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Visual disorder and sensory integration in 3- to 6-year-old children with cerebral visual impairment and cerebral
Mustafa Cemali1, Sümeyye Belhan Çelik2
1Faculty of Health Sciences, Department of Occupational Therapy, Trakya University, Edirne, Turkey.
Insights
Children with cerebral palsy (CP) experience more sensory and behavioral issues, which worsen with co-occurring cerebral visual impairment (CVI). Addressing sensory processing is crucial for managing behavioral problems in these children.
Area of Science:
- Neuroscience
- Developmental Pediatrics
- Rehabilitation Medicine
Background:
- Children with cerebral palsy (CP) often exhibit sensory and behavioral difficulties.
- Cerebral visual impairment (CVI) can exacerbate these challenges, but the combined impact is not well understood.
Purpose of the Study:
- To compare sensory processing and behavior in children with CP and CVI, CP without CVI, and typically developing (TD) children.
- To investigate the relationship between sensory processing and behavior across these groups.
Main Methods:
- A prospective, cross-sectional study involving 120 children aged 3-6 years.
- Participants were divided into three groups: CP with CVI (n=40), CP without CVI (n=40), and TD (n=40).
- Sensory processing was assessed using the Sensory Profile (SP), and behavior was evaluated with the Child Behavior Rating Scale (CBRS).
Main Results:
- Significant differences in SP and CBRS scores were found between all three groups (p < .05).
- Children with CP and CVI showed the lowest scores, followed by CP without CVI, and then TD children.
- Strong positive correlations between SP and CBRS scores indicated that poorer sensory processing was linked to increased behavioral problems (rho = 0.468-0.872; p < .001).
Conclusions:
- Children with CP exhibit greater sensory processing and behavioral deficits compared to TD peers.
- The presence of CVI alongside CP significantly worsens these deficits.
- Evaluating sensory processing and behavior concurrently is vital for holistic intervention planning in children with CP.
Background:
Sensory and behavioral difficulties are frequently observed in children with cerebral palsy (CP), and these challenges may intensify when cerebral visual impairment (CVI) co-occurs. However, the extent and nature of these combined effects remain underexplored.
Objective:
The aim of this study is to compare sensory processing skills and behavior of children with CP and CVI, CP without CVI, and typically development (TD) and to examine the relationship between sensory processing skills and behavior in children in these groups.
Design:
Prospective, cross-sectional study with control group.
Setting:
Special education and rehabilitation center.
Participants:
A total of 120 children aged 3-6 years, consisting of three groups, were included in the study: 40 children with CP and CVI, 40 children with CP without CVI, and 40 children with TD.
Main Outcomes Measures:
The Sensory Profile (SP) was used to assess sensory skills and the Child Behavior Rating Scale (CBRS) was used to assess behavior.
Results:
There were significant differences in all pairwise comparisons between the three groups and between SP subdomains and CBRS scores (p < .05). Children with CP and CVI had the lowest median scores (SP: 7-78.5; CBRS: 26), followed by those with CP without CVI (SP: 9-95; CBRS: 33), whereas TD children had the highest scores (SP: 12-129; CBRS: 49). These findings suggest a trend toward worsening sensory and behavioral outcomes in the presence of CVI in addition to CP and in CP alone. Furthermore, moderate to strong positive correlations were observed between SP and CBRS scores in all groups (rho = 0.468-0.872; p < .001), suggesting that behavioral problems increase with decreased sensory processing skills.
Conclusions:
This study reveals that children with CP have more problems in sensory processing and behavioral functioning compared to their peers with TD and that these problems are exacerbated in the presence of CVI accompanying CP. In addition, the significant relationship observed between the decrease in sensory processing skills and the increase in behavioral problems emphasizes the importance of evaluating these two areas together and adopting a holistic approach in intervention planning.
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