{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,22]],"date-time":"2026-07-22T08:17:16Z","timestamp":1784708236506,"version":"3.55.0"},"reference-count":38,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2022,4,8]],"date-time":"2022-04-08T00:00:00Z","timestamp":1649376000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100012256","name":"Cerebral Palsy Alliance Research Foundation","doi-asserted-by":"publisher","award":["PG13918"],"award-info":[{"award-number":["PG13918"]}],"id":[{"id":"10.13039\/100012256","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100008530","name":"European Regional Development Fund","doi-asserted-by":"publisher","award":["ERDV, We\u2010Lab for HTM, project nr.1047"],"award-info":[{"award-number":["ERDV, We\u2010Lab for HTM, project nr.1047"]}],"id":[{"id":"10.13039\/501100008530","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Develop Med Child Neuro"],"published-print":{"date-parts":[[2022,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>This study aimed to explore eye movements and stress during eye\u2010tracking gaming performance in children with dyskinetic cerebral palsy (CP) compared with typically developing children, and associations between eye\u2010tracking performance, eye movements, stress, and participants' characteristics.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>This cohort study included 12 children with dyskinetic CP aged 5 to 12\u2009years (mean age 8\u2009years 7\u2009months, standard deviation [SD] 2\u2009years 3\u2009months) and 23 typically developing children aged 5 to 13\u2009years (mean age 9\u2009years 0\u2009months, SD 2\u2009years 7\u2009months). Participants played 10 eye\u2010tracking games. Tobii X3\u2010120 and Tobii Pro Lab were used to record and analyse eye movements. Stress was assessed through heart rate variability (HRV), recorded during rest, and eye\u2010tracking performance using the Bittium Faros360\u00b0 ECG Holter device. Eye\u2010tracking performance was measured using gaming completion time. Fixation and saccade variables were used to quantify eye movements, and time\u2010 and frequency\u2010domain variables to quantify HRV. Non\u2010parametric statistics were used.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Gaming completion time was significantly different (<jats:italic>p<\/jats:italic>\u00a0&lt;\u20090.001) between groups, and it was negatively correlated with experience (<jats:italic>r<\/jats:italic><jats:sub>s<\/jats:sub>\u00a0=\u2009\u22120.63, <jats:italic>p<\/jats:italic>\u00a0=\u20090.029). No significant differences were found between groups in fixation and saccade variables. HRV significantly changed from rest to eye\u2010tracking performance only in typically developing children and not in children with dyskinetic CP.<\/jats:p><\/jats:sec><jats:sec><jats:title>Interpretation<\/jats:title><jats:p>Children with dyskinetic CP took longer to perform the 10 games, especially the inexperienced users, indicating the importance of the early provision of eye\u2010tracking training opportunities. It seems that eye\u2010tracking tasks are not a source of increased stress and effort in children with dyskinetic CP.<\/jats:p><\/jats:sec><jats:sec><jats:title>What this paper adds<\/jats:title><jats:p>\n<jats:list list-type=\"bullet\">\n<jats:list-item><jats:p>Participants with dyskinetic cerebral palsy (CP) took twice as long to perform 10 eye\u2010tracking games than typically developing peers.<\/jats:p><\/jats:list-item>\n<jats:list-item><jats:p>Participants with dyskinetic CP with previous eye\u2010tracking experience performed the games faster.<\/jats:p><\/jats:list-item>\n<jats:list-item><jats:p>Fixation and saccade variables were not significantly different between children with and without dyskinetic CP.<\/jats:p><\/jats:list-item>\n<jats:list-item><jats:p>Heart rate variability showed no differences between rest and performance in participants with dyskinetic CP.<\/jats:p><\/jats:list-item>\n<jats:list-item><jats:p>Gross Motor Function Classification System, Manual Ability Classification System, and Viking Speech Scale levels were not correlated to the eye movements or stress variables.<\/jats:p><\/jats:list-item>\n<\/jats:list><\/jats:p><\/jats:sec>","DOI":"10.1111\/dmcn.15237","type":"journal-article","created":{"date-parts":[[2022,4,8]],"date-time":"2022-04-08T09:35:12Z","timestamp":1649410512000},"page":"1402-1415","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["Eye movements and stress during eye\u2010tracking gaming performance in children with dyskinetic cerebral palsy"],"prefix":"10.1111","volume":"64","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5232-0434","authenticated-orcid":false,"given":"Saranda","family":"Bekteshi","sequence":"first","affiliation":[{"name":"KU Leuven, Bruges Campus, Department of Rehabilitation Sciences Research Group for Neurorehabilitation  Bruges 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