Visual motor integration delay in preschool children infected with HIV.

Introduction: It is estimated that more than 200 000 children under the age of 14 years are living with human immunodeficiency virus (HIV) in South Africa. These children - including those on antiretroviral therapy - may present with neurocognitive delay and may find it difficult to participate in e...

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Publicado en:South African Journal of Occupational Therapy Vol. 49; no. 3; pp. 24 - 31
Autores principales: Odejayi, Ramona, Franzsen, Denise, De Witt, Patricia
Formato: research tables/charts Journal Article
Publicado: Occupational Therapy Association of South Africa Dec2019
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Dec2019
      vid: 49
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      pub: Occupational Therapy Association of South Africa
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        10.17159/2310-3833/2019/vol49no3a5
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        atl: Visual motor integration delay in preschool children infected with HIV.
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        au:
          Odejayi, Ramona
          Franzsen, Denise
          De Witt, Patricia
        affil: Postgraduate student, Department of Occupational Therapy, School of Therapeutic Sciences, Faculty of Health Sciences, University of the Witwatersrand
      sug:
        subj:
          HIV-Positive Persons In Infancy and Childhood
          Visual Perception
          Psychomotor Performance
          Motor Skills Disorders
          Academic Achievement
          HIV Infections Transmission
          Disease Transmission, Vertical In Infancy and Childhood
          Human
          Child, Preschool
          Correlational Studies
          Cross Sectional Studies
          Quantitative Studies
          Descriptive Research
          Child
          Outpatient Service
          South Africa
          Clinical Assessment Tools
          Comparative Studies
          CD4 Lymphocyte Count
          Time Factors
          Mothers
          Socioeconomic Factors
          HIV Infections Complications
          Questionnaires
          Record Review
          Chi Square Test
          Male
          Female
          Anti-Retroviral Agents Therapeutic Use
          Treatment Duration
          Child, Preschool: 2-5 years
          Child: 6-12 years
          Male
          Female
      ab: Introduction: It is estimated that more than 200 000 children under the age of 14 years are living with human immunodeficiency virus (HIV) in South Africa. These children - including those on antiretroviral therapy - may present with neurocognitive delay and may find it difficult to participate in educational activities. This study aimed to determine the extent of the delay of visual motor integration (VMI) which correlates significantly with academic achievement in pre-school children with vertically transmitted HIV. Method: This was a descriptive quantitative study in which 71 children infected with HIV aged between 5 - 6 years, attending a HIV clinic in South Africa, were assessed using the Beery Developmental Test of Visual Motor Integration (DTVMI). The results were compared to the normative DTVMI scores, and correlated with health factors related to HIV such as CD4 count and socioeconomic factors such as attendance at crèche or preschool. Results: Results confirm that a delay exists in VMI and visual perception (VP) in the at risk category. Mean scores on the motor coordination (MC) fell in the average range. Visual perception was the most affected in this sample with an average delay of between 11 and 17 months found. Visual perception also showed a moderate positive correlation with CD4 count, while VMI had a moderate relationship to attendance at crèche or preschool and mother's level of education. Conclusion: This study confirms children with HIV are at risk for neurodevelopmental delay related to visual motor integration and visual perception, particularly in children with a low CD4 count. These aspects need to be assessed as part of routine neurodevelopmental monitoring.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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