Evidence map›Paper›PMID 29157212›Full record

ArticleBMC pediatrics2017

Fine motor skills in a population of children in remote Australia with high levels of prenatal alcohol exposure and Fetal Alcohol Spectrum Disorder.

Robyn Doney, Barbara R Lucas, Rochelle E Watkins, Tracey W Tsang, Kay Sauer, Peter Howat, Jane Latimer, James P Fitzpatrick, June Oscar, Maureen Carter and 1 more

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC pediatrics, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
2.0field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 13 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Spiral drawing deficits in children with prenatal alcohol exposure.Alcohol, clinical & experimental research · 2023
    Article
  5. Review
  6. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 5 institutions in 1 country.

Robyn DoneySchool of Public Health, Curtin University, GPO Box U1987, Perth, WA, 6845, Australia. robyndoney@gmail.com.
Barbara R LucasDiscipline of Paediatrics and Child Health, Sydney Medical School, The University of Sydney, Sydney, Australia.
Rochelle E WatkinsTelethon Kids Institute, University of Western Australia, Perth, Australia.
Tracey W TsangDiscipline of Paediatrics and Child Health, Sydney Medical School, The University of Sydney, Sydney, Australia.
Kay SauerSchool of Public Health, Curtin University, GPO Box U1987, Perth, WA, 6845, Australia.
Peter HowatSchool of Public Health, Curtin University, GPO Box U1987, Perth, WA, 6845, Australia.
Jane LatimerThe George Institute for Global Health, Sydney Medical School, The University of Sydney, Sydney, Australia.
James P FitzpatrickDiscipline of Paediatrics and Child Health, Sydney Medical School, The University of Sydney, Sydney, Australia.
June OscarMarninwarntikura Women's Resource Centre, Fitzroy Crossing, Australia.
Maureen CarterNindilingarri Cultural Health Services, Fitzroy Crossing, Australia.
Elizabeth J ElliottDiscipline of Paediatrics and Child Health, Sydney Medical School, The University of Sydney, Sydney, Australia.
The George Institute for Global Health · AUCurtin University · AUThe Kids Research Institute Australia · AUThe University of Notre Dame Australia · AUUniversity of Western Australia · AU

Funding

Australian Research Council Future Fellowship 0130007National Health and Medical Research Council 1024474National Health and Medical Research Council of Australia Practitioner Fellowships 457084; 1021480
6 · The paper itself

Abstract

backgroundMany children in the remote Fitzroy Valley region of Western Australia have prenatal alcohol exposure (PAE). Individuals with PAE can have neurodevelopmental impairments and be diagnosed with one of several types of Fetal Alcohol Spectrum Disorder (FASD). Fine motor skills can be impaired by PAE, but no studies have developed a comprehensive profile of fine motor skills in a population-based cohort of children with FASD. We aimed to develop a comprehensive profile of fine motor skills in a cohort of Western Australian children; determine whether these differed in children with PAE or FASD; and establish the prevalence of impairment.

methodsChildren (n = 108, 7 to 9 years) were participants in a population-prevalence study of FASD in Western Australia. Fine motor skills were assessed using the Bruininks-Oseretsky Test of Motor Proficiency, which provided a Fine Motor Composite score, and evaluated Fine Manual Control (Fine Motor Precision; Fine Motor Integration) and Manual Coordination (Manual Dexterity; Upper-Limb Coordination). Descriptive statistics were reported for the overall cohort; and comparisons made between children with and without PAE and/or FASD. The prevalence of severe (≤ 2nd percentile) and moderate (≤16th percentile) impairments was determined.

resultsOverall, Fine Motor Composite scores were 'average' (M = 48.6 ± 7.4), as were Manual Coordination (M = 55.7 ± 7.9) and Fine Manual Control scores (M = 42.5 ± 6.2). Children with FASD had significantly lower Fine Motor Composite (M = 45.2 ± 7.7 p = 0.046) and Manual Coordination scores (M = 51.8 ± 7.3, p = 0.027) than children without PAE (Fine Motor Composite M = 49.8 ± 7.2; Manual Coordination M = 57.0 ± 7.7). Few children had severe impairment, but rates of moderate impairment were very high.

conclusionsDifferent types of fine motor skills should be evaluated in children with PAE or FASD. The high prevalence of fine motor impairment in our cohort, even in children without PAE, highlights the need for therapeutic intervention for many children in remote communities.

Indexed as

Motor SkillsChildCohort StudiesFemaleFetal Alcohol Spectrum DisordersHumansMaleMotor Skills DisordersNeuropsychological TestsPregnancyPrenatal Exposure Delayed EffectsPrevalencePsychomotor PerformanceWestern AustraliaFetal Alcohol Spectrum DisorderIndigenous populationMotor skillsPsychomotor performance

Identifiers

PMID29157212
PMCPMC5696768
OpenAlexW2769942854

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.