WISC-V motor-free cognitive profile and predictive factors in adolescents with cerebral palsy.

Adolescent Cerebral Palsy Child Cognition Cognitive Dysfunction Humans Intelligence Tests Wechsler Scales
Adolescents Assessment Cerebral palsy Cognition Cognitive WISC-V

Journal

Research in developmental disabilities
ISSN: 1873-3379
Titre abrégé: Res Dev Disabil
Pays: United States
ID NLM: 8709782

Informations de publication

Date de publication:
Jun 2021
Historique:
received: 05 11 2020
revised: 03 03 2021
accepted: 08 03 2021
pubmed: 20 3 2021
medline: 29 7 2021
entrez: 19 3 2021
Statut: ppublish

Résumé

The most commonly used intelligence tests - the Wechsler Scales - do not provide standardised procedures for assessing children with motor impairment, and as a result, may underestimate the intelligence quotient (IQ) of young people with CP. To characterise a motor-free cognitive profile of adolescents with CP using the Wechsler Intelligence Scale for Children - Fifth edition (WISC-V) and explore the influence of clinical factors on cognitive abilities. The WISC-V was used to assess cognitive abilities in 70 adolescents (M = 14 years 6 months, SD = 10 months). Sixty-six adolescents (Gross Motor Function Classification System (GMFCS) Level I, n = 26 ; II, n = 23; III, n = 15; IV, n = 1; V, n = 1) obtained either a Motor-free IQ or index score using the motor-free method. MFIQ and index scores fell below the normative data and rates of borderline and impaired cognitive abilities were significantly higher in the CP group. Scores showed an uneven cognitive profile with a relative strength in verbal abilities. Severity of motor impairment and small for gestational age (SGA) were associated with lower IQ scores. A history of seizures was related to lower verbal abilities. Cognitive abilities of adolescents with CP are significantly below expectation compared to normative data. Severity of motor impairment, SGA, and seizures need to be recognised by health professionals as risk factors for cognitive impairment. A substantial proportion of adolescents showed borderline cognitive abilities, constituting a group with CP which are relatively neglected in the literature.

Sections du résumé

BACKGROUND BACKGROUND
The most commonly used intelligence tests - the Wechsler Scales - do not provide standardised procedures for assessing children with motor impairment, and as a result, may underestimate the intelligence quotient (IQ) of young people with CP.
AIMS OBJECTIVE
To characterise a motor-free cognitive profile of adolescents with CP using the Wechsler Intelligence Scale for Children - Fifth edition (WISC-V) and explore the influence of clinical factors on cognitive abilities.
METHODS AND PROCEDURE METHODS
The WISC-V was used to assess cognitive abilities in 70 adolescents (M = 14 years 6 months, SD = 10 months). Sixty-six adolescents (Gross Motor Function Classification System (GMFCS) Level I, n = 26 ; II, n = 23; III, n = 15; IV, n = 1; V, n = 1) obtained either a Motor-free IQ or index score using the motor-free method.
OUTCOMES AND RESULTS RESULTS
MFIQ and index scores fell below the normative data and rates of borderline and impaired cognitive abilities were significantly higher in the CP group. Scores showed an uneven cognitive profile with a relative strength in verbal abilities. Severity of motor impairment and small for gestational age (SGA) were associated with lower IQ scores. A history of seizures was related to lower verbal abilities.
CONCLUSIONS AND IMPLICATIONS CONCLUSIONS
Cognitive abilities of adolescents with CP are significantly below expectation compared to normative data. Severity of motor impairment, SGA, and seizures need to be recognised by health professionals as risk factors for cognitive impairment. A substantial proportion of adolescents showed borderline cognitive abilities, constituting a group with CP which are relatively neglected in the literature.

Identifiants

DOI: 10.1016/j.ridd.2021.103934 PMID: 33740670
pubmed: 33740670
pii: S0891-4222(21)00083-4
doi: 10.1016/j.ridd.2021.103934
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

103934

Informations de copyright

Copyright © 2021 Elsevier Ltd. All rights reserved.

Auteurs

Monika Coceski (M)

School of Psychology and Public Health, La Trobe University, Melbourne, Australia; Neurodisability and Rehabilitation, Murdoch Children's Research Institute, Melbourne, Victoria, Australia. Electronic address: monikacoceski@gmail.com.

Darren R Hocking (DR)

School of Psychology and Public Health, La Trobe University, Melbourne, Australia; Centre for Mental Health, Swinburne University of Technology, Melbourne, Victoria, Australia.

Hisham M Abu-Rayya (HM)

School of Psychology and Public Health, La Trobe University, Melbourne, Australia; Faculty of Social Welfare & Health Sciences, University of Haifa, Haifa, Israel.

Sarah Sherwell (S)

School of Psychology and Public Health, La Trobe University, Melbourne, Australia.

Susan M Reid (SM)

Neurodisability and Rehabilitation, Murdoch Children's Research Institute, Melbourne, Victoria, Australia; Department of Paediatrics, University of Melbourne, Parkville, Victoria, Australia; Neurodevelopmental & Disability, Royal Children's Hospital, Melbourne, Victoria, Australia.

Dinah S Reddihough (DS)

Neurodisability and Rehabilitation, Murdoch Children's Research Institute, Melbourne, Victoria, Australia; Department of Paediatrics, University of Melbourne, Parkville, Victoria, Australia; Neurodevelopmental & Disability, Royal Children's Hospital, Melbourne, Victoria, Australia.

Jacquie Wrennall (J)

Mental Health, Psychology Service, Royal Children's Hospital, Melbourne, Victoria, Australia.

Robyn Stargatt (R)

School of Psychology and Public Health, La Trobe University, Melbourne, Australia.

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Classifications MeSH

questionsmedicales.fr › Personnes › Tranches d'âge › Adolescent › WISC-V motor-free cognitive profile and...
questionsmedicales.fr › Maladies du système nerveux › Maladies du système nerveux central › Encéphalopathies › Paralysie cérébrale › WISC-V motor-free cognitive profile and...
questionsmedicales.fr › Personnes › Tranches d'âge › Enfant › WISC-V motor-free cognitive profile and...
questionsmedicales.fr › Phénomènes psychologiques › Processus mentaux › Cognition › WISC-V motor-free cognitive profile and...
questionsmedicales.fr › Troubles mentaux › Troubles neurocognitifs › Troubles de la cognition › Dysfonctionnement cognitif › WISC-V motor-free cognitive profile and...
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › WISC-V motor-free cognitive profile and...
questionsmedicales.fr › Disciplines et activités comportementales › Tests psychologiques › Tests d'aptitude › Tests d'intelligence › WISC-V motor-free cognitive profile and...
questionsmedicales.fr › Disciplines et activités comportementales › Tests psychologiques › Tests d'aptitude › Tests d'intelligence › Échelles de Wechsler › WISC-V motor-free cognitive profile and...