Precision in Progress: Unraveling the Clinimetric Properties of Beery-Buktenica Developmental Test of Visual-Motor Integration in Children With Cerebral Palsy Across Diverse Motor Severities

IF 3.2 3区医学 Q2 CLINICAL NEUROLOGY

Pediatric neurology Pub Date : 2024-09-20 DOI:10.1016/j.pediatrneurol.2024.09.017

Yu-Hsin Chen MD , Chia-Ling Chen MD, PhD , Wei-Hsien Hong PhD , Chung-Yao Chen MD , Chia-Ying Chung MD , Katie P.H. Wu MD , Ching-Yi Wu ScD , Keh-Chung Lin ScD, OTR

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Abstract

Background

In the realm of pediatric cerebral palsy (CP), visual motor challenges often overshadow a child's developmental journey. This study delves into the responsiveness and crucial benchmarks, specifically the minimal clinically important difference (MCID), of the Beery-Buktenica Developmental Test of Visual-Motor Integration (Beery VMI) among children with varying motor severities.

Method

Eighty-eight children with CP (50 males, 38 females; aged three to 12 years) with Gross Motor Function Classification System (GMFCS) levels I to III were recruited from the rehabilitation department of Chang Gung Memorial Hospital in Taiwan. Each participant received the Beery VMI tests at baseline and at one-year follow-up. The standardized response mean (SRM) was calculated to determine the responsiveness of Beery VMI, and a distribution-based approach was used to estimate MCID.

Results

The Beery VMI exhibited remarkable responsiveness across GMFCS levels I to III (SRM = 0.98-2.36). MCIDs for Beery VMI varied across severities, with ranges of 2.93 to 4.41 (0.2 S.D.), 7.31 to 11.49 (0.5 S.D.), and 11.70 to 18.38 (0.8 S.D.). Notably, in the visual perception subset, MCIDs were 3.93 to 4.03 (0.2 S.D.), 9.83 to 10.07 (0.5 S.D.), and 15.73 to 16.11 (0.8 S.D.). In the supplemental motor coordination subtest, MCIDs spanned 1.67 to 4.87 (0.2 S.D.), 4.18 to 12.17 (0.5 S.D.), and 6.68 to 19.47 (0.8 S.D.).

Conclusions

Beery VMI demonstrates robust responsiveness in children with CP. Motor-severity-tailored MCIDs offer a guide for clinicians and researchers, hinting at treatment efficacy. Particularly, lower change scores in VMI and motor coordination subtests may signal effective interventions for moderate motor disability over mild cases.

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精准进行时：揭示Beery-Buktenica视觉-运动整合发展测试在不同运动严重程度脑瘫儿童中的临床测量特性。

背景：在小儿脑瘫（CP）领域，视觉运动方面的挑战往往给儿童的成长历程蒙上阴影。本研究探讨了不同运动严重程度的儿童对 Beery-Buktenica 视觉-运动整合发育测试（Beery VMI）的反应能力和关键基准，特别是最小临床重要差异（MCID）：方法：从台湾长庚纪念医院康复科招募了88名患有CP的儿童（男50名，女38名；年龄在3至12岁之间），他们的粗大运动功能分级系统（GMFCS）处于I至III级。每位受试者在基线和一年随访时均接受了 Beery VMI 测试。通过计算标准化反应平均值（SRM）来确定比瑞 VMI 的反应性，并采用基于分布的方法来估计 MCID：结果：Beery VMI 在 GMFCS I 至 III 级（SRM = 0.98-2.36）中表现出显著的反应性。不同严重程度的 Beery VMI 的 MCID 各不相同，范围分别为 2.93 至 4.41（0.2 S.D.）、7.31 至 11.49（0.5 S.D.）和 11.70 至 18.38（0.8 S.D.）。值得注意的是，在视觉感知子测试中，MCID 分别为 3.93 至 4.03（0.2 S.D.）、9.83 至 10.07（0.5 S.D.）和 15.73 至 16.11（0.8 S.D.）。在补充运动协调分测验中，MCID 的范围分别为 1.67 至 4.87（0.2 S.D.）、4.18 至 12.17（0.5 S.D.）和 6.68 至 19.47（0.8 S.D.）：结论：Beery VMI 对患有 CP 的儿童具有很强的反应能力。运动性定制的 MCID 为临床医生和研究人员提供了指导，暗示了治疗效果。特别是，VMI 和运动协调分测验中较低的变化分可能预示着对中度运动障碍的干预比轻度病例有效。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Pediatric neurology 医学-临床神经学

CiteScore

4.80

自引率

2.60%

发文量

176

审稿时长

78 days

期刊介绍： Pediatric Neurology publishes timely peer-reviewed clinical and research articles covering all aspects of the developing nervous system. Pediatric Neurology features up-to-the-minute publication of the latest advances in the diagnosis, management, and treatment of pediatric neurologic disorders. The journal''s editor, E. Steve Roach, in conjunction with the team of Associate Editors, heads an internationally recognized editorial board, ensuring the most authoritative and extensive coverage of the field. Among the topics covered are: epilepsy, mitochondrial diseases, congenital malformations, chromosomopathies, peripheral neuropathies, perinatal and childhood stroke, cerebral palsy, as well as other diseases affecting the developing nervous system.