The crucial role of the predictability of motor response in visuomotor deficits in very preterm children at school age

• Published in: Developmental medicine and child neurology Vol. 55; no. 7; pp. 624 - 630
• Main Authors: De Kieviet, Jorrit F, Stoof, Cor J J, Geldof, Christiaan J A, Smits, Niels, Piek, Jan P, Lafeber, Harrie N, Van Elburg, Ruurd M, Oosterlaan, Jaap
• Format: Journal Article
• Language: English
• Published: England 01.07.2013
• Subjects: Age Factors; Child; Cohort Studies; Female; Gestational Age; Humans; Infant, Newborn; Infant, Premature - physiology; Male; Motor Skills Disorders - diagnosis; Motor Skills Disorders - etiology; Motor Skills Disorders - physiopathology; Predictive Value of Tests; Psychomotor Performance - physiology; Wechsler Scales
• ISSN: 0012-1622; 1469-8749
• DOI: 10.1111/dmcn.12125

Aim We aimed to clarify the underpinnings of widespread visuomotor deficits in very preterm children. Method Fifty‐eight very preterm children (26 males, 32 females; mean [SD] age 7y 6mo [5mo], gestational age 29.2wks [1.6]; birthweight 1237g [336]), recruited from a tertiary level neonatal intensive care unit, and 64 age‐matched, comparison children born at term (28 males, 36 females; mean age [SD] 7y 8mo [7mo]) participated. IQ was measured using a short form of the Wechsler Intelligence Scale for Children (3rd edition). A research diagnosis of developmental coordination disorder (DCD) was defined as a score below the 15th centile on the Movement Assessment Battery for Children. Visuomotor performance was assessed using a computerized task, in which children followed a predictable (structured condition) or an unpredictable (non‐structured condition) trail on a touch screen using their index finger. Results Forty‐six per cent of the very preterm children had a research diagnosis of DCD, compared with 16% of children born at term (p<0.001, odds ratio 4.69 [95% CI 2.01–10.99]). No group difference in visuomotor performance was present for the structured condition. In the non‐structured condition, children born very preterm with and without a research diagnosis of DCD had poorer visuomotor performance than those born at term. Interpretation The predictability of the required motor response plays a crucial role in visuomotor deficits in very preterm children, regardless of DCD status. This article is commented on by Baranello on pages 587–588 of this issue.