May 2007
Volume 48, Issue 13
Free
ARVO Annual Meeting Abstract  |   May 2007
Validating a Pediatric Cerebral Palsy Visuomotor Impairment Questionnaire
Author Affiliations & Notes
  • F. F. Ghasia
    Department of Ophthalmology and Visual Sciences, Washington University Medical Center, St. Louis, Missouri
  • B. S. Wilson
    Department of Ophthalmology and Visual Sciences, Washington University Medical Center, St. Louis, Missouri
  • M. O. Gordon
    Department of Ophthalmology and Visual Sciences, Washington University Medical Center, St. Louis, Missouri
  • J. E. Brunstrom
    Department of Neurology, St. Louis Children's Hospital at Washington University Medical Center, St. Louis, Missouri
  • L. Tychsen
    Department of Ophthalmology and Visual Sciences, Washington University Medical Center, St. Louis, Missouri
  • Footnotes
    Commercial Relationships F.F. Ghasia, None; B.S. Wilson, None; M.O. Gordon, None; J.E. Brunstrom, None; L. Tychsen, None.
  • Footnotes
    Support 5 T32 EY13360-05 ,F32 EY016964 HIGHWIRE EXLINK_ID="48:5:954:1" VALUE="EY016964" TYPEGUESS="GEN" /HIGHWIRE -01A1 , Gustavus and Louise Pfeiffer Research Foundation,
Investigative Ophthalmology & Visual Science May 2007, Vol.48, 954. doi:
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    • Get Citation

      F. F. Ghasia, B. S. Wilson, M. O. Gordon, J. E. Brunstrom, L. Tychsen; Validating a Pediatric Cerebral Palsy Visuomotor Impairment Questionnaire. Invest. Ophthalmol. Vis. Sci. 2007;48(13):954.

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      © ARVO (1962-2015); The Authors (2016-present)

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Abstract

Purpose:: To develop and validate a questionnaire that assays the functional impact of visuomotor deficits in children with cerebral palsy (CP).

Methods:: Parents of 131 children with CP (mean age: 8.2 yr), followed in a cross-sectional observational study, completed a 23 item questionnaire graded using Likert scales. Ophthalmologic and neurologic deficits were cataloged by clinical examinations, and the Gross Motor Function Classification Scale (1-5, 1= mild, 5 = severe) was used to grade motor impairment (the patient population studied distributed uniformly throughout grades of GMFCS). Questionnaire subscales probed: eye contact, tracking, recognition, finding and avoiding, judging depth, and reading. Scores were analyzed for internal consistency, and reliability assessed by comparing scores to the severity of clinical visuomotor deficits, including logMAR acuity.

Results:: The composite and subscale scores showed good reliabilities, ranging from 0.7 to 0.93 (scale 0 to 1.0; Cronbach Coefficient Alpha). Strong correlation was found with severity of motor (r2 =0.49, p < 0.01) and visual (r2 =0.67, p < 0.01) impairment. Scores did not correlate significantly with age, sex or race. Average time required for completion of the questionnaire was ≤ 6 min.

Conclusions:: The brevity, scope and psychometric strength of the CP visuomotor questionnaire supports its use for measuring disease-burden in clinical practice and in research.

Keywords: infant vision • neuro-ophthalmology: cortical function/rehabilitation • strabismus 
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