Ruth Hailu, Jessica Sousa, Mitchell Tang, Ateev Mehrotra, Lori Uscher-Pines
Challenges and Facilitators in Implementing Remote Patient Monitoring Programs in Primary Care
Journal of general internal medicine
children unilateral cerebral palsy ucp encouraged participate regular school curriculum however even using lessaffected hand handwriting children ucp still experience handwriting difficulties visualmotor integration vmi predictor handwriting quality investigating vmi children ucp important still lacking conventional paperbased vmi assessments subjective use allornothing scoring procedures may compromise fidelity vmi assessments moreover identifying important shapes predictive vmi performance might benefit clinical decisionmaking different geometric shapes represent different developmental stepping stones vmi therefore new computeraided measure vmi camvmi developed investigate vmi performance children ucp identify shapes important predicting vmi performance twentyeight children ucp 28 typicallydeveloping td children recruited participants instructed complete camvmi beerybuktenica developmental test visualmotor integration beeryvmi test items camvmi consisted nine simple geometric shapes related writing readiness two scores camvmi namely error effort obtained image registration technique performances beeryvmi camvmi children ucp td children compared independent ttest series stepwise regression analyses used identify shapes important predicting vmi performance children ucp significant group differences found camvmi beeryvmi results furthermore error identified significant aspect predicting vmi performance children ucp specifically square item significant predictor vmi performance children ucp study largescale study provided direct evidence impaired vmi schoolaged children ucp even using lessaffected hand children ucp could copy geometric shapes well td children copied products children ucp demonstrated poor constructional accuracy inappropriate alignment furthermore predictive model suggested constructional accuracy copied square important predictor vmi performance children ucp