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Motor performance changes in children testing positive for HIV over 2 years.

R A Parks1, J V Danoff

  • 1Rehabilitation Medicine Department, National Institutes of Health, Bethesda, Maryland 20892-1604, USA.

The American Journal of Occupational Therapy : Official Publication of the American Occupational Therapy Association
|September 29, 1999
PubMed
Summary

Children with HIV show impaired gross motor skills compared to typically developing peers, with fine motor skills less affected. This pattern persists over two years, indicating a need for monitoring motor function in pediatric HIV patients.

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Area of Science:

  • Pediatric Neurology
  • Infectious Diseases
  • Developmental Pediatrics

Background:

  • Human Immunodeficiency Virus (HIV) infection can impact neurological development in children.
  • Motor performance deficits may be an underrecognized complication of pediatric HIV.

Purpose of the Study:

  • To assess the impact of HIV infection on the motor performance of children and preadolescents.
  • To determine if motor performance changes over time with disease duration.

Main Methods:

  • The Bruininks-Oseretsky Test of Motor Proficiency (BOTMP) was administered to 34 HIV-positive children and preadolescents.
  • Testing occurred at diagnosis and every 6 months for 2 years, with scores compared to typically developing children.

Main Results:

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  • Gross Motor and Battery Composite scores were consistently 1-2 standard deviations below normal reference means.
  • Fine Motor Composite scores were closer to the normal reference population mean (within +.5 standard deviation).

Conclusions:

  • HIV-positive children in this sample exhibited more significant gross motor than fine motor impairments.
  • This pattern remained consistent over the 2-year study period.
  • The BOTMP is a valuable tool for identifying and monitoring motor deficits in pediatric HIV patients.