Low Motor Dexterity and Significant Behaviors Following Hospitalized Isolation in Children

The main objective of this study was to describe the cortical patterns of brain activity during a gross dexterity task and develop a behavioral profile of children experiencing isolation. A cross-sectional assessment was conducted during one visit. Sample: Four pediatric patients who had undergone i...

Full description

Bibliographic Details
Main Authors: Kaitlin Fraser, Miriam Kuhn, Rebecca Swanson, Don W. Coulter, Christopher Copeland, Jorge M. Zuniga
Format: Article
Language:English
Published: MDPI AG 2023-07-01
Series:Children
Subjects:
Online Access:https://www.mdpi.com/2227-9067/10/8/1287
_version_ 1797585139685916672
author Kaitlin Fraser
Miriam Kuhn
Rebecca Swanson
Don W. Coulter
Christopher Copeland
Jorge M. Zuniga
author_facet Kaitlin Fraser
Miriam Kuhn
Rebecca Swanson
Don W. Coulter
Christopher Copeland
Jorge M. Zuniga
author_sort Kaitlin Fraser
collection DOAJ
description The main objective of this study was to describe the cortical patterns of brain activity during a gross dexterity task and develop a behavioral profile of children experiencing isolation. A cross-sectional assessment was conducted during one visit. Sample: Four pediatric patients who had undergone isolation within a hospital comprised the full data collection. During the collection, participants completed the Box and Blocks Test of gross manual dexterity while undergoing imaging of the motor cortex using functional near-infrared spectroscopy. Participants also completed a Behavioral Assessment System for Children, Third Edition (BASC-3) self-report, which was analyzed along with a parent report to quantify their emotional and social behaviors. All participants displayed lower gross dexterity levels than normative data. Furthermore, three out of the four participants displayed ipsilateral dominance of the motor cortex during the dexterity task. Three of the participants displayed behavioral measures reported within clinically significant or at-risk scores. Clinically significant behavioral scores coupled with lower than expected manual dexterity values and ipsilateral hemispheric dominance indicate that neuroplastic changes can occur in populations undergoing hospitalized isolation. While the impacts of the treatments and isolation in this case cannot be separated, further studies should be conducted to understand these impacts of isolation.
first_indexed 2024-03-11T00:02:45Z
format Article
id doaj.art-cc77377e715243c9b86c9d10529f68d9
institution Directory Open Access Journal
issn 2227-9067
language English
last_indexed 2024-03-11T00:02:45Z
publishDate 2023-07-01
publisher MDPI AG
record_format Article
series Children
spelling doaj.art-cc77377e715243c9b86c9d10529f68d92023-11-19T00:39:10ZengMDPI AGChildren2227-90672023-07-01108128710.3390/children10081287Low Motor Dexterity and Significant Behaviors Following Hospitalized Isolation in ChildrenKaitlin Fraser0Miriam Kuhn1Rebecca Swanson2Don W. Coulter3Christopher Copeland4Jorge M. Zuniga5Department of Biomechanics, University of Nebraska Omaha, Omaha, NE 68182, USADepartment of Special Education and Communication Disorders, University of Nebraska Omaha, Omaha, NE 68182, USAPediatric Hematology and Oncology Clinic, University of Nebraska Medical Center, Omaha, NE 68198, USADivision of Pediatric Hematology and Oncology, University of Nebraska Medical Center, Omaha, NE 68198, USADepartment of Biomechanics, University of Nebraska Omaha, Omaha, NE 68182, USADepartment of Biomechanics, University of Nebraska Omaha, Omaha, NE 68182, USAThe main objective of this study was to describe the cortical patterns of brain activity during a gross dexterity task and develop a behavioral profile of children experiencing isolation. A cross-sectional assessment was conducted during one visit. Sample: Four pediatric patients who had undergone isolation within a hospital comprised the full data collection. During the collection, participants completed the Box and Blocks Test of gross manual dexterity while undergoing imaging of the motor cortex using functional near-infrared spectroscopy. Participants also completed a Behavioral Assessment System for Children, Third Edition (BASC-3) self-report, which was analyzed along with a parent report to quantify their emotional and social behaviors. All participants displayed lower gross dexterity levels than normative data. Furthermore, three out of the four participants displayed ipsilateral dominance of the motor cortex during the dexterity task. Three of the participants displayed behavioral measures reported within clinically significant or at-risk scores. Clinically significant behavioral scores coupled with lower than expected manual dexterity values and ipsilateral hemispheric dominance indicate that neuroplastic changes can occur in populations undergoing hospitalized isolation. While the impacts of the treatments and isolation in this case cannot be separated, further studies should be conducted to understand these impacts of isolation.https://www.mdpi.com/2227-9067/10/8/1287patient isolationmotor skillsbrain imagingbehavioral rating scaleadolescent healthfNIRS
spellingShingle Kaitlin Fraser
Miriam Kuhn
Rebecca Swanson
Don W. Coulter
Christopher Copeland
Jorge M. Zuniga
Low Motor Dexterity and Significant Behaviors Following Hospitalized Isolation in Children
Children
patient isolation
motor skills
brain imaging
behavioral rating scale
adolescent health
fNIRS
title Low Motor Dexterity and Significant Behaviors Following Hospitalized Isolation in Children
title_full Low Motor Dexterity and Significant Behaviors Following Hospitalized Isolation in Children
title_fullStr Low Motor Dexterity and Significant Behaviors Following Hospitalized Isolation in Children
title_full_unstemmed Low Motor Dexterity and Significant Behaviors Following Hospitalized Isolation in Children
title_short Low Motor Dexterity and Significant Behaviors Following Hospitalized Isolation in Children
title_sort low motor dexterity and significant behaviors following hospitalized isolation in children
topic patient isolation
motor skills
brain imaging
behavioral rating scale
adolescent health
fNIRS
url https://www.mdpi.com/2227-9067/10/8/1287
work_keys_str_mv AT kaitlinfraser lowmotordexterityandsignificantbehaviorsfollowinghospitalizedisolationinchildren
AT miriamkuhn lowmotordexterityandsignificantbehaviorsfollowinghospitalizedisolationinchildren
AT rebeccaswanson lowmotordexterityandsignificantbehaviorsfollowinghospitalizedisolationinchildren
AT donwcoulter lowmotordexterityandsignificantbehaviorsfollowinghospitalizedisolationinchildren
AT christophercopeland lowmotordexterityandsignificantbehaviorsfollowinghospitalizedisolationinchildren
AT jorgemzuniga lowmotordexterityandsignificantbehaviorsfollowinghospitalizedisolationinchildren