Impact of Retinopathy of Prematurity on Visual Motor Integration.

IF 2.6 3区医学 Q1 PEDIATRICS Neonatology Pub Date : 2023-01-01 DOI:10.1159/000529594

Daniel Lukas Zimmermann, Hannah Schned, Lukas Unterasinger, Lieselotte Kirchner, Renate Fuiko, Monika Olischar, Katrin Klebermass-Schrehof, Angelika Berger, Manfred Weninger, Vito Giordano

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Abstract

Background: Preterm infants are at risk for neurodevelopmental deficits. An association between retinopathy of prematurity (ROP) and impaired cognitive outcome has already been described. However, less is known about the impact of ROP on visual motor integration (VMI), which is a prerequisite not only for fine motor abilities but also for further school skills. Therefore, the aim of this study was to retrospectively investigate the impact of ROP on VMI at preschool age.

Methods: The study was conducted at the Medical University of Vienna, including patients born between January 2009 and December 2014 with a gestational age of less than 30 weeks and/or a birth weight of less than 1,500 g. VMI was determined by Beery-Buktenica Developmental Test of Visual Motor Integration (Beery VMI) at the age of 5 years.

Results: Out of 1,365 patients, 353 met inclusion criteria for this study. Two hundred sixteen of them had no ROP, while 137 had ROP (stage 1: n = 23, stage 2: n = 74, stage 3: n = 40). Mean value of the Beery VMI score was significantly lower in the ROP group compared to the No-ROP group (90 ± 16 vs. 99 ± 14; p < 0.01). By correcting for other important medical conditions, ROP still had a significant impact on Beery VMI score (p < 0.01). Particularly, lower scores were found for stage 2 (p < 0.01) and stage 3 (p < 0.01).

Conclusion: Beery VMI scores were significantly lower in preterm infants with ROP stage 2 and 3 than in infants without ROP. This study shows the negative impact of ROP on VMI skills at preschool age, even after adjustment for key demographic and medical characteristics.

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早产儿视网膜病变对视觉运动整合的影响。

背景:早产儿有神经发育缺陷的风险。早产儿视网膜病变(ROP)与认知功能受损之间的关联已经被描述过。然而，ROP对视觉运动整合(VMI)的影响知之甚少，而视觉运动整合不仅是精细运动能力的先决条件，也是进一步学习技能的先决条件。因此，本研究的目的是回顾性研究ROP对学龄前VMI的影响。方法:该研究在维也纳医科大学进行，包括2009年1月至2014年12月出生、胎龄小于30周和/或出生体重小于1500克的患者。VMI在5岁时采用Beery- buktenica视觉运动整合发育测验(Beery VMI)测定。结果:在1365例患者中，353例符合本研究的纳入标准。无ROP 216例，有ROP 137例(第一阶段:n = 23，第二阶段:n = 74，第三阶段:n = 40)。ROP组的Beery VMI评分平均值明显低于No-ROP组(90±16比99±14;P < 0.01)。通过校正其他重要医疗条件，ROP对Beery VMI评分仍有显著影响(p < 0.01)。特别是2期(p < 0.01)和3期(p < 0.01)得分较低。结论:ROP 2期和3期早产儿的Beery VMI评分明显低于无ROP的早产儿。本研究显示，即使在调整了关键的人口统计学和医学特征后，ROP对学龄前儿童的VMI技能也有负面影响。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Neonatology 医学-小儿科

CiteScore

0.60

自引率

4.00%

发文量

审稿时长

6-12 weeks

期刊介绍： This highly respected and frequently cited journal is a prime source of information in the area of fetal and neonatal research. Original papers present research on all aspects of neonatology, fetal medicine and developmental biology. These papers encompass both basic science and clinical research including randomized trials, observational studies and epidemiology. Basic science research covers molecular biology, molecular genetics, physiology, biochemistry and pharmacology in fetal and neonatal life. In addition to the classic features the journal accepts papers for the sections Research Briefings and Sources of Neonatal Medicine (historical pieces). Papers reporting results of animal studies should be based upon hypotheses that relate to developmental processes or disorders in the human fetus or neonate.

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