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标题：Assessment of visuo-attentional disorders in children aged from four to six years
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作者：Marc Vilayphonh ; Céline Cavezian ; Laurent Laloum 等
期刊名称：Revue de Neuropsychologie Neurosciences Cognitives et Cliniques
印刷版ISSN：2101-6739
电子版ISSN：2102-6025
出版年度：2009
卷号：1
期号：2
页码：110-119
DOI：10.1684/nrp.2009.0022
出版社：John Libbey Eurotext
摘要：Figures See all figures Authors Marc Vilayphonh , Céline Cavezian , Laurent Laloum , Maria de Agostini , Laurence Watier , Vivien Vasseur , Sylvie Chokron Laboratoire de psychologie et neurocognition, CNRS, UMR5105, UPMF, Grenoble, ERT Treat Vision, Fondation ophtalmologique Rothschild, Paris, Service d’ophtalmologie, centre hospitalier national des Quinze-Vingts, Paris, Inserm U780, IFR 69, Villejuif, Inserm U657/PhEMI, Institut Pasteur (pharmacoepidemiology and infectious diseases, Pasteur Institute), Paris, Service d’ophtalmologie, Fondation ophtalmologique Rothschild, Paris, Service de neurologie, Fondation ophtalmologique Rothschild, Paris Key words: children, screening, neurovisual disorders, ophthalmological disease, dysphasia DOI : 10.1684/nrp.2009.0022 Page(s) : 110-9 Published in: 2009 Although several studies suggest that a learning disorder could result from a visuo-attentional disability, most often only visual acuity is assessed in young children. The current study wanted to develop a visuo-attentional assessment tool to identify children at risk for neurovisual disabilities prior to formal reading education (grade 1). Fourteen paper-and-pencil tests were completed by children from the general population (n = 111), children with a neurovisual disorder (n = 6), an ophthalmological disease (n = 20), or suffering from dysphasia (n = 12). From results in the general group, six were selected for the final battery. Compared to the general population, neurovisual children failed in two of these tasks (visual pursuit and embedded figures tests). However, ophthalmological and dysphasic groups showed higher scores than the general population in the visual pursuit and the shape matching tasks respectively. These tests appear to be sensitive to neurovisual deficits and do not induce any difficulty in children presenting either with dysphasia or ophtalmologic disorder. Indeed, the different cut-off scores, elaborated to isolate 5% of the general population, detected six children from the general group as detected. Further examination of three of these children confirmed the presence of neurovisual disorder in two of them. Thus, the specificity of our tests and detection criteria to consider a child as detected were confirmed. Used as part of a routine medical assessment in primary schools, this battery could allow an early diagnosis and a consecutive rehabilitation which would prevent the deleterious effects of cognitive visual defects in everyday life or in learning abilities.
关键词：children; screening; neurovisual disorders; ophthalmological disease; dysphasia