ABSTRACT
INTRODUCTION: In CLRE specific learning difficulties and motor problems may occur. The aim of this study is to examine whether CLRE or the accompanying specific learning difficulties are associated with the occurring problems in motor function. METHODS: Motor functioning in 140 children with CLRE and without epilepsy, as well as with and without specific learning difficulties is compared using Chi-square. RESULTS: In the CLRE group 35% score below the 5th percentile (poor motor function). No correlations with epilepsy variables or the occurrence of specific learning difficulties is found. DISCUSSION: A subgroup of about one-third of children with CLRE are at risk for poor motor function. Their development is best monitored using a multi-dimensional approach, including cognitive development and motor functioning.
Subject(s)
Epilepsy/epidemiology , Epilepsy/physiopathology , Motor Skills Disorders/epidemiology , Motor Skills Disorders/physiopathology , Motor Skills/physiology , Child , Cognition/physiology , Developmental Disabilities/epidemiology , Developmental Disabilities/physiopathology , Female , Humans , Learning Disabilities/epidemiology , Learning Disabilities/physiopathology , Male , Risk FactorsABSTRACT
The aim of this study is to investigate psychomotor- and motor functioning in children with cryptogenic localization related epilepsy (CLRE) and to explore possible relationships between these two functions. Eighty-nine children were included. Results of reaction times measurements and motor functioning tasks were compared to age-related normative values. Correlations between the psychomotor and motor tasks were computed. Manual dexterity and balance problems are present in about 35% of CLRE-children. Ball skills are problematic in approximately 55% of the children. Simple reaction time measurements showed significantly slowing for CLRE children relative to the reference values. Also, performance on the m-ABC was significantly lower than the reference values. The better the child's performance on the simple reaction time measurements, the better the performance on the m-ABC.
Subject(s)
Epilepsies, Partial/physiopathology , Motor Activity/physiology , Psychomotor Performance/physiology , Case-Control Studies , Child , Cross-Sectional Studies , Female , Humans , Male , Postural Balance/physiology , Reaction Time/physiology , Statistics as TopicABSTRACT
Using the Child Behavior Checklist, the behavior of 16 children with cryptogenic localization-related epilepsy was assessed at first admission to our epilepsy center, and approximately 2 years later. Behavior improved substantially from t(1) (first assessment, when patients were admitted to our center) to t(2) (reassessment after approximately 2 years) on almost all subscales of the Child Behavior Checklist. At t(2), all subscales scored within normal range. Furthermore, seizure frequency improved considerably in the 2 years between assessments. After a period of approximately 2 years, normalization of behavior in children with cryptogenic localization-related epilepsy occurred.
