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.
Abstract

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