Correlations of scores on the developmental test of visual-motor integration and copying test in a South African multi-ethnic preschool sample

This study assessed the intercorrelations of scores on the Developmental Test of Visual-Motor Integration, the locally standardized Copying Test, and teachers' ratings of scholastic skills in a South African multi-ethnic preschool sample. The study also investigated whether cultural and socioeconomic factors might influence test data. Participants were 71 Black, 101 Coloured, and 66 White children attending preschools in a semirural district. Participants' ages ranged from 4 yr., 9 mo. to 7yr., 0 mo. (M=5.8 yr., SD= 0.3 yr.). Analysis yielded a correlation of .75 between the test scores and supports the suitability of the widely used Developmental Test of Visual-Motor Integration in a multi-ethnic sample. Scores on the Copying Test correlated higher with teachers' ratings. However, significant differences in test performance among groups by race and socioeconomic status suggest the rate of perceptual-motor development may be related to cultural factors. Normative data are reported for groups by race and socioeconomic status.     

Predicting handwriting performance of early elementary students with the developmental test of visual-motor integration

The purpose of this study was to examine use of the Developmental Test of Visual-Motor Integration in predicting handwriting performance of early elementary students and the contribution of sex. An additional purpose was to examine whether successful completion of the first nine figures or the oblique cross from the test predicted handwriting. 101 children were tested at the beginning of their kindergarten year and again in the middle of the first-grade year on the Scale of Children's Readiness In PrinTing (SCRIPT). The VMI kindergarten scores did not significantly predict first-grade SCRIPT scores for the sample as a whole. When boys and girls were considered separately. VMI scores predicted handwriting SCRIPT scores for girls, but accounted for only 10% of the variance. Successful performance on the first nine VMI figures was significantly associated with handwriting for girls but not boys, while the oblique cross did not significantly predict handwriting performance. These results do not provide clear support for administration of the Developmental Test of Visual-Motor Integration during kindergarten as a tool to identify children at risk for handwriting difficulties.     

Validity of the Developmental Test of Visual-Motor Integration Supplemental Developmental Test of Visual Perception

Visual perceptual skills of school-age children are often assessed using the Supplemental Developmental Test of Visual Perception of the Developmental Test of Visual-Motor Integration. The study purpose was to consider the construct validity of this test by evaluating its scalability (interval level measurement), unidimensionality, differential item functioning, and hierarchical ordering of its items. Visual perceptual performance scores from a sample of 356 typically developing children (171 boys and 185 girls ages 5 to 11 years) were used to complete a Rasch analysis of the test. Seven items were discarded for poor fit, while none of the items exhibited differential item functioning by sex. The construct validity, scalability, hierarchical ordering, and lack of differential item functioning requirements were met by the final test version. Since 7 test items did not fit the Rasch analysis specifications, the clinical value of the test is questionable and limited.     

Concurrent validity of the Gardner Test of Visual-Motor Skills

Scores on the Test of Visual-motor Skills, Developmental Test of Visual-motor Integration, and Bender-Gestalt test were compared for a sample of 44 elementary school children referred for evaluation of learning disorders. While the tests shared common variance, the mean standard score on the Test of Visual-motor Skills was significantly lower than the means of the other two tests, suggesting caution in the clinical use of the new scale.     

Neuropsychological correlates of psychopathology in an unselected cohort of young adolescents

Members of a birth cohort were assessed for psychopathology and neuropsychological dysfunction at age 13. Ss who met DSM-III criteria for a single disorder, multiple disorders, and no disorder were compared on 5 composite neuropsychological measures. The multiple disorders group performed significantly worse than did the nondisordered group on the Verbal, Visuospatial, Verbal Memory, and Visual-Motor Integration factors. They also showed the highest rate of neuropsychological impairment. The attention-deficit disorder group performed significantly worse than did the nondisordered group on the Verbal Memory and Visual-Motor Integration factors, and the anxiety disorder group performed significantly worse than did the nondisordered group on the Visual-Motor Integration factor. Results suggest that neuropsychological dysfunction is more often associated with multiple rather than single, psychiatric disorders in adolescents. The problem of comorbidity in studies of neuropsychological function in childhood and adolescent psychopathology is highlighted.     

Concurrent validity of the wide range assessment of visual motor abilities in typically developing children ages 4 to 11 years

Pediatric clinicians working with school-age children use the Wide Range Assessment of Visual Motor Abilities (WRAVMA) as a method for evaluating visual perception and motor skills in children despite limited information on concurrent validity. Whether it may be substituted for the Beery-Buktenica Developmental Test of Visual-Motor Integration (VMI) and has suitable estimates of concurrent validity were examined with a convenience sample of 91 typically developing children ages 4 to 11 years. No systematic concurrent validity between the WRAVMA and the VMI emerged. Only two subtests of the WRAVMA (Matching with Visual Perception, and Pegboard with Motor Coordination) gave scores statistically significantly correlated with those on the VMI, and these correlations were weak, accounting for very small amounts of the shared variance. As such, they have low clinical relevance. These findings do not provide evidence of concurrent validity to support the use of WRAVMA as an alternative method for the VMI for assessing children's visual perception and motor skills.     

Reliability and validity of scores on the Slosson Visual Perceptual Skill Screener

Psychometric characteristics of the Slosson Visual Perceptual Skill Screener were studied using three independent samples of 595 boys and 578 girls ages 5 to 10 years. Adequate characteristics for item selection were indicated by item difficulty (Mdn=.49) and item discrimination (Mdn=.59). Interitem consistency of .93 (n1 = 1,045) was recorded for the total scale, while 30-day test-retest reliability was .80 (n2=55). Convergent validity was estimated using the Bender Visual-Motor Gestalt test (Koppitz developmental scoring system; r = .43, n3=47), the Developmental Test of Visuo-motor Integration, Visual Perception subtest (r =.62, n3 =73), and the Test of Visual Perceptual Skills-Revised-Nonmotor Total Score (r = .63, n2 =59).     

RELAXATION AS THERAPY FOR HYPERACTIVE CHILDREN

The purpose of this study was to determine the effectiveness of a relaxation therapy program with a sample of hyperactive, learning disabled, male children. The sample of 16 boys aged 8 to 12 years-old, from a private school providing special education, was divided randomly into an experimental and a control group. Relaxation procedures based on the theories of Jacobson and Bruno were done twice weekly for 11 weeks, during 20 minute sessions. All children in the experimental and control groups were pretested and posttested on six outcome measures. The Developmental Test of Visual-Motor Integration, Motor Accuracy subtest of the Southern California Sensory Integration Tests, Abbreviated Parent and Teacher Questionnaires, House-Tree Person test, and Sophistication-of-Body Concept Scale were administered. Significannt levels of differences were reported by most of the outcome measures. It was concluded that relaxation therapy has a direct effect upon the hyperactivity syndrome. Implications for use of relaxation therapy as a component of the occupational behavior frame of reference for the occupational therapist are discussed.     

中国1～4年级小学生视知觉发展研究

该研究对1132名来自中国不同地区的1~4年级小学生施测视知觉发展测验,探究了小学生视动整合能力和去动作的视知觉的发展特点。研究结果表明,1~4年级小学生视知觉随着年级的升高而增强,视动整合能力和去动作的视知觉均从二年级开始呈现发展态势。一到四年级视动整合能力与去动作视知觉能力发展出现差异。视动整合能力在这一阶段整体高于去动作视知觉能力,但去动作视知觉能力发展速率要快于视动整合能力。小学生视知觉能力的发展遵循了由具体到抽象,由动作到符号的发展规律。     

The Bender Visual Motor Gestalt Test: Implications for the diagnosis and prediction of reading achievement

The Bender Visual-Motor Gestalt Test (BG) is a commonly used measure of visual-motor performance and is often used as part of the predictive or diagnostic reading battery. This article reviews 32 published research studies in three areas: the utility of the BG as a predictor of reading; the relationship between the BG and reading achievement measured concurrently; the ability of the BG to differentiate between good and poor readers. The research reviewed suggests that the continued use of the BG (scored using discrete error systems) as part of the predictive or diagnostic reading battery is not warranted.     

The sensitivity of the Bender-Gestalt Test as a screening instrument for neuropsychological impairment in older adults

We investigated the sensitivity of the Bender (1938) Visual-Motor Gestalt Test (BGT) using the Halstead-Reitan Neuropsychological Battery (HRB) as the criterion for cortical dysfunction. We studied 95 subjects over age 55 who had been diagnosed as having dementia or pseudodementia. Subjects were classified as mild, moderately, or severely impaired on the HRB and as impaired or unimpaired on the BGT. The results indicated that the BGT is less sensitive (36%) than was expected when used on an impaired geriatric population. The data further indicated that false negatives occurred more frequently with the BGT when individuals had mild neuropsychological impairment. Less frequent misclassifications occurred as the severity of impairment on HRB indices increased.     

Beery-Buktenica Developmental Test of Visual-Motor Integration performance in children with traumatic brain injury and attention-deficit/hyperactivity disorder

Evaluation of visuoconstructional abilities is a common part of clinical neuropsychological assessment, and the Beery-Buktenica Developmental Test of Visual-Motor Integration (VMI; K. E. Beery & N. A. Beery, 2004) is often used for this purpose. However, few studies have examined its psychometric properties when used to assess children and adolescents with traumatic brain injury (TBI) or attention-deficit/hyperactivity disorder (ADHD), even though these are among the most common acquired and neurodevelopmental forms of brain dysfunction in children. This study examined the validity of VMI scores in 123 children with TBI and 65 with ADHD. The TBI and ADHD groups performed significantly worse than the standardization sample, obtaining VMI mean scores of 87.2 (SD = 13.7) and 93.5 (SD = 11.27). Previous research has noted decrements in visuoconstructional abilities in TBI but relative sparing in ADHD. To examine the criterion validity of VMI scores, the authors therefore compared these 2 groups. As anticipated, the TBI group performed significantly worse than the ADHD group, but receiver operator characteristic analysis indicated that VMI scores were poor at discriminating between groups. Nonetheless, convergent validity evidence supported interpretation of VMI scores as measuring perceptual organization in both groups. In particular, principal components analysis indicated that VMI total scores loaded with perceptual organization tests from the Wechsler Intelligence Scale for Children, 3rd ed. (WISC-III; D. Wechsler, 1997), and its highest correlation was with the WISC-III Perceptual Organization Index. Also, the VMI correlated significantly with the Grooved Pegboard test for the group with TBI. These findings suggest that VMI scores are sensitive to visuoconstructional and motor deficits in children with developmental and acquired brain dysfunction.     

Practice effects on visuomotor and problem-solving tests by children

Practice effects on a visuomotor test (the Developmental Test of Visuo-Motor Integration), a timed visual discrimination test (the Underlining Test), and two problem-solving tests (the Porteus Mazes Test and the Tower of Hanoi Test) were analyzed. Children of two age groups (Ms: 7.7 and 11.6 yr.) were chosen to study the effect of age on practice effects. The tests were repeated nine times with test-retest intervals of 2 mo. The Developmental Test of Visuo-Motor Integration showed no practice effects, while the Porteus Mazes Test, the Underlining Test, and the Tower of Hanoi Test showed significant practice effects. Practice effects were larger for the older age group on all the tests, except the Developmental Test of Visuo-Motor Integration. The Developmental Test of Visuo-Motor Integration and the Underlining Test showed good reliability, but those of the problem-solving tasks were less satisfactory. The stability of all the tests, except the Tower of Hanoi Test, was good.     

Relationship between language skills and academic achievement in first grade

The ability of scores on the Early Prevention of School Failure battery to predict Stanford Achievement Test scores was examined. Participants included 280 first-grade students who were administered the battery at the beginning of kindergarten and the Stanford Achievement Test at the end of first grade. Principal factor analysis based on the oblique rotation exhibited simple structure between scores on the Peabody Picture Vocabulary Test-Revised, the Preschool Language Scale, and the Stanford Achievement Test (verbal or language factor), with the Draw-A-Man test and the Developmental Test of Visual-Motor Integration-Revised loading on a separate factor (motor factor). Results suggest that language-based skills were highly associated with later academic performance in school-aged children.     

Assessment of visual-motor coordination in 6- to 11-yr.-olds

The concurrent and content validity of the Rey-Osterrieth Complex Figure Test and the Beery Developmental Test of Visual-Motor Integration-Third Revision were investigated through correlational analysis. 432 children, ages 6 to 11 years, were administered both tests. Across age groups participants performed better on both measures, providing support for the similarity of the measures and their sensitivity to the development of visuomotor integration. Although analysis indicated considerable overlap in the content of the two scales, the shared variance ranged from 7% to 31%, depending on the age of the child. The Rey-Osterrieth figure is composed of overlapping squares, rectangles, triangles, and various other shapes. Given this complex combination, scores on this test reflect the examinees' visual organization and motor planning skills. On the other hand, the Beery test consists of a series of shapes which progress from simple figures to more complex ones. Because the figures become more difficult to copy, the score on this test reflects the examinees' developmental level of visuomotor ability. Despite these differences in test stimuli and interpretation of performance, the present study showed considerable shared variance in the scores of the examinees who took both tests. Finally, local norms for the Rey-Osterrieth figure using the scoring approach of E. M. Taylor (1959, adapted from Osterrieth, 1944) and including standard scores are presented for children ages 6 to 11 years.     

A follow-up study of cross-cultural validity of Developmental Test of Visual-motor Integration

A follow-up study with a younger group of mildly handicapped Japanese students was conducted to determine if the correlations between the Developmental Test of Visual-motor Integration and reading and mathematics achievement would substantiate the previous findings. For 30 mildly handicapped 11- and 12-yr.-old Japanese students, visual-motor integration scores were significantly correlated with both mathematics and reading scores. These results, added to the 1984 Webb and Abe data, further support the test's cross-cultural validity.     

BIP-Bender protocols of learning disabled and regular education students

20 learning disabled and 20 normal elementary school children took the Bender Visual-Motor Gestalt Test twice, once under standard conditions and again using Background Interference Procedure paper. Based on Koppitz's scoring system, the disabled pupils did equally poorly on both modes but performed significantly worse than the normal children when given the standard Bender first. No other differences were found. Other scoring methods are suggested for investigation.     

Infant motor skill predicts later expressive language and autism spectrum disorder diagnosis

Motor difficulties may be an early Autism Spectrum Disorder (ASD) risk indicator and may predict subsequent expressive language skills. Further understanding of motor functioning in the first year of life in children with ASD is needed. We examined motor skills in 6-month-olds (n = 140) at high and low familial risk for ASD using the Peabody Developmental Motor Scales (Grasping, Visual-Motor Integration, and Stationary subscales). In Study 1, motor skill at 6 months predicted ASD status at 24–36 months; ASD was associated with poorer infant motor skills. In Study 2, motor skill at 6 months predicted expressive language at 30 and 36 months. Findings provide evidence that vulnerability in motor function early in development is present in ASD. Findings highlight the importance of developmental monitoring in high-risk infants and possible cascading effects of early disruption in motor development.     

Cognitive and developmental influences in visual-motor integration skills in young children

Measures of visual-motor integration skills continue to be widely used in psychological assessments with children. However, the construct validity of many visual-motor integration measures remains unclear. In this study, we investigated the relative contributions of maturation and cognitive skills to the development of visual-motor integration skills in young children (N = 856). We used a block regression analysis to determine the contribution of maturation, as indicated by age, followed by broad cognitive factors (Study 1) and subsequently by individual subtests in verbal and nonverbal domains subsumed under each factor (Study 2) in explaining score variance of the Bender Visual-Motor Gestalt Test (2nd ed.; BG-II; Brannigan & Decker, 2003) Copy and Recall scores in children between the ages of 4 and 7 years. Results confirm that maturation accounted for a large proportion of variance in both BG-II Copy and Recall performance, above which Stanford-Binet Intelligence Scale (5th ed.; SB-5; Roid, 2003) Quantitative Reasoning and Fluid Reasoning factors significantly contributed to visual-motor integration performance for the Copy phase, and SB-5 Quantitative Reasoning and Visual-Spatial factors accounted for a significant amount of variance for the Recall phase. Additionally, nonverbal domains were more related to visual-motor performance than verbal domains. Results from this study are interpreted to suggest nonverbal reasoning and visual-spatial attention are important contributing factors to visual-motor integration, as measured by the BG-II. Developmental implications of visual-motor integration skills, nonverbal problem solving, and mathematical competence are discussed.