VISUOMOTOR INTEGRATION SKILLS IN CHILDREN AFFECTED BY OBSTRUCTIVE SLEEP APNEASYNDROME: A CASE-CONTROL STUDY

Margherita Salerno, Agata Maltese, Lucia Parisi, Michele Roccella, Giovanni Messina, Maria Ruberto, Francesco Precenzano

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Abstract

Introduction: Sleep related breathing disorders (SRBD) consist of frequent and repetitive episodes of pharyngeal obstructionduring sleep, with consequent intermittent hypoxia, sleep architecture fragmentation, daytime sleepiness and/or behavioural problemsand executive impairment in children. When untreated, SRBD and obstructive sleep apnea syndrome (OSA) mainly, mayimpact school performance, cognition, metabolism, and cardiovascular function.Aim of the present study is assessing the visuomotor integration skills in children affected by OSA.Materials and methods: 57 subjects affected by mild-to severe OSA, PSG diagnosed according to international diagnostic criteria,(31 males and 26 females) (mean age 10.8; SD ± 2.49) and 83 healthy children (45 males and 38 females) (mean age 9.95; SD± 1.87; p = 0.725). All subjects underwent assessment of motor coordination skills with Movement-ABC tests and visual-motor integrationability with Visual Motor Integration (VMI) test.Results: The subjects with OSA show a worse average performances in all items of Movement ABC (p <0.001) respect of controls.Specifically, children with OSAS show significantly higher values of total points (p <0.001), manual dexterity (p <0.001), ballskills (p <0.001) and balance (p <0.001). Accordingly, the average centile in OSA children at the MABC-test is significantly reducedcompared with controls (p <0.001). (Table 1) On the other hand, the VMI test evaluation among children with OSAS shows worstresult in total Visuo-Motor Integration (p <0.001), and in Motor Coordination sub-item (p <0.001) than controls. (Table 1).Conclusion: Our results also support for children and adolescents the hypothesis that executive functioning deficits might belinked primarily to the degree of severity nocturnal hypoxemia rather than daytime sleepiness, although several other studies areneeded.
Original languageEnglish
Pages (from-to)1659-1663
Number of pages5
JournalActa Medica Mediterranea
Publication statusPublished - 2016

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