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Effect of epilepsy on psychomotor function in children with uncomplicated epilepsy
S Boelen1, S Nieuwenhuis, L Steenbeek
1Department of Behavioural Science and Psychological Services, Epilepsy Centre Kempenhaeghe, Heeze, The Netherlands. BoelenS@kempenhaeghe.nl
Insights
Children with uncomplicated epilepsy show normal motor skills but slower psychomotor speed compared to peers. This may reflect general cortical inhibition associated with epilepsy.
Area of Science:
- Pediatric Neurology
- Neuroscience
- Developmental Psychology
Background:
- Epilepsy is a common neurological disorder in children.
- Understanding its impact on non-cognitive functions like motor skills is crucial for comprehensive care.
Purpose of the Study:
- To investigate the effects of uncomplicated epilepsy on motor function and psychomotor speed in children.
- To compare children with cryptogenic partial and idiopathic generalized epilepsy to a healthy control group.
Main Methods:
- Assessed 87 children with uncomplicated epilepsy and 107 controls using the Movement ABC and computerized reaction time/finger tapping tests.
- Analyzed differences in gross motor skills, fine motor skills, and psychomotor speed.
Main Results:
- No significant differences were found in overall motor function between children with epilepsy and controls.
- A significant slowing of psychomotor speed was observed in children with epilepsy.
- No correlation was found between antiepileptic drug treatment and psychomotor speed, nor differences between epilepsy types.
Conclusions:
- Children with uncomplicated epilepsy exhibit comparable motor skills to their peers.
- Slower psychomotor speed in children with epilepsy may be a manifestation of cortical inhibition.
- Further research can explore the neurobiological underpinnings of this observed psychomotor slowing.
Abstract:
This study assessed the impact of epilepsy on motor function in children. We aimed to analyze the effect in uncomplicated epilepsies (cryptogenic partial and idiopathic generalized epilepsy). A group of 87 children with epilepsy (47 males, 40 females; mean age 8y, standard deviation [SD] ly 9mo, range 4y 11mo to 12y 11mo), but without learning disability* or other neurological comorbid disorders, was compared with a control group of 107 children (76 males, 31 females; mean age 8y 4mo, SD 2y 2mo, range 4y 7mo to 12y 2mo). The differences in main motor skills and psychomotor speed were analyzed using the Movement ABC and computerized measures for simple reaction times and finger tapping. No significant difference in motor function was found. The overall psychomotor development of children with epilepsy is comparable to controls. However, a significant slowing of psychomotor speed in the group with epilepsy was reported. No relation with antiepileptic drug treatment was demonstrated and no difference in psychomotor speed between different types of epilepsy was found. The existence of a condition leading to excessive neuronal discharge leads to a general cortical inhibition. The slowing of psychomotor speed in children with uncomplicated epilepsy may be the behavioural presentation of this inhibition.
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