Objective To assess the visual motor integration(VMI) in preschool children with spastic cerebral palsy(SCP), and to analyze the associated factors, so as to provide reference for the early intervention of SCP. Methods A total of 51 children with SCP who received treatment at the Yunnan Rehabilitation Center from December 2022 to June 2023 and 74 typically developed children attending the Kunming Medical University Kindergarten during the same period were included in the study. All children completed the Beery-Buktenica Developmental Test of VMI(Beery VMI), visual perception(VP) test, and motor coordination(MC) test. Demographic characteristics were collected through a survey questionnaire, and the factors related to VMI in children with SCP were analyzed. Results There were significant differences in Beery VMI, VP, and MC tests scores in typically developed children among different age groups(F=65.458, 23.526, 45.270, P<0.001), there were no significant differences in children with SCP among different age groups(P>0.05). Compared to typically developed children, except for the 3-year-old age group, the raw scores of VMI in SCP children in other age groups were significantly lower than those of typically developed children(t=3.033, 4.933, 6.014, P<0.05). VMI score in children with SCP was negatively related to Gross Motor Function Classification System(GMFCS) score(rs=-0.736, P=0.007), and showed strongly positive correlations with VP and MC(r=0.618, rs=0.743, P<0.001). Conclusions The VMI, VM, MC of preschool children with SCP are significantly behind those of normal children, suggesting that these three functions are common disabilities and could be considered for inclusion in routine assessment procedures. The VMI of preschool children with SCP is correlated with GMFCS, VP, and MC, providing reference for improving VMI in rehabilitation treatment.
Key words
spastic cerebral palsy of preschoolers /
visual motor integration /
visual perception
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