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Virtual Reality Water Maze Navigation in Children with Neurofibromatosis Type 1 and Reading Disability: an
Micah A D'Archangel1, Stephanie N Del Tufo2, Laurie E Cutting1,3
1Vanderbilt Kennedy Center, Peabody College of Education and Human Development, Vanderbilt University, 110 Magnolia Circle, Nashville, TN 37203, USA.
Journal of Pediatric Neuropsychology
|August 28, 2025
Summary
Children with neurofibromatosis type 1 (NF1) initially show visuospatial deficits in virtual navigation tasks. With practice, their performance improves, becoming similar to typically developing peers.
Area of Science:
- Neuroscience
- Developmental Psychology
- Genetics
Background:
- Visuospatial deficits are a known characteristic of neurofibromatosis type 1 (NF1).
- Previous assessments may not fully capture the nature of these visuospatial challenges in NF1.
- Reading difficulties (RD) are common in NF1, necessitating matched control groups.
Purpose of the Study:
- To investigate visuospatial skills in children with NF1 using a novel virtual reality water maze.
- To compare the virtual navigation performance of children with NF1 to typically developing (TD) children.
- To explore the impact of practice on visuospatial learning in NF1.
Main Methods:
- An exploratory study utilized a virtual reality water maze, analogous to the Morris water maze.
- Participants included children with NF1 (n=17) and TD children (n=14), matched for reading skill.
- Navigation metrics (path length, latency, search error) were analyzed during learning and probe trials, controlling for IQ and working memory.
Main Results:
- TD children generally outperformed children with NF1 on initial virtual navigation learning trials.
- These differences remained significant even after controlling for IQ and working memory.
- No significant differences were observed between groups on the final probe trial, suggesting learning occurred.
Conclusions:
- Children with NF1 exhibit initial visuospatial navigation impairments compared to TD peers.
- Additional practice in virtual navigation tasks leads to performance improvements in children with NF1.
- Further research is needed to understand the relationship between visuospatial skills, reading abilities, and NF1.
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