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Comparisons of Children with and without Type I Diabetes on Hand and Visual Motor Integration Skills and on
Mehtap Kılıçöz1, Seval Kutlutürk Yıkılmaz1, Ayşegül Yüksel1
1Department of Physical Therapy and Rehabilitation, Graduate School of Healthy Sciences, 218502Istanbul Medipol University, Istanbul, Turkey.
Insights
Children with Type 1 diabetes (T1DM) show lower hand and visual-motor skills. They also face more community participation barriers, indicating a need for targeted support.
Area of Science:
- Pediatrics
- Endocrinology
- Developmental Psychology
Background:
- Type 1 diabetes (T1DM) is a chronic condition affecting children.
- Potential impacts of T1DM on fine motor skills and daily participation are not fully understood.
Purpose of the Study:
- To compare hand skills, visual-motor integration, and daily activity participation in children with and without T1DM.
- To identify specific challenges faced by children with T1DM.
Main Methods:
- Prospective cross-sectional study involving 44 children with T1DM and 45 healthy controls (aged 8-12 years).
- Assessment using the Jebsen-Taylor Hand Function Test (JTHFT), Beery-Buktenica Developmental Visual Motor Integration Test (Beery VMI), and Participation and Environment Measure - Children and Youth (PEM-CY).
Main Results:
- Children with T1DM demonstrated significantly lower scores on the JTHFT and Beery VMI compared to controls (p ≤ 0.005).
- Children with T1DM experienced greater participation barriers in community settings as measured by the PEM-CY.
Conclusions:
- Children with T1DM exhibit deficits in hand skills and visual-motor integration.
- Increased community participation barriers are evident in children with T1DM.
- Management strategies should address these specific deficits and barriers for improved daily functioning.
Abstract:
Our aim in this study was to compare hand skills, visual-motor integration skills, and participation in daily living activities of children with and without Type 1 diabetes (T1DM). In this prospective cross-sectional study, we included 44 children with T1DM (17 males, 27 females; aged 8-12 years) and a control group of 45 healthy age-matched children without T1DM (22 males, 23 females). We compared group scores on the Jebsen-Taylor Hand Function Test (JTHFT), the Beery-Buktenica Developmental Visual Motor Integration Test (Beery VMI), and the Participation and Environment Measure - Children and Youth (PEM-CY). JTHFT and Beery VMI scores of children with T1DM were significantly lower than those of the control group (p ≤ 0.005). On the PEM-CY, children with T1DM were found to have more participation barriers in the community than controls. Relative deficits in hand skills and visual motor integration of children with T1DM should be managed with greater attention and assistance.
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