{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,7]],"date-time":"2026-07-07T04:58:10Z","timestamp":1783400290097,"version":"3.54.6"},"reference-count":33,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2016,7,25]],"date-time":"2016-07-25T00:00:00Z","timestamp":1469404800000},"content-version":"vor","delay-in-days":5,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"Australian Federal Government","award":["457084"],"award-info":[{"award-number":["457084"]}]},{"name":"Australian Federal Government","award":["1021480"],"award-info":[{"award-number":["1021480"]}]},{"name":"National Health and Medical Research Council of Australia"},{"name":"Fellowship from the Poche Centre for Indigenous Health Scholarship, Sydney Medical School, the University of Sydney"},{"name":"ARC Future Fellowship","award":["0991861"],"award-info":[{"award-number":["0991861"]}]},{"name":"Australian Postgraduate Award"},{"name":"Curtin University Postgraduate Scholarship"},{"name":"Faculty Postgraduate Award"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Paediatrics Child Health"],"published-print":{"date-parts":[[2016,8]]},"abstract":"<jats:sec><jats:title>Aim<\/jats:title><jats:p>This study aimed to determine the gross motor (GM) performance of Aboriginal children living in remote Australia. The relationship between GM skills, prenatal alcohol exposure (PAE) and fetal alcohol spectrum disorders (FASD) was explored.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A population\u2010based observation study was conducted in 2011 to assess motor performance in children living in the Fitzroy Valley, Western Australia, using the Bruininks\u2013Oseretsky Test of Motor Proficiency (BOT\u20102). BOT\u20102 data were retrospectively analysed using recently developed software enabling separation of fine and GM outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 108 children (98.1% Aboriginal; 53% male, mean age: 8.7\u2009years) were assessed. Half (52.2%) were exposed to at least \u2018risky\u2019 levels of PAE, and 21 (19%) were diagnosed with an FASD. The mean GM composite score of the cohort (47.0\u2009\u00b1\u20098.4) approached the BOT\u20102 normative mean (50.0\u2009\u00b1\u200910) and was similar between children with and without PAE (<jats:italic>P<\/jats:italic>\u2009=\u20090.27). This mean score, however, was significantly lower in children with FASD than without (mean difference: \u22125.5\u2009\u00b1\u200920.6; <jats:italic>P<\/jats:italic>\u2009=\u20090.006). Compared with children without FASD, children with FASD had significant impairment in subtests for running speed and agility (mean difference\u2009\u00b1\u2009standard deviation (SD): \u22122.4\u2009\u00b1\u20098.1; <jats:italic>P<\/jats:italic>\u2009=\u20090.003) and strength (mean difference\u2009\u00b1\u2009SD:\u22122.8\u2009\u00b1\u20099.9; <jats:italic>P<\/jats:italic>\u2009=\u20090.004) and (ii) a higher proportion than expected had overall GM impairment (\u22642 SD: 9.5%; \u22641 SD: 23.8%). In groups with PAE, no PAE and no FASD, GM function approached expected population norms.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>A higher than expected proportion of children with FASD had GM scores that indicated impairment and need for therapy. Evaluation of GM performance should routinely be included in FASD assessment to determine strategies to optimise child development.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jpc.13240","type":"journal-article","created":{"date-parts":[[2016,7,21]],"date-time":"2016-07-21T02:22:40Z","timestamp":1469067760000},"page":"814-824","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":23,"title":["Gross motor performance in children prenatally exposed to alcohol and living in remote Australia"],"prefix":"10.1111","volume":"52","author":[{"given":"Barbara R","family":"Lucas","sequence":"first","affiliation":[{"name":"Discipline of Paediatrics and Child Health Sydney Medical School, The University of Sydney  Sydney New South Wales Australia"},{"name":"The George Institute for Global Health, Musculoskeletal Division, Sydney Medical School The University of Sydney  Sydney New South Wales Australia"},{"name":"Poche Centre for Indigenous Health, Sydney Medical School The University of Sydney  Sydney New South Wales Australia"},{"name":"Physiotherapy Department Royal North Shore Hospital  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jane","family":"Latimer","sequence":"additional","affiliation":[{"name":"The George Institute for Global Health, Musculoskeletal Division, Sydney Medical School The University of Sydney  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robyn","family":"Doney","sequence":"additional","affiliation":[{"name":"School of Public Health Curtin University  Perth Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rochelle E","family":"Watkins","sequence":"additional","affiliation":[{"name":"Telethon Kids Institute The University of Western Australia  Perth Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tracey W","family":"Tsang","sequence":"additional","affiliation":[{"name":"Discipline of Paediatrics and Child Health Sydney Medical School, The University of Sydney  Sydney New South Wales Australia"},{"name":"The George Institute for Global Health, Musculoskeletal Division, Sydney Medical School The University of Sydney  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Genevieve","family":"Hawkes","sequence":"additional","affiliation":[{"name":"Derby Allied Health Service Western Australian Country Health Services  Perth Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James P","family":"Fitzpatrick","sequence":"additional","affiliation":[{"name":"Discipline of Paediatrics and Child Health Sydney Medical School, The University of Sydney  Sydney New South Wales Australia"},{"name":"The George Institute for Global Health, Musculoskeletal Division, Sydney Medical School The University of Sydney  Sydney New South Wales Australia"},{"name":"Telethon Kids Institute The University of Western Australia  Perth Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"June","family":"Oscar","sequence":"additional","affiliation":[{"name":"Marninwarntikura Women's Resource Centre  Perth Western Australia Australia"},{"name":"University of Notre Dame  Broome Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maureen","family":"Carter","sequence":"additional","affiliation":[{"name":"Nindilingarri Cultural Health Services  Kimberley Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth J","family":"Elliott","sequence":"additional","affiliation":[{"name":"Discipline of Paediatrics and Child Health Sydney Medical School, The University of Sydney  Sydney New South Wales Australia"},{"name":"The George Institute for Global Health, Musculoskeletal Division, Sydney Medical School The University of Sydney  Sydney New South Wales Australia"},{"name":"University of Notre Dame  Broome Western Australia Australia"},{"name":"The Sydney Children's Hospital Networks (Westmead)  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2016,7,20]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1503\/cmaj.1040302"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpeds.2006.11.044"},{"key":"e_1_2_9_4_1","volume-title":"National Drug Strategy Household Survey Detailed Report","author":"Australian Institute of Health and Welfare","year":"2013"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2012-000968"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1753-6405.2010.00555.x"},{"key":"e_1_2_9_7_1","unstructured":"SafinJ StoneS GriersonSet al.Contribution of Sport to Indigenous Wellbeing and Mentoring. 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