Pétursdóttir Dýrleif, Holmström Gerd, Larsson Eva, Böhm Birgitta
Institution of Neuroscience/Ophthalmology, Uppsala University, Uppsala, Sweden.
Department of Women's and Children's Health, Karolinska Institute, Stockholm, Sweden.
Acta Paediatr. 2021 Jan;110(1):127-133. doi: 10.1111/apa.15378. Epub 2020 Jul 8.
To assess visual-motor integration in young adults previously included in a prospective study on the incidence of retinopathy of prematurity (ROP).
The study encompassed 59 preterm individuals, born 1988-1990, with a birth weight ≤1500 g, and 44 full-term controls, aged 25-29 years. Ophthalmological examination, including visual acuity and contrast sensitivity, and the Beery Visual-Motor Integration (VMI) with supplemental tests of visual perception and motor coordination, were performed. A short questionnaire was filled in.
The preterm individuals had significantly lower scores than the controls in all VMI tests, median values and interquartile ranges: Beery VMI 87 (21) vs 103 (11), visual perception 97 (15) vs 101 (8) and motor coordination 97 (21) vs 102 (15), respectively. Within the preterm group, no correlations were found between the VMI tests and ROP, gestational age, birth weight or visual acuity. Contrast sensitivity was correlated to visual perception. Neurological complication at 2.5 years was a risk factor for lower scores on Beery VMI. The preterm subjects reported six times as many health problems as compared to the controls.
Being born preterm seemed to have life-long effects. This study shows that visual-motor integration was affected in young adults born preterm.
评估曾纳入早产儿视网膜病变（ROP）发病率前瞻性研究的年轻成年人的视动整合能力。
该研究纳入了59名1988 - 1990年出生、出生体重≤1500克的早产儿以及44名年龄在25 - 29岁的足月儿作为对照。进行了眼科检查，包括视力和对比敏感度检查，并采用贝利视动整合测试（VMI）以及视觉感知和运动协调补充测试，同时填写了一份简短问卷。
在所有VMI测试、中位数和四分位间距方面，早产儿的得分显著低于对照组：贝利VMI分别为87（21）对103（11），视觉感知为97（15）对101（8），运动协调为97（21）对102（15）。在早产儿组中，未发现VMI测试与ROP、胎龄、出生体重或视力之间存在相关性。对比敏感度与视觉感知相关。2.5岁时的神经并发症是贝利VMI得分较低的一个危险因素。与对照组相比，早产儿报告的健康问题多五倍。
早产似乎会产生终身影响。本研究表明，早产出生的年轻成年人的视动整合能力受到了影响。
