Keywords
Autism Spectrum Disorder, Brachial Plexus Injury, Cerebral Palsy, Occupational Therapy, Beery-Buktenica Developmental Test of Visual Motor Integration
Autism Spectrum Disorder, Brachial Plexus Injury, Cerebral Palsy, Occupational Therapy, Beery-Buktenica Developmental Test of Visual Motor Integration
The existing research is at a consensus that autism spectrum disorder (ASD), brachial plexus injury (BPI), and cerebral palsy (CP) affect visual motor integration (VMI) and that VMI may be positively impacted by occupational therapy intervention (Bumin & Kavak, 2008; Cho et al., 2015; Desai & Rege, 2005; Duff & DeMatteo, 2015; Green et al., 2016; Lu et al., 2016; Miller et al., 2014; Wadsworth et al., 2017). However, the research does not adequately address the potential relationship between occupational therapy intervention and the Beery VMI scores of children with ASD, BPI, and CP. This secondary data analysis cohort study addressed the current gap in knowledge by providing data that can be used to investigate the relationship between occupational therapy (prescribed frequency and total sessions attended), age, gender, and pre-Beery VMI scores on post-Beery VMI scores of children with ASD, BPI, and CP.
Patients with a formal diagnosis of ASD, BPI, and CP designated in the electronic medical record (EMR) who were between the ages of two years, zero months, and five years 11 months during the initial assessment (occupational therapy evaluation or re-evaluation) were considered for inclusion in the study. Subjects with pre- and post- Beery VMI scores who attended at least one therapy session (excluding the initial assessment and reassessment) were included in the study. Subjects’ identifying information was not reported, meeting Human Subject regulations and standards (Breault, 2006). Table 1 below provides the information of each subject included.
The inclusion criteria for the study was designed based on the findings from the literature. Patients with the diagnosis of ASD, BPI, and CP were selected as a focus for this study because these three conditions represent populations commonly affected by VMI deficits (Bonifacci, 2004; Dowd et al., 2011; Englund et al., 2014; Green et al., 2016). The age range accounted for the potential peak in VMI scores, while the six-month intervention period accounted for the confounding variable of maturation (Ercan et al., 2011; Fang et al., 2017; Heiz & Barisnikov, 2016). Limiting the study to one county accounted for the potential effects of location while focusing on one specific clinic increased the feasibility of the study (Cui et al., 2012; Ng et al., 2015; Visser et al., 2017).
Data for both questions were obtained from one pediatric outpatient clinic in South Florida. Subject data were collected from the pediatric outpatient electronic medical record system, RainTree, based on the inclusion and exclusion criteria. The data reviewed spanned from June 1, 2017 to March 13, 2020. Limiters of age (two years zero months to five years 11 months) and diagnoses (ASD, BPI, or CP) were then employed. After the limiters were applied each individual chart was analyzed for pre- and six-month post- Beery VMI scores. Patient charts with pre- and six-month post Beery VMI scores who attended at least one therapy treatment session were included in the study. Prescribed frequency, therapy attendance, and changes in Beery VMI scores were recorded with relevant demographic information (e.g., age and gender). A summary of this process can be seen in Figure 1.
Gender (male = 1, female = 0), age at initial assessment (24 months to 71 months), prescribed frequency (1 time per week =1, 2 times per week = 0), sessions attended (0 to 52 sessions), pre-Beery VMI raw score (0 to 30 points), post-Beery VMI raw score (0 to 30 points), and change in Beery VMI raw score (0 to 30 points).
This data set is part of a publicly defended dissertation and the study was approved by Concordia University Chicago’s IRB (study number 1698245-1). The study was exempt from review as it was determined to be a secondary data analysis. The research involves only information collection and analysis involving the investigator’s use of identifiable health information when that use is regulated under 45 CFR parts 160 and 164, subparts A and E, for the purposes of “health care operations” or “research” as those terms are defined at 45 CFR 164.501 or for “public health activities and purposes” as described under 45 CFR 164.512(b). Consent from participants was therefore not required.
Overwhelmingly, 97% of subjects were diagnosed with ASD while 1% were diagnosed with BPI and 2% were diagnosed with CP. The majority of subjects were male (N = 84, 78.5%; female N = 23, 21.5%). The subjects’ mean age was 49.21 months or approximately 4 years of age. Table 2 below provides an overview of the descriptive statistics.
All data underlying the results are available as part of the article (Table 1) and no additional source data are required.
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Is the rationale for creating the dataset(s) clearly described?
Yes
Are the protocols appropriate and is the work technically sound?
Yes
Are sufficient details of methods and materials provided to allow replication by others?
No
Are the datasets clearly presented in a useable and accessible format?
Partly
Competing Interests: No competing interests were disclosed.
Reviewer Expertise: Developmental Psychology
Is the rationale for creating the dataset(s) clearly described?
Yes
Are the protocols appropriate and is the work technically sound?
Yes
Are sufficient details of methods and materials provided to allow replication by others?
Partly
Are the datasets clearly presented in a useable and accessible format?
Partly
Competing Interests: No competing interests were disclosed.
Reviewer Expertise: Children's occupational therapy, autism
Alongside their report, reviewers assign a status to the article:
Invited Reviewers | ||
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Version 1 29 Jun 21 |
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