scholarly journals QOL-13. NEUROCOGNITIVE OUTCOMES ACCORDING TO RISK-ADAPTED TREATMENT REGIMENS FOR CHILDREN OLDER THAN 4 WITH MEDULLOBLASTOMA AND POSTERIOR FOSSA EPENDYMOMA – RESULTS OF THE HIT2000 TRIAL

2020 ◽  
Vol 22 (Supplement_3) ◽  
pp. iii433-iii433
Author(s):  
Martin Mynarek ◽  
Anne Neumann-Holbeck ◽  
Anika Resch ◽  
Holger Ottensmeier ◽  
Katja von Hoff ◽  
...  

Abstract OBJECTIVES Reduced neuropsychological outcomes are a major concern in pediatric patients with malignant brain tumors. We aimed to estimate decline in cognitive function according to treatment regimens. METHODS Cross-sectional analysis of cognitive functions tested with the Neuropsychological Basic Diagnostic tool (NBD) in 279 patients >4 years at diagnosis (median: 8.66; range: 4.01–18.98) with medulloblastoma (n=110, 23.7–25.0Gy CSI; n=131, >30Gy CSI) or posterior fossa ependymoma (n=38 local radiotherapy) who participated in the HIT-2000 trial. Multivariable regression analysis was conducted to adjust for postoperative cerebellar mutism syndrome, preoperative hydrocephalus, postoperative shunt placement, the interval between diagnosis and assessment, sex and age. RESULTS Mean time from diagnosis to assessment was 5.1 years. Increasing CSI-dose was significantly associated with a deterioration in performance of most subtests, particularly in areas of fluid intelligence (mean z-values per test for no CSI/23.4Gy/>30Gy respectively: matrix reasoning:-0.40/-0.52/-0.98, p<.001), short-term memory (number recall: -0.07/-0.58/-0.64, p=.002), visuo-spatial skills (visual-motor integration:-0.49/-0.68/-1.12, p<.001) and fine motor skills (dominant-hand:-1.09/-1.80/-2.12, p=.008; non-dominant-hand:-1.47/-2.59/-2.82, p=.003; bimanual coordination:-1.33/-2.68/-2.76, p=.001). These differences were retained after adjustment for confounding variables. Within medulloblastoma patients treated with >30Gy CSI, selective attention, but no other function was reduced in patients treated with pre-radiotherapy chemotherapy including intraventricular MTX (selective attention (with chemotherapy/without chemotherapy mean z-values: -0.66/0.00, p=.006)). Patients with SHH-activated medulloblastoma did significantly better than WNT or Group3/Group4 medulloblastoma patients in fluid intelligence and fine motor skills. CONCLUSION CSI dose among other highly relevant factors had significant effects on neuropsychological outcome. Pre-radiotherapy intraventricular MTX had only minor effects. Patients with SHH-activated medulloblastomas showed a more favorable outcome when compared to patients in the other subgroups.

2022 ◽  
Author(s):  
Venera Gashaj ◽  
Dragan Trninic

We explore the relationship between mathematical skills and motor skills across three age groups of normally developing children. The existence of such a relationship is postulated in classical accounts of human development. In contemporary research, the existence of a relationship between motor development and the development of abstract concepts may form a crucial piece of evidence for theories of embodied cognition. Existing studies suggest a link between fine motor skills and various numerical and mathematical tasks in young children; however, there are few attempts to measure the strength of this relationship across different ages. We use a cross-sectional design to investigate the link between fine motor and mathematical skills in children in Kindergarten, 2nd grade, and 4th grade. The results show that correlational patterns vary in the three ages; while in Kindergarten manual dexterity of the dominant hand is related to math skills, in 2nd grade the manual dexterity of the nondominant hand is related to math skills, and finally, in 4th grade no such correlations are observable.


Author(s):  
Govindarajan Srimathveeravalli ◽  
Venkatraghavan Gourishankar ◽  
Amrish Kumar ◽  
Thenkurussi Kesavadas

We present the experimental results contrasting virtual fixtures (VFs) with a new shared control (SC) technique for rehabilitation of fine motor skills. The SC assistance algorithm used haptic attributes as the control goal. VF provided assistance based on trajectory. Shapes were chosen from the Visual Motor Integration test book and were used to train candidate’s nondominant hand, using samples recorded from their dominant hand. The results were analyzed using time, trajectory, forces, shape of trajectory, and haptic profiles as metrics. The results indicate that performance of VF and SC were comparable for simple trajectories and SC performed better for complex trajectories.


2019 ◽  
Vol 12 (4) ◽  
pp. 253-264
Author(s):  
Desi Kumalasari ◽  
Desi Setia Wati

KNOWLEDGE AMONG MOTHERS OF  PRESCHOOL CHILDREN IN MOTOR DEVELOPMENTBackground: Motorskill development is the development of physical movement control through coordinated central nerve and muscle activities. Motor skilldevelopment is divided into two, gross motor skills and fine motor skills. Gross motor skills involve large parts of the body, such as: walking, jumping, running and so on. Smaller groups of muscle movements are called fine motor skills, such as: writing, drawing, wearing scissors, and so on. One factor that influence children's development is mother's knowledge. Mothers who have good knowledge will tend to pay attention and stimulate their children’s development.Purpose: The purpose of this research is to determine the relations of mothers’ knowledge about children’s growth and development with gross and fine motor skills development of children aged 4-5 years old in Pesawaran Lampung Kindergarten in 2018.Methods: The design used in this research is analytic by using a cross sectional approach. The population in this research were all mothers with children aged 4-5 years old at Pesawaran Lampung Kindergarten, with a sample of 58 people, while sampling techniques were taken using the total population method. The analysis of the research uses univariate and bivariate analysis which use the chi-square test.Results: The results of this research are there is no relationship between mothers’ knowledge about children’s development and growth with gross motor skills development (p-value = 0.622) and fine motor skills development (p-value = 0.614) of children aged 4-5 years old at Pesawaran Lampung Kindergarten in 2018.Conclution: There is no relationship between maternal knowledge about the development of children with gross motoric and fine motor development of children 4-5 years in Pesawaran Lampung kindergarten in 2018. It is expected that parents can find sources information about the children’s growth and development, so parents can provide stimulation of children’s motor skills development.Latar Belakang: Menurut WHO (2014), diperkirakan 5-10% anak mengalami keterlambatan perkembangan. Diperkirakan sekitar 1–3% khusus pada anak dibawah usia 5 tahun di Indonesia mengalami keterlambatan perkembangan umum yang meliputi perkembangan motorik, bahasa, sosio–emosional, dan kognitif (Kemenkes, 2016). Perkembangan motorik merupakan perkembangan pengendalian gerakan jasmaniah melalui kegiatan pusat syaraf dan otot yang terkoordinasi.Perkembangan motorik terbagi menjadi dua yaitu motorik kasar dan motorik halus Salah satu faktor yang dapat mempengaruhi perkembangan anak adalah pengetahuan ibu. Ibu yang berpengetahuan baik maka akan cenderung untuk memperhatikan dan menstimulasi perkembangan anak terutama perkembangan anak.Tujuan: untuk mengetahui hubungan pengetahuan ibu tentang perkembangan anak dengan perkembangan motorik kasar dan halus anak usia 4-5 tahun di TK Pesawaran, Lampung tahun 2018.Metode: Desain yang digunakan dalam penelitian ini adalah analitik dengan menggunakan metode pendekatan cross sectional.  Populasi dalam penelitian ini adalah semua ibu dengan anak usia 4 – 5 tahun di TK  Pesawaran, Lampung dengan jumlah sampel sebanyak 58 orang, sedangkang teknik sampling yang diambil dengan menggunakan metode total populasi. Analisis yang digunakan univariat dan bivariat menggunakan uji chi-square.Hasil: penelitian ini menyatakan bahwa tidak ada hubungan antara pengetahuan ibu tentang perkembangan anak dengan perkembangan motorik kasar (nilai p-value 0,622) dan motorik halus (nilai p-value 0,614) anak usia 4-5 tahun di TK  Pesawaran, Lampung tahun 2018.Kesimpulan: Tidak ada hubungan pengetahuan ibu tentang perkembangan anak dengan perkembangan motorik kasar dan motorik halus anak usia 4-5 tahun di TK  Pesawaran, Lampung tahun 2018. Diaharapkan para orang tua dapat mencari sumber informasi tentang tumbuh kembang anak, sehingga orang tua mampu memberikan stimulasi perkembangan motorik anak.


Author(s):  
Eulalia Amador Rodero ◽  
M G ◽  
Leslie Montealegre Esmeral

Introducción: El movimiento es la primera forma de comunicación que tiene el ser humano con el medio. Aparece en el momento de la gestación y se va perfeccionando durante los primeros años de vida. Objetivo: Identificar las habilidades motoras gruesas y finas de los niños de 6 a 13 años del colegio Meira Del Mar del Distrito de Barranquilla. Materiales y métodos: Estudio descriptivo transversal en 120 escolares. La técnica para la recolección de información fue la Batería de Oseretsky, que permitió efectuar un análisis sobre los componentes de la motricidad en los niños. Resultados: Los niños presentaron un mejor desempeño que las niñas al realizar movimientos simultáneos (38%). En cuanto a la edad, se observó que los escolares de 8 a 10 años tuvieron mejor desempeño en la coordinación estática positiva (67%), seguido por la ausencia de sincinesis (58%) y la coordinación dinámica de las manos (57%). Conclusión: Las habilidades motoras maduran a medida que el niño avanza en edad. El desempeño de las habilidades motoras en los niños y niñas estudiados fue bueno; pero los niños tuvieron más habilidad en comparación con las niñas.ABSTRACTIntroduction: Movement is the first form of communication that human beings have with the environment, appears at the time of pregnancy and gradually perfected during the first years of life. Objective: Identify gross and fine motor skills of children aged 6 to 13 of the College Meira Del Mar College from Barranquilla. Materials and methods: Cross-sectional descriptive study in 120 school children. The technique for the collection of information was the Oseretsky battery, allowing an analysis on the components of the motility in children. Results: children presented a better performance than the girls to perform simultaneous movements (38%), in terms of the age was observed that school children 8 to 10 years had better performance in coordination static positive (67%), followed by the absence of synkinesis (58%) and dynamic coordination of the hands (57%). Conclusion: motor skills become mature measures child advancing in age. The performance of motor skills in the children studied was good; the children had more skills in comparison with girls.


2021 ◽  
Vol 9 (1) ◽  
Author(s):  
Nur Indri Rahayu ◽  
Aini Dewi Monica ◽  
Jajat Jajat ◽  
Kuston Sultoni

Tujuan penelitian ini adalah menguji hubungan antara physical activity dengan fine motor skills pada anak usia 4 tahun. Metode yang digunakan adalah metode penelitian kuantitatif dengan pendekatan korelasional. Populasi dalam penelitian ini yaitu anak usia 4 tahun yang sedang menempuh pendidikan anak usia dini di PAUD, TK, dan KB di Kota Bandung. Jumlah sampel sebanyak 53 anak dengan teknik pengambilan sampel menggunakan purposive sampling. Instrumen yang digunakan berupa Accelerometer Actigraph dan 9-Hole Peg Test. Accelerometer Actigraph digunakan untuk mengukur tingkat physical activity atau aktivitas fisik dengan hasil yang menunjukan bahwa anak – anak paling banyak menghabiskan waktu di skor light daripada sedentary, moderate-to-vigorous dan vigorous. 9-Hole Peg Test digunakan untuk mengukur tingkat kemampuan motorik halus atau fine motor skills anak dengan hasil menunjukan bahwa anak lebih terampil dalam menggunakan tangan yang dominan. Data kemudian dianalisis dengan menggunakan Spearman Correlation Test. Hasil analisis data menunjukan tidak terdapat korelasi antara physical activity dengan fine motor skills baik pada tangan dominan (p=0,678>0,05) maupun dengan tangan non dominan (p=0,167>0,05) yang berarti tidak terdapat hubungan yang signifikan antara physical activity dengan fine motor skills pada anak usia 4 tahun. The relationship between physical activity and fine motor skills in 4-year-old children Abstract:The purpose of this study was to examine the relationship between physical activity and fine motor skills in 4-year-old children. The method used is a quantitative research method with the correlation research approach. The population in this study were 4-year-old children who were taking early education in PAUD, TK, and KB in Bandung City. A total of 53 4-year-old children participated in this study by using a purposive sampling technique. The instrumen used were Accelerometer Actograph and 9-Hole Peg Test. The accelerometer actigraph is used to measure the level of physical activity and the results show that children spend the most time on the light score rather than sedentary, moderate-to-vigorous and vigorous score. 9-Hole Peg Test is used to measure the level of fine motor skills of children and the results showing that children are more skilled in using the dominant hand. Data were analyzed using the Spearman Correlation Test. The results of data analysis showed there is no correlation between physical activity and fine motor skills both in dominant hand (p=0.678>0,05) and with the non-dominant hand (p=0,167>0,05) which meant there are no significant relationship between physical activity and fine motor skills in 4-year-old children.


2019 ◽  
Vol 50 (1) ◽  
pp. 92-102
Author(s):  
Refilwe Gloria Pila-Nemutandani ◽  
Basil Joseph Pillay ◽  
Anneke Meyer

Children diagnosed with attention-deficit/hyperactivity disorder encounter difficulties in many activities in their daily lives that require motor coordination skills. The aim of this study was to establish whether children with attention-deficit/hyperactivity disorder have deficits in fine motor skills. Eighty male and female learners diagnosed with attention-deficit/hyperactivity disorder matched with 80 non-attention-deficit/hyperactivity disorder from the North West and Limpopo provinces (South Africa), aged 7–13  years, participated in the study. All participants completed the grooved pegboard test, the maze coordination task, and the finger tapping test. These instruments measure various functions of motor speed and eye–hand coordination. The findings reveal that children with attention-deficit/hyperactivity disorder performed significantly poorer than the control group with regard to the grooved pegboard and maze coordination tasks, but not with the finger tapping task. There were no gender differences in all the tests. Performance on the maze coordination task with the non-dominant hand was poorer for the attention-deficit/hyperactivity disorder group with regard to the time taken to complete the task. However, no hand dominance differences were found on the grooved pegboard and finger tapping tests. The study revealed a relationship between attention-deficit/hyperactivity disorder symptomatology and motor problems with regard to complex tasks of accuracy, but not on a simple task of motor speed. It is, therefore, recommended that since children with attention-deficit/hyperactivity disorder show motor deficiencies, motor skill training should be considered as part of the intervention, as these skills are needed for many daily activities and academic competencies.


Author(s):  
Anchal Sandillya ◽  
Deepti Sharma ◽  
Praveen Gupta

Background and purpose - Parkinson’s disease with cardinal feature of bradykinesia is a movement disorder. The effect of cueing in disorders like parkinsons patients ,stroke, spinal cord injury for improving motor skills and gait and lower limb functions have long been investigated by the Researchers, but there are dearth of studies evaluating the effect of cueing on fine motor skills in patients with parkinson’s disease. Hence this study tries to investigate the effect of auditory cueing on fine motor skills in Parkinson’s disease. Methodology - 25 diagnosed Parkinson’s patients having primary level of education, with mean age 72±5 yrs in Hoehn and Yahr stages 1 to 3 of disease and MMSE score above 24 were included in the study. Two groups were formed; one group performing activities with auditory cueing and other group performing activities without auditory cueing. Scores were calculated using Jebsen Taylor Hand Function Test. Results - Mean values of pre and post intervention timings on Jebsen Taylor Hand Function Test were calculated. Group with auditory cueing showed improvement in total sores of subtests of Jebsen Taylor Hand Function Test with mean and standard deviation (58.51±2.69) seconds in dominant hand and (54.59±2.43) seconds in non-dominant hand, whereas, Group without auditory cueing showed improvement in total sores of subtests of Jebsen Taylor Hand Function Test with mean and standard deviation of (13.39±2.07) seconds in dominant hand and (13.52±1.96) seconds in non-dominant hand. Conclusion- Auditory cueing is proved to be an effective method in improving fine motor skills in patients with Parkinsons disease.


2021 ◽  
Vol 2 (1) ◽  
pp. 25
Author(s):  
Rukanah Rukanah

Introduction: WHO recommends exclusive breastfeeding for newborn sup to six month sofage. Exclusive breastfeeding is given forinfantonlybreastmilk, not given food or other fluids, evenwater, except for vitamins, minerals, ormedicines. Exclusive breast feeding has a positive effect on the motor development of infants in earlylife. This study aimed to determine the relationship between breastfeeding with gross and fine motor skills development in infants 6-12 months. Methods: The design was a cross-sectional study, a total sample of 43 infants with a simple random sampling technique. The research instrument used questionnaires and interviews to obtain data on exclusive breastfeeding, to measure gross motor and fine motor skills development using a checklist form based on Denver II. Data analysis used the Chi-square test with a significance level of α <0.05. Results: The results showed a significant relationship between breastfeeding and gross motor skills development in infants (p=0,000), and there was no relationship between breastfeeding and fine motor skills development in infants (p=0,191). Conclusion: The study concludes that there is the level of knowledge and readiness of mothers in giving exclusive breastfeeding was still lacking and it could cause gross motor skills in infants to experience delays, although not significantly. By providing breastfeeding, it can provide many benefits for mothers and babies, so it is hoped that mothers will increase their knowledge about giving breastfeeding exclusively and implementing it.


Ciencia Unemi ◽  
2017 ◽  
Vol 10 (22) ◽  
pp. 40-47
Author(s):  
Gardenia Ramírez Aguirre ◽  
Maritza Gutiérrez Cedeño ◽  
Ana León Piguave ◽  
Michell Vargas Cruz ◽  
Roxana Cetre Vásquez

En este trabajo se pretende determinar la incidencia de la coordinación grafo-perceptiva, en el adecuado desarrollo de las actividades escolares cotidianas de los niños de 5-6 años de edad, de una institución de Educación Básica del cantón Milagro, Ecuador. El escaso desarrollo de la motricidad fina es una cuestión preocupante, ya que ha generado dificultades en las actividades y tareas escolares, cada una de las acciones que comprende la motricidad fina forman un compendio de conocimientos que implicarán la adquisición de nuevas destrezas y habilidades. En esta investigación de enfoque predominantemente cualitativo, de campo, descriptiva y transversal, se aplicaron entrevistas, encuestas y fichas de observación a docentes, padres de familia, estudiantes y expertos en el área. Se concluye que los infantes demuestran poca creatividad en las actividades grafoplásticas, situación evidenciada en el desinterés que muestran en las prácticas para el desarrollo de la motricidad fina, primordial para el proceso de lectura y escritura. ABSTRACTThis paper aims to determine the incidence of grapho-perceptive coordination in the proper development of daily school activities of children 5-6 years of age in a Basic Education institution in the canton Milagro, Ecuador. The poor development of fine motor skills is a matter of concern, since it has generated difficulties in school activities and tasks. Each activity that includes fine motor skills form a compendium of knowledge that will result in the acquisition of new skills and abilities. In this predominantly qualitative, field-based, descriptive and cross-sectional research, interviews, surveys and observation records were applied to teachers, parents, students and experts in the area It is concluded that infants show little creativity in graphoplastic activities, a situation evidenced in the lack of interest shown in practices for the development of fine motor, essential for the process of reading and writing.


2013 ◽  
Vol 3 (2) ◽  
pp. 19-22
Author(s):  
Almira Mujkić ◽  
◽  
Zlata Paprić ◽  

Visuomotor coordination is reffered to eye coordination and to various parts of the body in different activities and games. The aim of the research was to establish the influence of the exercises of gross and fine motor skills on visuomotor coordination of the cerebral palsy children. The sample was the case study where a male person of 3 and a half years old was an examinee. Measuring instrument used was the Test of visuomotor coordination of the gross motor skills of the dominant hand. Data were analyzed by t-test.


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