Motor-Based Application Process for Cerebral Visual Impairment-Related Questionnaires for School-Age Children with...

Area of Science:

• Pediatric Neurology
• Ophthalmology
• Occupational Therapy

Background:

• Cerebral visual impairment (CVI) is a significant challenge for children with cerebral palsy (CP).
• Accurate assessment of visual functioning in this population is crucial for intervention planning.
• Existing assessment tools may not fully capture the complexities of CVI in children with CP.

Purpose of the Study:

• To evaluate the psychometric properties of CVI-related questionnaires in school-age children with CP.
• To propose an occupational therapy assessment framework integrating motor function and visual performance.
• To determine the predictive validity of specific questionnaires for daily visual functioning.

Main Methods:

• A cohort of 288 school-age children with CP participated.
• Participants completed the CVI Motor Questionnaire (CVI-MQ).
• Daily visual performance was assessed using the CVI Inventory and Functional Vision Questionnaire (FVQ), considering ambulatory status.

Main Results:

• The FVQ and two factors from the CVI Inventory demonstrated significant predictive power for visual functioning.
• The CVI-MQ showed psychometric utility in this population.
• Ambulatory status was a relevant factor in visual performance assessment.

Conclusions:

• CVI-specific questionnaires, when considered alongside gross motor function, are valuable for occupational therapists.
• These tools can effectively assess the daily visual performance of children with CP.
• The findings support the integration of visual and motor assessments in pediatric occupational therapy.