Assessment & Research

Outpatient assessment of neurovisual functions in children with Cerebral Palsy.

Barca et al. (2010) · Research in developmental disabilities 2010
★ The Verdict

The Atkinson Battery works in outpatient CP clinics and reveals hidden visuoperceptual deficits that basic vision tests skip.

✓ Read this if BCBAs who treat school-age children with cerebral palsy in clinic or hospital settings.
✗ Skip if Clinicians who only serve children with pure motor delays and no visual concerns.

01Research in Context

01

What this study did

Crane et al. (2010) took the Atkinson Battery out of the lab and into an outpatient clinic. They gave the vision test to children with cerebral palsy during regular clinic visits. The goal was to see if the tool could work in real-world appointments.

No extra equipment or special room was needed. Staff followed the standard battery steps and recorded results.

02

What they found

The test ran smoothly in the clinic. Most kids with CP showed visuoperceptual and visuospatial problems even though basic vision stayed intact.

In other words, they could see but had trouble making sense of where and what things were.

03

How this fits with other research

Webb et al. (1999) watched young children with cerebral visual impairment and simply listed the visual behaviors they saw. Crane et al. (2010) built on that by proving a formal battery could be used outside the lab.

Alwhaibi et al. (2020) went one step further. They took the same visuoperceptual deficits Laura found and tested a fix: audiovisual biofeedback plus physical therapy. Their RCT showed bigger eye-hand gains than therapy alone.

Pavão et al. (2013) reviewed postural tests in CP and noted a gap: few tools link vision to balance. The Atkinson Battery fills that gap by flagging visuospatial issues that could affect standing and walking.

04

Why it matters

You now have a quick, clinic-ready way to spot visuoperceptual and visuospatial deficits in children with CP. Basic eye charts miss these problems. Add the Atkinson Battery to your intake or re-eval routine. If scores are low, consider vision-focused goals or biofeedback sessions before balance or fine-motor training.

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Slot the Atkinson Battery into your next CP evaluation and add visuoperceptual goals if scores fall below the cutoff.

02At a glance

Intervention
not applicable
Design
case series
Sample size
33
Population
developmental delay
Finding
not reported

03Original abstract

This study examined the feasibility of the Atkinson Battery for Child Development for Examining Functional Vision (Atkinson, Anker, Rae, et al., 2002) to evaluate neurovisual functions of children with neurodevelopmental disorders in outpatient setting. A total of 90 patients underwent a comprehensive evaluation. Among these, a group of 33 children with Cerebral Palsy (CP), mean age 6 years, with different types of CP (26% diplegic, 37% hemiplegic and 37% tetraplegic) were selected to constitute the cohort of the study. Visual sensory measures as well as higher level visual functions were considered. Overall, 73% patients had impairments at the assessment protocol, the majority of which presenting difficulties on both visuoperceptual and visuospatial tasks (79%). Subgroups of participants presented similar profiles of impairments with spared basic visuocognitive abilities and limitations in visuoperceptual and visuospatial domains. The Atkinson's battery proved to be valuable for evaluation in outpatient setting and follow-up testing. Some limitations emerged. For the definition of personalized and detailed rehabilitation programs a breakdown of the different components of vision and subsequent in-depth evaluation are needed.

Research in developmental disabilities, 2010 · doi:10.1016/j.ridd.2009.10.019