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Updated: Jan 25, 2026

Methods to Explore the Influence of Top-down Visual Processes on Motor Behavior
Published on: April 16, 2014
Ophthalmological outcomes, visual perception, fine motor precision, and visual-motor integration in children born
Martin Johansson1, Eva Larsson2, Gerd Holmström2
1Department of Women's and Children's Health, Uppsala University, Sweden.
Insights
Subnormal vision in very preterm children at 2.5 and 6.5 years is linked to poorer visual-motor integration (VMI), visual perception, and fine motor skills at age 12. This highlights the impact of early ophthalmological function on neurodevelopment.
Area of Science:
- Neuroscience
- Developmental Pediatrics
- Ophthalmology
Background:
- Preterm birth (<32 weeks gestation) poses risks for neurodevelopmental outcomes.
- Ophthalmological function is crucial for developing visual perception and motor skills.
- Longitudinal data on the interplay between early vision and later neurodevelopment in very preterm infants is limited.
Purpose of the Study:
- To investigate the longitudinal associations between ophthalmological status and the development of visual perception, fine motor precision, and visual-motor integration (VMI) in children born very preterm.
- To compare these associations with those in term-born controls.
Main Methods:
- Prospective longitudinal cohort study of 113 very preterm children and term-born controls.
- Ophthalmological assessments (visual acuity, stereopsis, strabismus) at 2.5, 6.5, and 12 years.
- Neurodevelopmental assessments (VMI, visual perception, fine motor precision) at 6.5 and 12 years using the Beery-Buktenica Developmental Test of Visual-Motor Integration.
Main Results:
- Subnormal visual acuity at 2.5 years correlated with poorer VMI and fine motor skills at 12 years in preterm children.
- Ophthalmological issues (subnormal acuity, strabismus, stereopsis) at 6.5 years were associated with poorer VMI, visuo-perceptual, and fine motor performance at 12 years.
- These associations were not observed in term-born controls.
Conclusions:
- Early ophthalmological deficits in very preterm children predict poorer visual-motor and fine motor development later in childhood.
- The quality of visual input significantly influences the development of visual-motor abilities in this population.
- Findings offer insights into the relationship between ophthalmological function and neurodevelopmental trajectories following preterm birth.
Aim:
To explore longitudinal associations between ophthalmological outcome and development of visual perception, fine motor precision, and visual-motor integration (VMI) in children born very preterm (gestational age <32 weeks).
Method:
This was a prospective longitudinal cohort study of 113 children (51 females, 62 males) born very preterm. Visual acuity, low-contrast visual acuity, stereopsis, and strabismus were investigated at 2 years 6 months (n = 98), 6 years 6 months (n = 84), and 12 years (n = 59). VMI was assessed at 6 years 6 months and 12 years, and visual perception and fine motor precision at 12 years, with the Beery-Buktenica Developmental Test of Visual-Motor Integration. Controls born at term were assessed at 6 years 6 months (n = 64) and 12 years (n = 46).
Results:
For children born preterm, subnormal visual acuity at 2 years 6 months was related to both poorer VMI and fine motor precision at 12 years. Subnormal visual acuity, strabismus, and stereopsis at 6 years 6 months were also related to poorer VMI, visuo-perceptual, and fine motor measures at 12 years. These associations were not present in controls born at term.
Interpretation:
Subnormal ophthalmological function at 2 years 6 months and 6 years 6 months in children born very preterm is related to poorer performance on VMI, visuo-perceptual, and fine motor precision tasks at 12 years, indicating that the quality of visual input interacts with developing visual-motor abilities. The results of this study provide new insights on the relationship between ophthalmological function and neurodevelopment after preterm birth.
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