Research Article
Issue Date: February 26, 2020
Published Online: March 06, 2020
Updated: March 06, 2020
Spatial Attention Disregard in Children With Hemiplegic Cerebral Palsy
Author Affiliations
  • Tien-Ni Wang, PhD, is Associate Professor, School of Occupational Therapy, College of Medicine, National Taiwan University, Taipei City, Taiwan, and Occupational Therapist, Department of Physical Medicine and Rehabilitation, National Taiwan University Hospital, Taipei City, Taiwan.
  • Kai-Jie Liang, BS, is Doctoral Student, School of Occupational Therapy, College of Medicine, National Taiwan University, Taipei City, Taiwan.
  • Tsu-Hsin Howe, PhD, is Associate Professor, Department of Occupational Therapy, Steinhardt School of Culture, Education and Human Development, New York University, New York.
  • Hao-Ling Chen, PhD, is Associate Professor, School of Occupational Therapy, College of Medicine, National Taiwan University, Taipei City, Taiwan, and Occupational Therapist, Department of Physical Medicine and Rehabilitation, National Taiwan University Hospital, Taipei City, Taiwan.
  • Chen-Wei Huang, MS, is Occupational Therapist, School of Occupational Therapy, College of Medicine, National Taiwan University, Taipei City, Taiwan.
  • Chien-Te Wu, PhD, is Assistant Professor, School of Occupational Therapy and Graduate Institute of Brain and Mind Sciences, College of Medicine, National Taiwan University, Taipei City, Taiwan, and Occupational Therapist, Department of Psychiatry, National Taiwan University Hospital, Taipei City, Taiwan; chientewu@ntu.edu.tw
Article Information
Neurologic Conditions / Pediatric Evaluation and Intervention / Vision / Research Articles
Research Article   |   February 26, 2020
Spatial Attention Disregard in Children With Hemiplegic Cerebral Palsy
American Journal of Occupational Therapy, February 2020, Vol. 74, 7402205090. https://doi.org/10.5014/ajot.2020.038851
American Journal of Occupational Therapy, February 2020, Vol. 74, 7402205090. https://doi.org/10.5014/ajot.2020.038851
Abstract

Importance: Children with hemiplegic cerebral palsy (CP) demonstrate spatial attention disregard, but the rehabilitation approach to CP is traditionally motor oriented.

Objective: To explore spatial attention disregard in children with hemiplegic CP and its relationship to their motor performance in daily activities.

Design: Cross-sectional study.

Setting: Community.

Participants: Twenty-five children with hemiplegic CP and 25 age-matched typically developing children.

Outcomes and Measures: For spatial attention performance, the Random Visual Stimuli Detection Task; for developmental disregard, the Observatory Test of Capacity, Performance, and Developmental Disregard; and for motor performance, the Melbourne Assessment 2.

Results: Children with hemiplegic CP evidenced spatial attention disregard on their more affected sides, and this phenomenon was correlated with developmental disregard.

Conclusions and Relevance: Children with hemiplegic CP demonstrate developmental disregard in both the motor and the visual–spatial attention domains. Including evaluation of and intervention for visual–spatial attention for children with hemiplegic CP in the traditionally motor-oriented rehabilitation approach is recommended.

What This Article Adds: This research provides evidence that children with hemiplegic CP demonstrate disregard in the domain of visual–spatial attention. The findings suggest that evaluation of and intervention for visual–spatial attention should be included in CP rehabilitation in addition to the traditionally motor-oriented approach.