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Data Note

Occupational therapy and Beery VMI scores of children with autism spectrum disorder, brachial plexus injury, and cerebral palsy

[version 1; peer review: 2 approved with reservations]
PUBLISHED 29 Jun 2021
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Abstract

Data of 107 children (84 males and 23 females) who received occupational therapy services were collected. Data collected included age, gender, prescribed frequency of occupational therapy, number of sessions attended within the six-month timeframe, pre and post Beery Visual Motor Integration scores.

Keywords

Autism Spectrum Disorder, Brachial Plexus Injury, Cerebral Palsy, Occupational Therapy, Beery-Buktenica Developmental Test of Visual Motor Integration

Introduction

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.

Methods

Participants

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.

Table 1. Subject information (underlying data).

GenderDiagnosisAge at assessment (months)Pre- BeeryPost- BeerySessions attendedPrescribed frequency
MASD3614402
FASD44913182
MASD4509422
MASD40913372
MASD3200281
MASD3758171
MASD3717172
MASD57108172
MASD3822202
MASD681215402
FASD67914151
MASD4915272
MASD6079152
MASD561313151
MASD4343292
MASD4630212
MASD520042
MASD481011132
FASD3446142
MASD3945272
MASD4756172
FASD3122242
MASD61111502
MASD5013372
MASD3800262
MASD64910282
MASD631115282
MASD4123162
MASD439991
MASD4233102
FASD4291261
FASD436682
MASD4868121
MASD58413372
MASD67914222
FASD6116222
MASD3112322
FASD456632
MASD701420121
MASD3004352
MASD5862181
MASD3439362
MASD5530262
MCP691515221
MASD5800362
MASD4509162
FASD46910211
MASD3901312
MASD5900252
MASD4901442
MASD551516262
MASD2622262
MASD3449152
MASD5967352
MASD3601172
MASD6544432
MASD5011392
MASD551015121
MASD47910392
FASD50113212
MASD4556182
MASD3574302
MASD4434262
FASD691415392
MASD6279362
MASD671315352
MASD5779442
FASD61151482
FASD611011241
MASD3710992
MASD661417101
FASD681619422
MASD3698402
MASD5212282
MASD53912232
MASD54810152
FASD3546252
MASD3979142
FASD4622162
FASD501012452
MASD3234382
FASD651214352
MASD4223212
MASD42913402
MASD5155232
FASD420791
FASD4368412
FASD661113102
MASD42713181
MASD7154442
MASD39411252
MASD43812201
MASD4927222
FBPI66131332
MASD641520152
MASD65101342
MASD69151871
MASD4515122
MASD3211152
MASD2512392
MASD6133352
MASD3245171
MASD6401192
FCP51912462
MASD3834262
MASD48713452
MASD4200142
MASD681315172

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 collection and analysis

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.

2cc05c59-473d-4c93-b4b8-5c0e9ccb2959_figure1.gif

Figure 1. Data collection procedures.

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).

Ethical considerations

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.

Dataset description

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.

Table 2. Research question descriptive statistics.

VariableMeanStandard deviation
Post Beery7.895.317
Gender1.790.413
Age (Months)49.2111.983
Pre-Beery5.894.645
Prescribed frequency1.820.384
Sessions attended24.0711.588

Data availability

Underlying data

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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Carsone B, Green K, Torrence W and Henry B. Occupational therapy and Beery VMI scores of children with autism spectrum disorder, brachial plexus injury, and cerebral palsy [version 1; peer review: 2 approved with reservations]. F1000Research 2021, 10:515 (https://doi.org/10.12688/f1000research.52435.1)
NOTE: If applicable, it is important to ensure the information in square brackets after the title is included in all citations of this article.
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ApprovedThe paper is scientifically sound in its current form and only minor, if any, improvements are suggested
Approved with reservations A number of small changes, sometimes more significant revisions are required to address specific details and improve the papers academic merit.
Not approvedFundamental flaws in the paper seriously undermine the findings and conclusions
Version 1
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Reviewer Report 28 Nov 2023
Livia Taverna, Faculty of Education, Free University of Bozen-Bolzano, Bozen, Italy 
Approved with Reservations
VIEWS 0
  • Research question: Formulate the research hypotheses: for example that you want to see if there are differences in the response to occupational therapy treatment in the various disorders, taking into account age, gender, and the duration of the
... Continue reading
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HOW TO CITE THIS REPORT
Taverna L. Reviewer Report For: Occupational therapy and Beery VMI scores of children with autism spectrum disorder, brachial plexus injury, and cerebral palsy [version 1; peer review: 2 approved with reservations]. F1000Research 2021, 10:515 (https://doi.org/10.5256/f1000research.55712.r120500)
NOTE: it is important to ensure the information in square brackets after the title is included in all citations of this article.
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Reviewer Report 28 Oct 2022
Caroline J. Mills, Occupational Therapy, School of Health Sciences, Western Sydney University, Penrith, NSW, Australia 
Approved with Reservations
VIEWS 7
This is an interesting data note which explores VMI scores pre and post for children who attended occupational therapy. The VMI is a commonly used tool in children’s occupational therapy and publication of this dataset may assist in collaboration and ... Continue reading
CITE
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HOW TO CITE THIS REPORT
Mills CJ. Reviewer Report For: Occupational therapy and Beery VMI scores of children with autism spectrum disorder, brachial plexus injury, and cerebral palsy [version 1; peer review: 2 approved with reservations]. F1000Research 2021, 10:515 (https://doi.org/10.5256/f1000research.55712.r153646)
NOTE: it is important to ensure the information in square brackets after the title is included in all citations of this article.

Comments on this article Comments (0)

Version 1
VERSION 1 PUBLISHED 29 Jun 2021
Comment
Alongside their report, reviewers assign a status to the article:
Approved - the paper is scientifically sound in its current form and only minor, if any, improvements are suggested
Approved with reservations - A number of small changes, sometimes more significant revisions are required to address specific details and improve the papers academic merit.
Not approved - fundamental flaws in the paper seriously undermine the findings and conclusions
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