Visual Perception and Fine Motor Skills Mediate Effects of Very Preterm Birth on Visual-Motor Integration

Anne-Kathrin Dathe1,2,3, Julia Jaekel4,5, Thomas Hoehn6

  • 1Department of Paediatrics I, Neonatology, Paediatric Intensive Care and Paediatric Neurology, University Hospital Essen, University of Duisburg-Essen, Essen, Germany.

Insights

Very preterm birth impacts visual-motor integration, with fine motor skills and visual perception partially mediating these effects. This understanding is crucial for early screening and intervention in at-risk children.

Area of Science:

  • Developmental Pediatrics
  • Neuroscience
  • Child Psychology

Background:

  • Very preterm birth (gestational age < 32 weeks) is associated with developmental challenges.
  • The specific developmental pathways leading to visual-motor difficulties in these children are not fully understood.
  • Early identification and intervention are critical for improving outcomes in very preterm infants.

Purpose of the Study:

  • To investigate the mediating roles of visual perception and fine motor skills in the relationship between very preterm birth and visual-motor integration.
  • To elucidate the developmental profile underlying visual-motor challenges in very preterm children before school entry.
  • To provide evidence for targeted screening and follow-up strategies.

Main Methods:

  • A cohort of 60 very preterm children and 60 term-born controls were assessed at 5-6 years of age.
  • Standardized assessments included the Movement Assessment Battery for Children and the Developmental Test of Visual Perception.
  • Mediation analysis was employed to examine direct and indirect effects using SPSS.

Main Results:

  • Very preterm birth was significantly associated with lower visual-motor integration, fine motor skills, and visual perception.
  • Fine motor skills and visual perception were positively correlated with visual-motor integration.
  • The negative impact of very preterm birth on visual-motor integration was partially explained by deficits in fine motor skills and visual perception.

Conclusions:

  • The findings confirm that deficits in fine motor skills and visual perception partially mediate the effects of very preterm birth on visual-motor integration.
  • This developmental profile highlights the importance of assessing both visual perception and fine motor skills in very preterm children.
  • The results support the integration of these assessments into routine screening and follow-up protocols for this population.
Abstract

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