Assessment of Relationship Between Retinopathy of Prematurity Severity and Visual Motor Integration

Öz

Aim: The aim of the current study is to assess the effects of retinopathy of prematurity (ROP) severity on visual motor integration in children.
Material and Methods: Totally 104 children (44 girls, 60 boys) between 2 and 6 chronological age were included in the study. The children’s mean gestational age was 28.75±2.67 and birth weight was 1252.92±411.33. The Beery-Buktenica Developmental Test of Visual Motor Integration with supplemental tests of Visual Perception and Motor Coordination were used for the assessment of children.
Results: The incidences of retinopathy of prematurity severity were 23.1% Stage 1+, 24% Stage 2+ and 52.9% Stage 3+ in the study. The incidence of abnormal visual motor integration was 51% of the study population. The incidence of abnormal visual perception and motor coordination were 37.5% and 51.9%, respectively. Referring to the Beery-Buktenica Developmental Test of Visual Motor Integration results, there was statistically significant correlation between the level of all visual motor integration, visual perception, and motor subtest results (p=0.00). There were not statistically significant correlation between retinopathy of prematurity severity and results of visual motor integration and visual perception tests (p>0.05). There was a significant correlation between retinopathy of prematurity severity and motor coordination test results (p<0.05).
Conclusion: This study shows that as the retinopathy of prematurity severity increases, motor coordination skills are negatively affected in preterm born children at pre-school ages.

Anahtar Kelimeler

• Retinopathy of prematurity
• Visual-motor integration
• Visual perception
• Motor coordination

Prematüre Retinopatisi Şiddeti İle Görsel Motor Entegrasyon Arasındaki İlişkinin Değerlendirilmesi

Öz

Amaç: Bu çalışmanın amacı, prematüre retinopatisi şiddeti ile çocukların görsel motor entegrasyon becerisi arasındaki ilişkisinin incelenmesidir.
Materyal ve Metot: Çalışmaya, kronolojik yaşı 2 ile 6 yaş arasında toplam 104 çocuk (44 kız, 60 erkek) dahil edildi. Çocukların ortalama gebelik yaşı 28,75±2,67, doğum ağırlığı 1252,92±411,33’idi. Beery-Buktenica Gelişimsel Görsel Motor Entegrasyon testi ile Görsel Algı ve Motor Koordinasyon alt testleri kullanıldı.
Bulgular: Çalışmada prematüre retinopatisinin şiddetine göre çocukların % 23,1’i Evre 1+, %24’ü Evre 2+ ve %52,9’u Evre 3+’idi. Anormal görsel motor entegrasyon insidansı çalışma popülasyonunun %51’idi. Anormal görsel algı ve motor koordinasyon insidansı sırasıyla % 37,5 ve %51,9’idi. Beery-Buktenica Gelişimsel Görsel Motor Entegrasyon Testi sonuçlarına göre, görsel motor entegrasyon, görsel algı ve motor koordinasyon alt test sonuçları arasında istatistiksel olarak anlamlı bir ilişki vardı (p=0,00). Prematüre retinopatisi şiddeti ile görsel motor entegrasyon ve görsel algı test sonuçları arasında istatistiksel olarak anlamlı ilişki yoktu (p>0,05). Prematüre retinopatisi şiddeti ile motor koordinasyon testi sonuçları arasında istatistiksel olarak anlamlı bir ilişki vardı (p<0,05).
Sonuç: Bu çalışma, okul öncesi dönemdeki preterm doğumlu çocuklarda prematüre retinopatisinin şiddeti arttıkça, motor koordinasyon becerisinin olumsuz yönde etkilendiğini göstermektedir.

Anahtar Kelimeler

• Prematüre retinopatisi
• Görsel motor entegrasyon
• Görsel algı
• Motor koordinasyon

Kaynakça

1. Tan Z, Chong C, Darlow B, et al. Visual impairment due to retinopathy of prematurity (ROP) in New Zealand: a 22-year review. Br J Ophthalmol, 2015; 99(6): 801-806.
2. Blencowe H, Lawn JE, Vazquez T, et al. Preterm-associated visual impairment and estimates of retinopathy of prematurity at regional and global levels for 2010. Pediatr Res, 2013; 74(S1): 35-49.
3. Darlow BA, Clemett RS, Horwood LJ, et al. Prospective study of New Zealand infants with birth weight less than 1500 g and screened for retinopathy of prematurity: visual outcome at age 7–8 years. Br J Ophthalmol, 1997; 81(11): 935-40.
4. Goyen TA, Todd DA, Veddovi M, et al. Eye–hand coordination skills in very preterm infants< 29 weeks gestation at 3 years: effects of preterm birth and retinopathy of prematurity. Early Hum Dev, 2006; 82(11): 739-45.
5. Foulder‐Hughes LA, Cooke RWI. Motor, cognitive, and behavioural disorders in children born very preterm. Dev Med Child Neurol, 2003; 45(2): 97-103.
6. Marlow N, Hennessy EM, Bracewell MA, et al. Motor and executive function at 6 years of age after extremely preterm birth. Pediatrics, 2007; 120(4): 793-804.
7. Clark CA, Woodward LJ. Neonatal cerebral abnormalities and later verbal and visuospatial working memory abilities of children born very preterm. Dev Neuropsychol, 2010; 35(6): 622-42.
8. Butcher PR, Bouma A, Stremmelaar EF, et al. Visuospatial perception in children born preterm with no major neurological disorders. Neuropsychology, 2012; 26(6); 723.

9. Goyen TA, Lui K, Hummell J. Sensorimotor skills associated with motor dysfunction in children born extremely preterm. Early Hum Dev, 2011; 87(7): 489-493.
10. Pinheiro RC, Martinez CM, Fontaine AMGV. Visual motor integration and overall development of preterm and at term children at the beginning of schooling. J Hum Growth Dev, 2014; 24(2): 181-7.
11. Santos A, Duret M, Mancini J, et al. Preterm birth affects dorsal-stream functioning even after age 6. Brain and Cogn, 2009; 69(3): 490-94.
12. Molloy CS, Wilson-Ching M, Anderson VA, et al. Visual processing in adolescents born extremely low birth weight and/or extremely preterm. Pediatrics, 2013; 132(3): e704-e712.
13. Geldof CJA, Van Wassenaer AG, De Kieviet JF, et al. Visual perception and visual-motor integration in very preterm and/or very low birth weight children: a meta-analysis. Res Dev Disabil, 2012; 33(2): 726-36.
14. Pétursdóttir D, Holmström G, Larsson E, et al. Visual‐motor functions are affected in young adults who were born premature and screened for retinopathy of prematurity. Acta Paediatr. 2020; 110(1): 127-33.
15. O'Connor AR, Birch EE, Spencer R. Factors affecting development of motor skills in extremely low birth weight children. Strabismus, 2009; 17(1): 20-23.
16. Beligere N, Perumalswamy V, Tandon M, et al. Retinopathy of prematurity and neurodevelopmental disabilities in premature infants. Semin Fetal Neonatal Med, 2015; 20(5): 346-53.
17. Pediatrics AAo., Screening examination of premature infants for retinopathy of prematurity. Pediatrics, 2006; 117(2): 572-76.
18. Beery KE, Beery NA. The Beery-Buktenica Developmental Test of Visual-Motor Integration. Beery VMI: With Supplemental Developmental Tests of Visual Perception and Motor Coordination and Stepping Stones Age Norms From Birth to Age Six. Administration, Scoring, and Teaching Manual. 2010: Pearson.
19. Fielder A, Blencowe H, O'Connor A, et al. Impact of retinopathy of prematurity on ocular structures and visual functions. Arch Dis Child Fetal Neonatal Ed, 2015; 100(2): F179-F184.
20. Goyen TA, Lui K, Woods R. Visual‐motor, visual‐perceptual, and fine motor outcomes in very‐low‐birthweight children at 5 years. Dev Med Child Neurol, 1998; 40(2): 76-81.
21. Molloy CS, Anderson PJ, Anderson VA, et al. The long‐term outcome of extremely preterm (< 28 weeks’ gestational age) infants with and without severe retinopathy of prematurity. J Neuropsycho, 2016; 10(2): 276-294.
22. Spittle A, Orton J, Anderson PJ, et al. Early developmental intervention programmes provided post hospital discharge to prevent motor and cognitive impairment in preterm infants. Cochrane Database of Systematic Reviews, 2015; (11).