Graphomotor skills in children with prenatal alcohol exposure and fetal alcohol spectrum disorder: A population-based study in remote Australia

Background/aim: Few studies have examined graphomotor skills in children with prenatal alcohol exposure (PAE) or fetal alcohol spectrum disorder (FASD). Methods: Graphomotor skills were assessed in 108 predominantly Australian Aboriginal children aged 7.5-9.6 years in remote Western Australia using...

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Main Authors: Doney, Robyn, Lucas, B., Jirikowic, T., Tsang, T., Watkins, R., Sauer, Kay, Howat, Peter, Latimer, J., Fitzpatrick, J., Oscar, J., Carter, M., Elliott, E.
Format: Journal Article
Published: Wiley-Blackwell Publishing Asia 2017
Online Access:http://hdl.handle.net/20.500.11937/23649
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author Doney, Robyn
Lucas, B.
Jirikowic, T.
Tsang, T.
Watkins, R.
Sauer, Kay
Howat, Peter
Latimer, J.
Fitzpatrick, J.
Oscar, J.
Carter, M.
Elliott, E.
author_facet Doney, Robyn
Lucas, B.
Jirikowic, T.
Tsang, T.
Watkins, R.
Sauer, Kay
Howat, Peter
Latimer, J.
Fitzpatrick, J.
Oscar, J.
Carter, M.
Elliott, E.
author_sort Doney, Robyn
building Curtin Institutional Repository
collection Online Access
description Background/aim: Few studies have examined graphomotor skills in children with prenatal alcohol exposure (PAE) or fetal alcohol spectrum disorder (FASD). Methods: Graphomotor skills were assessed in 108 predominantly Australian Aboriginal children aged 7.5-9.6 years in remote Western Australia using clinical observations (pencil grasp; writing pressure) and standardised assessment tools (the Evaluation Tool of Children's Handwriting; and the Miller Function and Participation Scales - The Draw-a-Kid Game). Skills were compared between children (i) without PAE, (ii) PAE but not FASD and (iii) FASD. Results: Most children used a transitional pencil grasp and exerted heavy handwriting pressure (83.3% and 30.6% of the cohort). The percentage of letters (M = 62.9%) and words (M = 73.3%) written legibly was low. Children with FASD were more likely than children without PAE to use a cross-thumb grasp (P = 0.027), apply heavy writing pressure (P = 0.036), be unable to write a sentence (P = 0.041) and show poorer word legibility (P = 0.041). There were no significant differences between groups for drawing outcomes, although some children with FASD drew pictures that appeared delayed for their age. There were no significant differences between children without PAE and those with PAE but who were not diagnosed with FASD. Conclusions: Overall, graphomotor skills were poor in this cohort, but children with FASD performed significantly worse than children without PAE. Findings suggest the need for improved occupational therapy services for children in remote regions and evaluation of graphomotor skills in children with PAE. © 2016 Occupational Therapy Australia.
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spelling curtin-20.500.11937-236492019-02-19T05:35:05Z Graphomotor skills in children with prenatal alcohol exposure and fetal alcohol spectrum disorder: A population-based study in remote Australia Doney, Robyn Lucas, B. Jirikowic, T. Tsang, T. Watkins, R. Sauer, Kay Howat, Peter Latimer, J. Fitzpatrick, J. Oscar, J. Carter, M. Elliott, E. Background/aim: Few studies have examined graphomotor skills in children with prenatal alcohol exposure (PAE) or fetal alcohol spectrum disorder (FASD). Methods: Graphomotor skills were assessed in 108 predominantly Australian Aboriginal children aged 7.5-9.6 years in remote Western Australia using clinical observations (pencil grasp; writing pressure) and standardised assessment tools (the Evaluation Tool of Children's Handwriting; and the Miller Function and Participation Scales - The Draw-a-Kid Game). Skills were compared between children (i) without PAE, (ii) PAE but not FASD and (iii) FASD. Results: Most children used a transitional pencil grasp and exerted heavy handwriting pressure (83.3% and 30.6% of the cohort). The percentage of letters (M = 62.9%) and words (M = 73.3%) written legibly was low. Children with FASD were more likely than children without PAE to use a cross-thumb grasp (P = 0.027), apply heavy writing pressure (P = 0.036), be unable to write a sentence (P = 0.041) and show poorer word legibility (P = 0.041). There were no significant differences between groups for drawing outcomes, although some children with FASD drew pictures that appeared delayed for their age. There were no significant differences between children without PAE and those with PAE but who were not diagnosed with FASD. Conclusions: Overall, graphomotor skills were poor in this cohort, but children with FASD performed significantly worse than children without PAE. Findings suggest the need for improved occupational therapy services for children in remote regions and evaluation of graphomotor skills in children with PAE. © 2016 Occupational Therapy Australia. 2017 Journal Article http://hdl.handle.net/20.500.11937/23649 10.1111/1440-1630.12326 Wiley-Blackwell Publishing Asia fulltext
spellingShingle Doney, Robyn
Lucas, B.
Jirikowic, T.
Tsang, T.
Watkins, R.
Sauer, Kay
Howat, Peter
Latimer, J.
Fitzpatrick, J.
Oscar, J.
Carter, M.
Elliott, E.
Graphomotor skills in children with prenatal alcohol exposure and fetal alcohol spectrum disorder: A population-based study in remote Australia
title Graphomotor skills in children with prenatal alcohol exposure and fetal alcohol spectrum disorder: A population-based study in remote Australia
title_full Graphomotor skills in children with prenatal alcohol exposure and fetal alcohol spectrum disorder: A population-based study in remote Australia
title_fullStr Graphomotor skills in children with prenatal alcohol exposure and fetal alcohol spectrum disorder: A population-based study in remote Australia
title_full_unstemmed Graphomotor skills in children with prenatal alcohol exposure and fetal alcohol spectrum disorder: A population-based study in remote Australia
title_short Graphomotor skills in children with prenatal alcohol exposure and fetal alcohol spectrum disorder: A population-based study in remote Australia
title_sort graphomotor skills in children with prenatal alcohol exposure and fetal alcohol spectrum disorder: a population-based study in remote australia
url http://hdl.handle.net/20.500.11937/23649