A-166 Assuming Fine Motor Impairment in Pediatric Brain Tumor

Abstract Objective As neuropsychologists adopt virtual assessments in the context of COVID-19, field is shifting toward teleneuropsychology. Comprehensive remote evaluations are proving to be feasible and reliable across domains, though traditional fine motor (FM) tests cannot administered virtually. In absence direct FM measurement, this cross-sectional study considered whether universal recommendations appropriate for patients with pediatric brain tumor (PBT). Method Dominant z-scores were obtained from 176 PBT (x- age at diagnosis evaluation = 7.3 12.8 years, respectively). There no significant differences between Lafayette Grooved Purdue Pegboard performances. location (46% infratentorial), chemotherapy (71.6%), gender (52.3% male) analyzed. Results The sample as a whole performed over 2 SDs below normative expectations, t(175) −14.7, p < 0.0001), more pronounced deficits among infratentorial (x-= − 2.4) than supratentorial 1.7) tumors, F(1,174) 7.1, 0.008. Consistent prior findings, worse when treated 2.3) without 1.7), 16.2, 0.0001. Time since was negatively correlated performance r −0.27, 0.001. While not apparent overall, post-hoc analyses revealed impairment 89% males 75% females by middle school. Conclusions Given likelihood concerns (particularly school), should offered even measurement evaluated Accommodations (e.g., note copies, typing/dictation, abbreviated assignments, extended time) free/easy implement can incorporated into medically based Section 504 Plans, while early intervention may mitigate long-term effects.