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Constructional dyspraxia in preterm diplegia: isolation from visual and visual perceptual impairments

T Koeda1, M Inoue, K Takeshita

  • 1Division of Child Neurology, Institute of Neurological Sciences, Tottori University Faculty of Medicine, Yonago, Japan.

Acta Paediatrica (Oslo, Norway : 1992)
|November 14, 1997
PubMed

Insights

Preterm children with spastic diplegia (SD) often have visual impairments, especially if they have strabismus. Many also exhibit constructional dyspraxia, a deficit potentially independent of visual problems.

Area of Science:

  • Neuroscience
  • Ophthalmology
  • Developmental Pediatrics

Background:

  • Spastic diplegia (SD) is a common form of cerebral palsy affecting preterm infants.
  • Visual and visuospatial deficits are frequently observed in children with SD.
  • Understanding these deficits is crucial for early intervention and support.

Purpose of the Study:

  • To assess ophthalmological status, visual perception, and constructional abilities in preterm children with SD.
  • To compare neuropsychological deficits in children with SD against a control group.
  • To investigate the relationship between visual impairments and constructional function in SD.

Main Methods:

  • Evaluated visual acuity, eye position, stereoacuity, and depth perception.
  • Assessed visual perception, visuo-spatial construction, and constructional praxis.
  • Compared findings between SD and control groups, with and without strabismus.

Main Results:

  • Children with SD and strabismus exhibited poorer visual acuity, stereoacuity, and depth perception.
  • Constructional dyspraxia was prevalent in 94.1% of children with SD, regardless of strabismus.
  • Visual acuity, eye position, stereoacuity, and depth perception did not significantly predict constructional dyspraxia.

Conclusions:

  • Preterm children with SD and strabismus are at significant risk for visual dysfunction.
  • Constructional dyspraxia is common in children with SD and may be an independent neuropsychological deficit.
  • These findings highlight the need for comprehensive neurodevelopmental and visual assessments in preterm SD.
Abstract

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