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Visual agnosia is a condition characterized by the inability to recognize visually presented objects despite having normal vision. For instance, a person with visual agnosia can describe the shape and color of an object but cannot identify or name it. This impairment does not affect their visual field, acuity, color vision, brightness discrimination, language, or memory. An example of this condition in a social setting is someone at a dinner party asking for "that silver thing with a round...
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Visual-spatial training efficacy in children affected by migraine without aura: a multicenter study.

Francesco Precenzano1, Maria Ruberto2, Lucia Parisi3

  • 1Clinic of Child and Adolescent Neuropsychiatry, Headache Center for Children and Adolescent. Department of Mental and Physical Health and Preventive Medicine, Università degli Studi della Campania Luigi Vanvitelli.

Neuropsychiatric Disease and Treatment
|February 11, 2017
PubMed
Summary

Children with migraine without aura (MwA) often face cognitive and motor skill challenges. A computerized training program significantly improved visual-spatial and visual-motor integration (VMI) skills in MwA patients, offering a new rehabilitative approach.

Keywords:
migraine without auravisual–motor integrationvisual–motor training skills

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Area of Science:

  • Pediatric Neurology
  • Developmental Psychology
  • Rehabilitation Medicine

Background:

  • Children with migraine without aura (MwA) frequently experience persistent deficits in cognitive functions, including attention, memory, and visual-motor integration (VMI).
  • Motor abilities, particularly fine motor skills and dexterity, are often impaired in children diagnosed with MwA.
  • Existing clinical practices highlight the need for targeted interventions to address these functional difficulties in pediatric migraine patients.

Purpose of the Study:

  • To evaluate visual-spatial and visual-motor abilities in a cohort of children diagnosed with MwA.
  • To assess the efficacy of a specific computerized training program on improving these abilities.
  • To compare the outcomes of the computerized training intervention against a control group.

Main Methods:

  • A sample of 84 children with MwA (mean age 8.91 years) were randomly assigned to either a training group (Group A) or a control group (Group B).
  • Baseline assessments (T0) included the Movement Assessment Battery for Children (M-ABC) and VMI tests for both groups.
  • Group A underwent a 6-month computerized training program, with follow-up assessments (T1) conducted for both groups.

Main Results:

  • After 6 months, Group A demonstrated significant improvements in M-ABC global performance percentile and VMI total and motor scores compared to Group B (P<0.001).
  • Group A also showed significant improvements in VMI visual scores (P=0.017) and a decrease in the dexterity item of the M-ABC test (P<0.001) from baseline.
  • Group B exhibited no significant changes in M-ABC or VMI performances between T0 and T1, indicating the intervention's specific effect.

Conclusions:

  • The study confirms motor and visual-motor integration difficulties in children with MwA.
  • A specific computerized training program proved effective in enhancing visual-spatial and visual-motor skills in this population.
  • This intervention presents a promising new rehabilitative strategy for children affected by migraine without aura.