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Visual, perceptual functions, and functional vision in children with unilateral cerebral palsy compared to children

Monica Crotti1,2, Els Ortibus1,2, Lisa Mailleux2,3

  • 1Department of Development and Regeneration, KU Leuven, Leuven, Belgium.

Developmental Medicine and Child Neurology
|January 25, 2024
PubMed

Insights

Children with unilateral cerebral palsy (CP) experience visual impairments affecting their daily functioning. Early visual profiling is crucial for timely intervention and improved outcomes in these children.

Area of Science:

  • Neuroscience
  • Ophthalmology
  • Developmental Pediatrics

Background:

  • Unilateral cerebral palsy (CP) can impact visual development and function.
  • Understanding visual and functional vision deficits is crucial for comprehensive care.

Purpose of the Study:

  • To compare visual (perceptual) function and functional vision in children with unilateral CP and neurotypical development (NTD).
  • To identify specific visual deficits associated with unilateral CP and their impact on daily life.

Main Methods:

  • A cross-sectional study involving 50 children with unilateral CP and 50 age/sex-matched NTD children (7-15 years).
  • Standardized clinical tests assessed visual acuity, stereoacuity, and visual-perceptual skills.
  • The Flemish cerebral visual impairment questionnaire (FCVIQ) evaluated functional vision in children with CP.

Main Results:

  • Children with unilateral CP exhibited reduced visual acuity and visual-perceptual functions compared to NTD peers.
  • Left-sided unilateral CP was linked to lower stereoacuity.
  • Visual-perceptual deficits, particularly in visuomotor integration and visual closure, were significant.
  • Poorer visual-perceptual skills correlated with increased visual disinterest and anxiety.

Conclusions:

  • Comprehensive visual assessments are essential during the clinical evaluation of children with unilateral CP.
  • Identifying visual impairments can help mitigate functional limitations and improve overall well-being.
Abstract

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