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[Fine motor and self-development assessment of preschool children with epilepsy]
E B Lendraĭtene1, D P Petrushiavichene, Iu P Andronavichiute
1Klinika Litovskogo universiteta nauk zdorov'ia, Kaunas, Litva.
Insights
Preschool children with epilepsy often experience impaired fine motor skills and delayed self-care development. These developmental challenges are more pronounced in boys and children over three years old.
Area of Science:
- Pediatric Neurology
- Developmental Pediatrics
- Child Psychology
Context:
- Epilepsy in preschool-aged children presents unique developmental challenges.
- Assessing fine motor and self-care skills is crucial for early intervention.
- Limited research exists on the specific developmental trajectories in this population.
Purpose:
- To evaluate the fine motor and self-care skills of preschool children diagnosed with epilepsy.
- To compare the efficacy of the DISC and Munchen tests in assessing these skills.
- To identify factors associated with developmental impairments.
Summary:
- The study assessed 22 preschool children with epilepsy using DISC and Munchen tests.
- Results indicated significant impairments and delays in fine motor skills (50% impaired, 22.7% delayed) and self-care skills (36.4% impaired, 45.5% delayed).
- Both tests demonstrated equivalent assessment capabilities (p<0.001).
Impact:
- Findings highlight a high prevalence of fine motor and self-care skill deficits in preschool children with epilepsy.
- Older children (over 3 years) and boys showed more frequent self-care skill disturbances.
- Co-occurring psychiatric and movement disorders significantly increased the likelihood of both fine motor and self-care skill impairments (72.7%).
Abstract:
Objective. To assess fine motor and self-care skills in preschool children with epilepsy. Material and methods. The study included 22 children, 12 girls (54.5%) and 10 boys (45.5%), mean age 41.5±19.9 months. Children were tested with DISC and Munchen tests. Results and conclusion. Among preschool children with epilepsy, 50% have impaired and 22.7% - delayed development of fine motor skills. The mean coefficient of fine motor skills was 59.0±28.1. Among preschool children with epilepsy, 36.4% have impaired and 45.5% - delayed development of self-development skills. The coefficient of self-care skills was 57.8±26.1. DISC and Munchen tests for evaluation of small motor and self-care skills are equivalent for assessment in children with epilepsy (p<0.001). Self-care skills were more often disturbed (p<0.05) among children older than 3 years and among boys. Children with psychiatric and movement disorders (72.7%) more frequently have both impaired self-care and fine motor skills (p<0.05).
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