Impairments in fine motor skills in children with Acute Lymphoblastic Leukaemia. A cross-sectional study
Por:
Tejeda-Castellanos, Xochiquetzalli, Sanchez-Medina, Carlos Maximiliano, Marquez-Gonzalez, Horacio, Alaniz-Arcos, Jose Luis, Ortiz-Cornejo, Ma. Elena, Brito-Suarez, Juliette Marie, Juarez-Villegas, Luis, Gutierrez-Camacho, Claudia
Publicada:
16 oct 2023
Categoría:
Pediatrics, perinatology and child health
Resumen:
AimWe evaluated fine motor skills; precision, motor integration, manual
dexterity, and upper-limb coordination according to sex and risk
stratification in children with Acute Lymphoblastic Leukaemia
(ALL).MethodsWe evaluated twenty-nine children in the maintenance phase
aged 6 to 12 years with the Bruininks-Oseretsky Test of Motor
Proficiency-second edition (BOT-2), and sex and age-specific norm values
of BOT-2 were used to compare our results.ResultsWe found lower scores
on the upper-limb coordination subtest, p = 0.003 and on the manual
coordination composite, p = 0.008, than normative values. Most boys
performed ``average'' on both the subtests and the composites, but
girls showed lower scores with a mean difference of 7.69 (95%CI; 2.24
to 3.14), p = 0.009. Girls' scale scores on the upper-limb coordination
subtest were lower than normative values, with mean difference 5.08
(95%CI; 2.35 to 7.81), p = 0.006. The mean standard score difference in
high-risk patients was lower than normative on the manual coordination
composite, 8.18 (95%CI; 2.26 to 14.1), p = 0.015. High-risk children
also performed below the BOT-2 normative on manual dexterity 2.82
(95%CI; 0.14 to 5.78), p = 0.035 and upper limb coordination subtest
4.10 (95%CI; 1.13 to 7.05), p = 0.028. We found a decrease in fine
motor precision in children with a higher BMI, rho= -0.87, p = 0.056 and
a negative correlation between older age and lower manual dexterity, r=
-0.41 p = 0.026; however, we did not find any correlation with the weeks
in the maintenance phase.ConclusionsFine motor impairments are common in
children with ALL in the maintenance phase; it is important to identify
these impairments to early rehabilitation.
Filiaciones:
Tejeda-Castellanos, Xochiquetzalli:
Physiotherapy Research Unit, Faculty of Medicine, Universidad Nacional Autónoma de México, Dr. Márquez 162 Colonia Doctores, Mexico City, 06720, Mexico
Univ Nacl Autonoma Mexico, Fac Med, Physiotherapy Res Unit, Dr Marquez 162 Colonia Doctores, Mexico City 06720, Mexico
Sanchez-Medina, Carlos Maximiliano:
Physiotherapy Research Unit, Faculty of Medicine, Universidad Nacional Autónoma de México, Dr. Márquez 162 Colonia Doctores, Mexico City, 06720, Mexico
Univ Nacl Autonoma Mexico, Fac Med, Physiotherapy Res Unit, Dr Marquez 162 Colonia Doctores, Mexico City 06720, Mexico
Marquez-Gonzalez, Horacio:
Research Department, Hospital Infantil de México Federico Gómez, Mexico City, Mexico
Hosp Infantil Mexico Dr Federico Gomez, Res Dept, Mexico City, Mexico
Alaniz-Arcos, Jose Luis:
Physiotherapy Research Unit, Faculty of Medicine, Universidad Nacional Autónoma de México, Dr. Márquez 162 Colonia Doctores, Mexico City, 06720, Mexico
Univ Nacl Autonoma Mexico, Fac Med, Physiotherapy Res Unit, Dr Marquez 162 Colonia Doctores, Mexico City 06720, Mexico
Ortiz-Cornejo, Ma. Elena:
Physiotherapy Research Unit, Faculty of Medicine, Universidad Nacional Autónoma de México, Dr. Márquez 162 Colonia Doctores, Mexico City, 06720, Mexico
Univ Nacl Autonoma Mexico, Fac Med, Physiotherapy Res Unit, Dr Marquez 162 Colonia Doctores, Mexico City 06720, Mexico
Brito-Suarez, Juliette Marie:
Physiotherapy Research Unit, Faculty of Medicine, Universidad Nacional Autónoma de México, Dr. Márquez 162 Colonia Doctores, Mexico City, 06720, Mexico
Univ Nacl Autonoma Mexico, Fac Med, Physiotherapy Res Unit, Dr Marquez 162 Colonia Doctores, Mexico City 06720, Mexico
Juarez-Villegas, Luis:
Haematology and oncology department of the Hospital Infantil de Mexico, Federico Gómez, Mexico City, Mexico
Hosp Infantil Mexico Dr Federico Gomez, Haematol & Oncol Dept, Mexico City, Mexico
Gutierrez-Camacho, Claudia:
Physiotherapy Research Unit, Faculty of Medicine, Universidad Nacional Autónoma de México, Dr. Márquez 162 Colonia Doctores, Mexico City, 06720, Mexico
Univ Nacl Autonoma Mexico, Fac Med, Physiotherapy Res Unit, Dr Marquez 162 Colonia Doctores, Mexico City 06720, Mexico
gold, Gold
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