were ‘below average’ (M = 87.8 ± 9.6), and visual perception scores were ‘average’ (M = 97.6 ± 12.5), with no differences between groups. Few children had severe VMI impairment (1.9%), but moderate impairment rates were high (47.2%). Children with FASD had significantly lower fine motor coordination scores and higher moderate impairment rates (M = 87.9 ± 12.5; 66.7%) than children without PAE (M = 95.1 ± 10.7; 23.3%) and PAE (no FASD) (M = 96.1 ± 10.9; 15.4%).ConclusionsAboriginal children living in remote Western Australia have poor VMI skills regardless of PAE or FASD. Children with FASD additionally had fine motor coordination problems. VMI and fine motor coordination should be assessed in children with PAE, and included in FASD diagnostic assessments. |
| |
| Keywords: | Fetal alcohol spectrum disorders Psychomotor performance Motor skills Visual motor Indigenous population |
| 本文献已被 ScienceDirect 等数据库收录！ |
|
