JIGSAW PUZZLE IMPROVE FINE MOTOR ABILITIES OF UPPER EXTREMITIES IN POST-STROKE ISCHEMIC CLIENTS

Introduction: Ischemic stroke is a disease caused by focal cerebral ischemia, where is a decline in blood flow that needed for neuronal metabolism, leading to neurologic deficit include motor deficit such as fine motor skills impairment. Therapy of fine motor skills disorders is to improve motor function, prevent contractures and complications. These study aimed to identify the effect of playing Jigsaw Puzzle on muscle strength, extensive motion, and upper extremity fine motor skills in patients with ischemic stroke at Dr. Moewardi Hospital, Surakarta. Methods: Experimental Quasi pre-posttest one group control. The number of samples were 34 respondents selected using purposive sampling technique. The samples were divided into intervention and control groups. The intervention group was 17 respondents who were given standard treatment hospital and played Jigsaw Puzzle 2 times a day for six days. Control group is one respondent given by hospital standard therapy without given additional Jigsaw Puzzle game. Evaluation of these research is done on the first and seventh day for those groups. Result: The results showed that muscle strength, the range of joint motion and fine motor skills of upper extremities increased (p = 0.001) significantly after being given the Jigsaw Puzzle games. These means playing Jigsaw Puzzle increase muscle strength, the range of joint motion and upper extremity fine motor skill of ischemic stroke patients. Discussion and conclusion: Jigsaw puzzle game administration as additional rehabilitation therapy in upper extremity fine motor to minimize the occurrence of contractures and motor disorders in patients with ischemic stroke. Jigsaw puzzle game therapy capable of creating repetitive motion as a key of neurological rehabilitation in Ischemic Stroke. This study recommends using jigsaw puzzle game as one of intervention in the nursing care of Ischemic Stroke patients.

Download Full-text

Robotic Stimulation for Fine Motor Skills of the Upper Extremities

Proceedings of the 2017 9th International Conference on Education Technology and Computers - ICETC 2017 ◽

10.1145/3175536.3176652 ◽

2017 ◽

Author(s):

Christian P. Carvajal ◽

Fernando A. Chicaiza ◽

Renato Carvajal ◽

Víctor H. Andaluz

Keyword(s):

Motor Skills ◽

Upper Extremities ◽

Fine Motor ◽

Fine Motor Skills

Download Full-text

Disorders of fine motor skills after a stroke: the processes of neuroplasticity and sensorimotor integration

Clinical Practice ◽

10.17816/clinpract10116-22 ◽

2019 ◽

Vol 10 (1) ◽

pp. 16-22

Author(s):

Eugeniia V. Ekusheva ◽

A. A. Komazov

Keyword(s):

Ischemic Stroke ◽

Motor Skills ◽

Motor Impairment ◽

Fine Motor ◽

Voluntary Movements ◽

Moderate Degree ◽

Fine Motor Skills ◽

Social Maladjustment ◽

The Right

Background. Impairment of fine motor skills in the hand is one of the most frequent causes of the persistent loss of professional skills, social maladjustment, and the impossibility of self-care in patients after a stroke, which ultimately leads to a significant reduction in the quality of their life. The article discusses the features of the fine motor skills’ impairment in the hand in patients after a stroke, in the context of a lateralized hemispheric lesion. Methods. We have studied 26 patients after a primary ischemic stroke in the pool of middle cerebral artery of the right (n=12) or left (n=14) brain hemisphere. The average age of patients was 55.7±7.3 years. Patients with a right-sided ischemic stroke were comparable to those with a left-sided stroke in their age, disease duration, size of the lesion and the gender ratio. Results. All the patients after an ischemic stroke had motor impairment in the form of a hemiparesis of a mild or moderate degree. Discussion. We suggest the existence of differentiated mechanisms for the development of fine and highly coordinated voluntary movements in the hand of patients after an ischemic stroke, depending on the lateralization of the supratentorial lesion: diffuse deficit of the afferent support in a right-sided ischemic stroke vs. bilateral efferent deficit for a left hemisphere lesion. Conclusion. The obtained data on the differentiated mechanisms for the development of fine and highly coordinated voluntary movements in the hand of patients after an ischemic stroke warrant the necessity of a further, more targeted research on those disorders in the post-stroke period, on order to optimize the existing rehabilitation approaches and improve the functional potential and quality of life of such patients.

Download Full-text

ROLE OF OCCUPATIONAL THERAPY IN RESTORING FINE MOTOR SKILLS IN POST STROKE PATIENTS-AN ANALYTICAL REVIEW

EPRA International Journal of Multidisciplinary Research (IJMR) ◽

10.36713/epra6138 ◽

2021 ◽

pp. 22-31

Author(s):

Dr. Manish Bhardwaj ◽

Dr. R. K. Sureka ◽

Dr. Surendra Kumar Meena ◽

Dr. Neha Jain

Keyword(s):

Occupational Therapy ◽

Motor Skills ◽

Fine Motor ◽

Detailed Knowledge ◽

Fine Motor Skills ◽

Hand Rehabilitation ◽

Stroke Patients ◽

Rehabilitation Team ◽

Post Stroke ◽

Wide Range

The occupational therapy has a decisive role in restoring fine motor skills in post stroke patients. The purpose of this study was to compile all the information pertaining to the assessment and treatment performed by occupational therapist. This study amass the complete personification of occupational therapy from the need of theoretical basis to the practical treatment aspects. The study covers the basic idea of stroke and complications arose in the normal movements and leads towards the complete functional aspects of the motor function of human hand. The position of occupational therapy in a rehabilitation team and a detailed knowledge of areas of occupational therapy related to fine motor skills helps to grab the evaluation process used and treatment protocol prescribed to restore fine motor skills after stroke. It helps to gain a detailed know-how of tools and instruments used for assessment and techniques used in the treatment of stroke that focuses on fine motor skills. This study reveals that occupational therapy as its specialty in hand rehabilitation has a wide range of assessments, treatment and management protocols to pursue the treatment of a variety of areas of hand rehabilitation including fine motor skills after an event of stroke

Download Full-text

Gambaran Peningkatan Kemampuan Motorik Ekstremitas Atas Setelah Pemberian Mirror Therapy Pada Pasien Pasca Stroke : Literature Review

Prosiding Seminar Nasional Kesehatan ◽

10.48144/prosiding.v1i.891 ◽

2021 ◽

Vol 1 ◽

pp. 1536-1541

Author(s):

Infa Dirah Pangestika Oktafiani ◽

Wahyu Ersila

Keyword(s):

Literature Review ◽

Upper Extremity ◽

Motor Skills ◽

Functional Limitations ◽

Upper Extremities ◽

Google Scholar ◽

Mirror Therapy ◽

Stroke Patients ◽

Post Stroke ◽

Incidence And Mortality

AbstractStroke is a serious health problem with high incidence and mortality, and causes disability in patients. It causes complex problems, one of which is motor disorders, especially the upper extremities. Impaired motor function causes functional limitations and disabilities in stroke patients. Mirror Therapy is a new technique that is simple and able to improve upper extremity function with the concept of visual illusion. This study aimed to describe of the motoric improvement of the upper extremities after the implementation of Mirror Therapy in post-stroke patients. This study was a literature review by searching for articles from databases such as PubMed, Science Direct, and Google Scholar. The articles were chosen based on several inclusion and exclusion criteria as well as a feasibility test. The number of articles that was appropriate and reviewed was five. The results of review of the five articles showed that Mirror Therapy was proven to be able to improve the motoric skills of post-stroke patients with an average difference of 13.68 using the Fugl Meyer Assessment of Upper Extremity (FMA-UE) measuring instrument. The most common type of stroke was ischemic stroke (64.6%), and it was more common in males (72.3%) with an average age of 52.84 years. Mirror Therapy could improve the upper extremity motor skills in post-stroke patients. This study is expected to be the basis of action in performing physiotherapy management, especially in improving upper extremity motor skills in post-stroke patients with Mirror Therapy interventions.Keywords : Mirror skills; Motor Therapy; Post stroke AbstrakStroke merupakan masalah kesehatan yang penting dengan kejadian dan kematian tinggi dan menyebabkan kecacatan pada penderita. Permasalahan yang ditimbulkan kompleks, salah satunya gangguan motorik khususnya ekstremitas atas. Fungsi motorik yang terganggu menyebabkan keterbatasan fungsional dan disabilitas pada pasien stroke sehari-hari. Mirror therapy merupakan teknik baru yang sederhana dan mampu memperbaiki fungsi ekstremitas atas dengan konsep ilusi visual. Penelitian ini bertujuan untuk mengetahui gambaran peningkatan motorik ekstremitas atas setelah pemberian mirror therapy pada pasien pasca stroke. Penelitian menggunakan literature review dengan pencarian artikel melalui database seperti PubMed, Science Direct, dan Google Scholar. Artikel diambil berdasarkan kriteria inklusi dan eksklusi, serta dilakukan uji kelayakan. Jumlah artikel yang sesuai dan dilakukan review (n=5). Hasil literature review lima artikel menunjukkan bahwa pemberian mirror therapy terbukti dapat meningkatkan kemampuan motorik ekstremitas atas pasien pasca stroke dengan rata-rata selisih peningkatan sebesar 13,68 menggunakan alat ukur Fugl Meyer Assessment of Upper Extremity (FMA-UE). Jenis stroke terbanyak yaitu stroke iskemik 64,6% dan jenis kelamin laki-laki lebih banyak 72,3% dengan karakteristik rata-rata usia 52,84 tahun. Mirror Therapy dapat meningkatkan kemampuan motorik ekstremitas atas pasien pasca stroke. Diharapkan menjadi dasar tindakan dalam melakukan manajemen fisioterapi, mengenai masalah peningkatan kemampuan motorik ekstremitas atas pada pasien pasca stroke dengan intervensi mirror therapy.Kata kunci: Kemampuan motorik; Mirror therapy; Pasca stroke

Download Full-text

PENGEMBANGAN FISIK MOTORIK ANAK USIA DINI DENGAN BERMAI

Edupedia ◽

10.35316/edupedia.v3i2.253 ◽

2019 ◽

Vol 3 (2) ◽

pp. 67-77

Author(s):

Farhatin Masrurah ◽

Khulusinniyah Khulusinniyah

Keyword(s):

Early Childhood ◽

High Activity ◽

Motor Skills ◽

Motor Development ◽

Rapid Growth ◽

Skills Development ◽

Fine Motor ◽

Fine Motor Skills ◽

Gross Motor ◽

Gross Motor Skills

The first five years of a children’s age is the period of rapid growth with physical and motor development. Those process will develop well if stimulated continuously. Early childhood always identic with high activity requires the opportunity to express their abilities. Therefore playing method is very urgent inchildren’s gross motor skills and fine motor skills development through a variety of playing activities both indoors and outdoors. Playing is an activity that cannot be separated from early childhood’s world. All playing activities will be carried out happily. By the same token learning by playing will be done happily without any sense of being forced or oppressed.

Download Full-text

Development of an arcade controller for children with intellectual disabilities to improve fine motor skills through video games

2020 IEEE Games, Multimedia, Animation and Multiple Realities Conference (GMAX) ◽

10.1109/gmax49668.2020.9256830 ◽

2020 ◽

Author(s):

Domenica A. Merchan-Garcia ◽

Alejandro S. Enriquez-Mancheno ◽

Victor H. Uguna-Uguna ◽

Paola F. Suquilanda-Cuesta ◽

Vladimir E. Robles-Bykbaev

Keyword(s):

Video Games ◽

Intellectual Disabilities ◽

Motor Skills ◽

Fine Motor ◽

Fine Motor Skills

Download Full-text

P110 Sex differences in hand osteoarthritis symptoms and function

Rheumatology ◽

10.1093/rheumatology/keab247.106 ◽

2021 ◽

Vol 60 (Supplement_1) ◽

Author(s):

Brona Dinneen ◽

David Heath ◽

Mohammed Tauseef Ghaffar ◽

Miriam O'Sullivan ◽

Carmel Silke ◽

...

Keyword(s):

Sex Differences ◽

Pain Intensity ◽

Motor Skills ◽

Functional Assessment ◽

Functional Ability ◽

Fine Motor ◽

Hand Osteoarthritis ◽

Fine Motor Skills ◽

Males And Females ◽

And Function

Abstract Background/Aims There is currently no consensus regarding sex-related differences in pain intensity and functional abilities among patients with hand osteoarthritis (OA). In this study we determine sex-related differences in pain intensity and functional ability among patients with hand OA, as assessed by a self-report questionnaire and by performance-based tests. Methods Using the AUSCAN tool for symptom and functional assessment of hand OA with dynamometry we prospectively accessed patients meeting the ACR criteria for hand osteoarthritis. Using this analysis, assessments of pain and function were compared in male and female patients. The outcome measures included self-reported pain measures, functional assessment and dynamometry measures. Results The study population included 106 patients (90 females and 16 males) with a mean age of males 48.44 (7.48) and females 52.67 (9.43). All patients with symptomatic hand osteoarthritis meeting ACR Criteria. When accessing difference between sexes, men were found to be significantly heavier (p = 0.003) and have greater grip and pinch strength.As part of function and pain assessments there was a significant correlation between difficulty with fine motor skills such as difficulty doing buttons, difficulty when doing jewellery, or peeling vegetables associated with pain when turning objects e.g. doorknobs, taps and faucets for men in comparison to women. Difficulty in these fine motor skills also correlated with stiffness on wakening and pain on lifting heavy objects regardless of sex. A Mann-Whitney U test was run on 106 participants to determine if there were differences in pain or functional scores between males and females. This reviled Median score for males () and females () was statistically significantly different,There were sex differences noted in the correlation associated with pain with rotational movements e.g. turning objects and functional difficulty with fine motor movements including difficulty when doing up buttons ( Males r(14) = -0.109, p = 0.698, Females r(88) =0.489, p = <0.01 value.= ), difficulty when doing jewellery ( Males r(14) =-0.265, p = 0.339.= Females r(88) = 0.570, p = <0.01) , difficulty peeling vegetables ( Males r(14) = -0.207, p = 0.458 Females r(88) = 0.519, <0.01 ) Conclusion The results demonstrate the presence of sex differences in patients suffering from hand osteoarthritis self-reported functional ability and pain scales. These differences indicate the need for further studies to explore the mechanisms of hand OA and to understanding the specific impact of gender on the development and progression of disease. With further understanding we can obtain the proper strategy to provide better individualised treatment. It also highlights that rehabilitation programs should consider these differences and each patients’ performance limitations in order to address the specific needs of each individual patient. In doing so, improved pain and functional status will improve morbidity in hand OA Disclosure B. Dinneen: None. D. Heath: None. M. Ghaffar: None. M. O'Sullivan: None. C. Silke: None. B. Whelan: None.

Download Full-text