Kulp Marjean Taylor, Sortor Jennifer Mazzola
The Ohio State University College of Optometry, Columbus 43218-2343, USA.
Optom Vis Sci. 2003 Apr;80(4):312-5. doi: 10.1097/00006324-200304000-00009.
Children may perform poorly on a test of visual-motor integration due to deficits in one or more of the following: visual analysis/visual spatial ability, motor coordination, visual conceptualization, or visual-motor integration. The VMI Supplemental Developmental Test of Visual Perception (VP) and VMI Supplemental Developmental Test of Motor Coordination (MC) were developed to help differentiate between such difficulties after administration of the Beery-Buktenica Developmental Test of Visual-Motor Integration (VMI). However, the clinical value of the VMI supplemental tests has not been reported.
The VMI, VP, and MC were administered to 193 children (mean age = 8.77 years).
Multiple linear regression revealed that the supplemental tests were significantly related to the VMI (VP: beta = 0.212 +/- 0.044, p < 0.001; MC: beta = 0.422 +/- 0.299, p < 0.001) but explained only 36.2% of the variance in the VMI. Poor performance was defined as a score >1 SD below the mean for study population norms and below the 16th percentile for published norms. Using study population norms, 35 children did poorly on the VMI, 20% of whom scored poorly on VP, 14.3% of whom scored poorly on MC, 17.1% of whom scored poorly on both supplemental tests, and 48.6% of whom scored within normal on both supplemental tests. Using the published norms, 40 children scored poorly on the VMI. Twenty-eight children scored poorly on VP, 39% of whom scored within normal on the VMI. Fifty-six children scored poorly on MC, 54% of whom scored within normal on the VMI.
There was a significant amount of variance in performance on the VMI that was not explained by performance on the tests of VP or MC alone. Each area should be individually assessed during the visual perceptual examination of children, regardless of performance on the VMI. Even children who perform within normal limits on the VMI may show a deficit in VP or MC.
儿童可能由于以下一种或多种缺陷而在视觉 - 运动整合测试中表现不佳:视觉分析/视觉空间能力、运动协调、视觉概念化或视觉 - 运动整合。视觉感知(VP)的VMI补充发育测试和运动协调(MC)的VMI补充发育测试旨在帮助在进行贝利 - 布克滕尼卡视觉 - 运动整合发育测试(VMI)后区分此类困难。然而,VMI补充测试的临床价值尚未见报道。
对193名儿童(平均年龄 = 8.77岁)进行了VMI、VP和MC测试。
多元线性回归显示,补充测试与VMI显著相关(VP:β = 0.212 ± 0.044,p < 0.001;MC:β = 0.422 ± 0.299,p < 0.001),但仅解释了VMI中36.2%的方差。表现不佳定义为得分比研究人群常模的平均值低1个标准差以上且低于已发表常模的第16百分位数。根据研究人群常模,35名儿童在VMI上表现不佳,其中20%在VP上得分不佳,14.3%在MC上得分不佳,17.1%在两项补充测试中均得分不佳,48.6%在两项补充测试中得分均正常。根据已发表常模,40名儿童在VMI上得分不佳。28名儿童在VP上得分不佳,其中39%在VMI上得分正常。56名儿童在MC上得分不佳,其中54%在VMI上得分正常。
VMI的表现存在大量方差,仅靠VP或MC测试的表现无法解释。在对儿童进行视觉感知检查时,应分别评估每个领域,无论其在VMI上的表现如何。即使在VMI上表现正常的儿童也可能在VP或MC方面存在缺陷。