Neuropsychological profiles in children and young adults with spina bifida
| Autor: | Luca Massimi, R Moroni, M Capriati, E. Ausili, Claudia Rendeli, C Zanetti |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Male
medicine.medical_specialty Meningomyelocele Adolescent media_common.quotation_subject CBCL Neuropsychological Tests 050105 experimental psychology General Intelligence QI 03 medical and health sciences 0302 clinical medicine medicine Personality Humans 0501 psychology and cognitive sciences Child Spina bifida Spinal Dysraphism media_common Psychomotor learning business.industry 05 social sciences Neuropsychology Executive function assessment Wechsler Scales Cognition General Medicine medicine.disease Neuropsychological profiles Hydrocephalus Cognitive test Pediatrics Perinatology and Child Health Physical therapy Original Article Neurology (clinical) Myelomeningocele business 030217 neurology & neurosurgery |
| Zdroj: | Child's Nervous System |
| ISSN: | 1433-0350 0256-7040 |
| Popis: | Purpose A total of 43 Italian children, aged between 6 and 16 years, diagnosed with spina bifida, myelomeningocele, and shunted hydrocephalus have been described clinically and completed a neuropsychological battery in order to evaluate their cognitive, personality, and behavior profile. Methods Enrolled children underwent cognitive assessment by means of the Weschler WISC-IV cognitive test and assessment of the attention sustained through the LEITER test. In addition, parents were asked, in order to obtain a personality and behavior profile of the children, to fill in a “CBCL 6-18 years” questionnaire and to fill in a Barthel Index questionnaire. Results Processing Speed Index of the WISC-IV QI scale was statistically significant (p = 0.027), with the highest value presented by autonomous patients (95.8 ± 12.8) and the lowest by patients using a wheelchair (75.5 ± 19). WISC-IV QI mean value is 98 (±15.7) for lipoma patients and 78.7 (±17.6) for LMMC and MMC patients (p = 0.001). In more detail, Perceptual Reasoning (p < 0.0005), Working Memory (p = 0.01), and Processing Speed Index (p = 0.001) highlighted a significant difference between the groups. The attention sustained subscale of the LEITER presented a mean of 6.9 (±3.1) for lipoma patients and a men value of 4.6 (±3.1) for LMMC and MMC patients (p = 0.024). Patients with hydrocephalus had statistically significant worse cognition and autonomy (Barthel Index) score (p < 0.001) compared with those without hydrocephalus, and normal scores regarding attention and depression scales. Conclusion These results can be useful in planning dedicated therapeutic protocols such as suitable rehabilitation treatments, speech therapy, psychomotor skills, and cognitive enhancement and to develop prevention protocols particularly tailored for children with hydrocephalus who appear to have the more deficient skills. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full text from SpringerLink