Wuang Y-P, Tsai H-Y
Department of Occupational Therapy, Kaohsiung Medical University, Kaohsiung, Taiwan.
J Intellect Disabil Res. 2017 Apr;61(4):348-362. doi: 10.1111/jir.12346. Epub 2016 Nov 30.
The purpose of the study was to describe sensorimotor profile and visual perceptual performance in school-aged (6-12 years) children with Williams syndrome (WS). The impacts of sensorimotor and visual perception on participation in WS were examined as well to guide research and evidence-based practices.
A total of 38 children with WS aged 6 to 12 years were evaluated with measures of motor performance (Bruininks-Oseretsky of Motor Proficiency-Second Edition), sensory processing (Sensory Profile), visual perceptual abilities (Test of Visual Perception Skills-Third Edition) and activity participation (Vineland Adaptive Behavior Scale, School Function Assessment).
Children with WS performed significantly less well on all sensorimotor and visual perceptual measures, and 71% of children scored in the impaired range on six or more (one third of ) out of 18 measures. They had weaker fine motor skills than gross motor skills. Sensory modulation was the most impaired among the sensory processing functions. Visual perceptions were all moderately impaired. All the sensorimotor measures and visual perceptual functions correlated to the cognitive functions (IQ) and linked to activity participation measures in WS.
Our findings characterised the profiles of body functions (sensorimotor functions and visual organisation) of children with DS, and revealed their correlations with activity participation. Interventions focused on improving body functions are needed while stressing the acquisition of functional skills that increase participation in age-appropriate activities.
本研究旨在描述学龄期(6至12岁)威廉姆斯综合征(WS)患儿的感觉运动特征和视觉感知表现。同时也探讨了感觉运动和视觉感知对WS患儿参与度的影响,以指导研究和循证实践。
共有38名6至12岁的WS患儿接受了运动表现(布吕尼inks-奥塞雷茨基运动技能熟练度测试第二版)、感觉加工(感觉特征量表)、视觉感知能力(视觉感知技能测试第三版)和活动参与度(文兰适应行为量表、学校功能评估)的测量。
WS患儿在所有感觉运动和视觉感知测量中的表现均显著较差,71%的患儿在18项测量中的6项或更多(三分之一)测量中得分处于受损范围。他们的精细运动技能比粗大运动技能更弱。在感觉加工功能中,感觉调制受损最为严重。视觉感知均有中度受损。所有感觉运动测量和视觉感知功能均与认知功能(智商)相关,并与WS患儿的活动参与度测量相关。
我们的研究结果描述了DS患儿的身体功能(感觉运动功能和视觉组织)特征,并揭示了它们与活动参与度的相关性。需要开展侧重于改善身体功能的干预措施,同时强调获取能增加参与适龄活动的功能技能。