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Body knowledge in children with spina bifida.

Hiroshi Mano1,2, Sayaka Fujiwara1, Sayumi Yabuki3

  • 1Department of Rehabilitation Medicine, The University of Tokyo Hospital, Bunkyo-ku, Japan.

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|March 29, 2021
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Summary

Children with spina bifida show reduced awareness of their bodies, particularly paralyzed limbs. This impacts their understanding of body parts and their functions, potentially affecting self-care and preventing complications.

Keywords:
body knowledgebody part namingparalysisself-portraitspina bifida

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Area of Science:

  • Developmental psychology
  • Neuroscience
  • Pediatric medicine

Background:

  • Spina bifida causes paralysis and sensory issues, leading to secondary complications like ulcers.
  • Understanding body parts, their functions, and relationships is crucial for preventing these issues.
  • Body awareness in children with spina bifida remains poorly understood.

Purpose of the Study:

  • To investigate body perception in children with spina bifida.
  • To compare their body knowledge with typically developing children.
  • To focus on awareness of paralyzed and related body parts.

Main Methods:

  • 36 children with spina bifida and 14 controls (ages 5-11) participated.
  • Participants drew self-portraits and answered questions on body part names.
  • Quantified drawn body parts and verbal response accuracy for comparison.

Main Results:

  • Children with spina bifida drew fewer hands, legs, and feet.
  • They exhibited lower accuracy in identifying upper limbs, hands, trunk, and feet.
  • This indicates deficits in visuospatial and semantic body knowledge.

Conclusions:

  • Children with spina bifida demonstrate impaired body knowledge, especially for paralyzed areas.
  • This diminished awareness may contribute to secondary health issues.
  • Further research should explore interventions to improve body schema in this population.