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

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

Impacts and Burden of Niemann Pick Type-C: A Patient and Caregiver Perspective

2021 ◽  
Author(s):  
Eugen Mengel ◽  
Marc C Patterson ◽  
Michael Chladek ◽  
Christina Guldberg ◽  
Christine íDali ◽  
...  
Keyword(s):  
Lived Experience ◽  
Motor Skills ◽  
Age Of Onset ◽  
Fine Motor ◽  
Fine Motor Skills ◽  
Increased Risk ◽  
Wide Range ◽  
Type C ◽  
Niemann Pick ◽  
The Impact

Abstract Background Niemann-Pick disease type C (NPC) is a debilitating condition that impacts patients’ and caregivers’ quality of life (QOL) and reduces the patient’s life expectancy. Since there is little qualitative research from the perspective of patients and family caregivers, this study explored the impact of NPC on patients’ and caregivers’ daily lives to understand the burden of disease.Results A survey of caregivers for patients with NPC and adult patients with NPC (n = 49; patient age: 13 months – 65 years) assessed NPC severity, importance of NPC symptoms, and how symptoms impacted patients’ and caregivers’ activities of daily living (ADLs) and health-related QOL (HRQOL). Follow-up interviews with a subset of survey participants (n = 28) explored the ranking of NPC symptom importance and impact on ADLs and HRQOL.Findings indicated that the most important manifestations of NPC were ambulation, swallowing, speech, fine motor skills, and cognition, which were those that had the most significant impact on ADLs and HRQOL. A wide range of ADLs were affected by NPC, mainly eating/drinking and ability to perform daily tasks, including self-care, communicating, participating in school or work, and moving indoors as well as outside the home. Along with these impacts, there was an increased risk of experiencing dangerous or life-threatening situations leading to loss of patient independence and additional caregiver burden, often requiring changes in lifestyle such as giving up work. All aspects of patients’ and caregivers’ HRQOL were affected. Participants reported feelings of social isolation, loss of enjoyment in activities (patients), and feelings of sadness or worry (caregivers).ConclusionsAmbulation, swallowing, speech, fine motor skills, and cognition are important manifestations of NPC. ADLs and HRQOL were impaired in the majority of patients as well as their caregivers. The findings were independent of current age, age of onset of symptoms, and level of NPC disease-related disability; however, the impact increased at higher levels of disease disability. Knowing the impact of NPC on patients and caregivers is important for understanding the lived experience of NPC and for identifying potential areas of support.Trial registrationNCT02612129. Registered 23 November 2015, https://clinicaltrials.gov/ct2/show/NCT02612129

scholarly journals Improving fine motor skills in children with special educational needs by occupational therapy

Pediatru ro ◽  
2020 ◽  
Vol 1 (57) ◽  
pp. 6
Author(s):  
Bogdan Almăjan-Guţă ◽  
Amalia Cuceu ◽  
Petru Eugen Mergheş ◽  
Narcis Ion Văran
Keyword(s):  
Occupational Therapy ◽  
Motor Skills ◽  
Educational Needs ◽  
Fine Motor ◽  
Fine Motor Skills ◽  
Special Educational Needs

scholarly journals Analysis of Correlations Between Gross and Fine Motor Skills, Physical Fitness, and the Level of Functioning in Schoolchildren with Intellectual Disabilities

2018 ◽  
Vol 25 (1) ◽  
pp. 16-22
Author(s):  
Waldemar Skowroński ◽  
Witold Winnicki ◽  
Grzegorz Bednarczuk ◽  
Izabela Rutkowska ◽  
Witold Rekowski
Keyword(s):  
Physical Fitness ◽  
Intellectual Disabilities ◽  
Motor Skills ◽  
Motor Development ◽  
Intellectual Development ◽  
Assessment Tools ◽  
Fine Motor ◽  
Fine Motor Skills ◽  
Level Of Functioning ◽  
Wide Range

Abstract Introduction. Physical fitness affects motor and intellectual development. Having a wide range of motor skills makes it possible to learn about the surrounding world and expand one’s knowledge. In the case of persons with intellectual disabilities, mastering gross and fine motor skills is the core of their development and functioning in society. The aim of the study was to analyse the relationship between physical fitness, gross and fine motor skills, and the level of functioning in schoolchildren with intellectual disabilities. Material and methods. The study involved 62 subjects whose age ranged from 9 to 24 years. Due to the large size and homogeneity of the group, the results of 26 subjects were considered in the analysis: 12 girls and 14 boys with moderate intellectual disability. Physical disability as well as gross and fine motor skills were measured with the BOT-2, TGMD- 2, and Eurofit Special tests. The level of functioning in society was assessed with a specially designed ICF-based questionnaire. Results. The study showed that girls had better motor skills than boys; this was reflected in the participants’ level of functioning as girls displayed a higher level of functioning. Boys, despite better physical fitness, were ranked on a lower level of functioning. Conclusions. A relationship was found between gross and fine motor skills and the level of functioning, assessed with BOT-2 and TGMD-2. No relationship was found between physical fitness, assessed with Eurofit Special, and the level of functioning. Instead of using assessment tools for general fitness, one should measure specific motor skills when assessing physical and motor development in children with intellectual disabilities.

scholarly journals Terapi Okupasi Memasang Tali Sepatu terhadap Motorik Halus pada Anak Tunagrahita Sedang

2020 ◽  
Vol 4 (1) ◽  
pp. 239-247
Author(s):  
Mochamad Heri ◽  
Ni Made Dwi Yunica Astriani ◽  
Komang Gde Trisna Purwantara ◽  
Putu Devi Kurnia Sari
Keyword(s):  
Occupational Therapy ◽  
Motor Skills ◽  
Motor Development ◽  
Quantitative Research ◽  
Univariate Analysis ◽  
Wilcoxon Test ◽  
Fine Motor ◽  
Fine Motor Skills ◽  
Mentally Disabled ◽  
Post Test

The purpose of this study was to determine the effect of occupational therapy on attaching shoelaces to the improvement of fine motor skills in mentally disabled children in SLB N 1 Badung. This research method is quantitative research with pre-experimental research design pre-post test one group design. The result of univariate analysis of the intervention of 41 respondents before being given occupational therapy for fine motor development was 1.20, and after being given occupational therapy, fine motor development was 1.41. The results of this study showed the average fine motor development during the pre-test was 1.20. After being given the occupational therapy treatment of attaching shoelaces, the average fine motor development was 1.41. Data analysis results with the Wilcoxon test get a value of 0.003 or p <α (0.05). In conclusion, occupational therapy influences placing shoelaces on fine motor skills in children with moderate mental retardation in SLB N 1 Badung.   Keywords: Fine Motoric, Occupational Therapy, Impairment

scholarly journals The Research of the Need for Occupational Therapy in the Infant`s Foster Home

2020 ◽  
Vol 2 (3) ◽  
Author(s):  
Viktorija Repšaitė ◽  
Giedrė Kavaliauskienė ◽  
Ligija Švedienė
Keyword(s):  
Occupational Therapy ◽  
Motor Function ◽  
Motor Skills ◽  
Sensory Integration ◽  
Normal Development ◽  
Fine Motor ◽  
Fine Motor Skills ◽  
Foster Home ◽  
Foster Homes ◽  
Fine Motor Function

The aim of the research was to examine the need for occupational therapy in the infant foster home. The study was conducted in December 2009 – March 2010 in Kaunas Child’s Development Clinic „Lopšelis“. Self-dependence and fine motor function evaluation were made according to DISC (Diagnostic Inventory for Screening Children). Sensory integration disorders were valuated by the questionnaire of evaluation of sensory integration filled in by the teachers (for children from birth to 2 years) which helped the teachers to evaluate the babies growing in the foster home. Evaluating fine motor skills we estimated that 22 children (57.9%) were of normal development, 13 children (34.2%) had development retardation and 3 children (7.9%) had development difficulties. Evaluating the self-dependence of the children growing in the infant foster home, we determined that 25 children (65.8%) were of normal development, 12 children (31.6%) had development retardation and 1 child (2.6%) had development difficulties. Both child‘s self-dependence and fine motor skills depend on the age (varies with the growth of a child). To assess the influence of the changes in living conditions on child’s development regardless of age, we created a new character – children’s part time (in percent) spent in infant foster homes. The results of the research revealed that the longer a child lives in a foster home, the more their self-dependence and fine motor skills weaken. The results of the questionnaire for assessment of sensory integration disorders were analyzed and total score of 9 areas was counted. It varied from 55 to 95 points, the average of the total score was 76.2 points. The correlation coefficient between sensory integration disorder (total score) and the time children spent in the infant foster home was r = 0.35, p = 0.08. Therefore, it can be stated with the 90 % reliability that the longer a child lived in a foster home, the more pronounced his / her sensory integration disorders were. Conclusions. 1. A large proportion of infants (20 (42.1%)) growing in the infant foster home have fine motor function development disorders: 13 children (34.2%) were stated to have fine motor development retardation, 3 children (7.9%) had development difficulties. 2. Infants growing in a foster home have disorders of the development of self-dependence skills. We found that 12 children (31.6%) had characteristic retardation of self-dependence skills development, and 1 child (2.6%) had development disorders. 3. Infants growing in the infant foster home have sensory integration disorders. The results of the research showed that 9 (35%) of the respondents had light sensory integration disorders, 10 (38%) respondents had medium sensory integration disorders and 1 (4%) respondent had pronounced sensory integration disorder.Keywords: occupational therapy, developmental disorders, foster homes.

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

Jurnal NERS ◽  
2017 ◽  
Vol 12 (1) ◽  
pp. 142
Author(s):  
Kusnanto Kusnanto ◽  
Eska Dwi Prajayanti ◽  
Harmayetty Harmayetty
Keyword(s):  
Ischemic Stroke ◽  
Muscle Strength ◽  
Upper Extremity ◽  
Motor Skills ◽  
Upper Extremities ◽  
Fine Motor ◽  
Joint Motion ◽  
Fine Motor Skills ◽  
Jigsaw Puzzle ◽  
Stroke Patients

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.

scholarly journals Techniques and methods for monitoring the evolution of upper limb fine motor skills

2019 ◽  
Vol 15 (29) ◽  
pp. 1-22
Author(s):  
Juan David Guzmán Villamarín ◽  
Diego Enrique Guzmán Villamarín ◽  
Carlos Felipe Rengifo Rodas ◽  
Jerónimo Londoño Prieto
Keyword(s):  
Motor Skills ◽  
Upper Limb ◽  
Human Error ◽  
Hand Function ◽  
Easy Access ◽  
Fine Motor ◽  
Fine Motor Skills ◽  
Motor Ability ◽  
Hand Rehabilitation ◽  
The People

Introduction: This review article is the product of research on the methods, techniques and devices used in the measurement of fine motor skills of upper limbs and its respective evolution, developed at Universidad del Cauca in 2018. Problem: Objective measurement of the evolution of upper limb motor skills in the rehabilitation processes.  Objective: To identify the conventional techniques and electronic devices used in the measurement of the evolution of upper limb motor ability.  Methodology: Four scientific databases were reviewed in addition to the Google Scholar search engine. The keywords used for the search were: "fine motor skills", "hand measurement", "hand rehabilitation"and "hand function", among others.  Results: Approximately 3840 articles related to the subject were found. When applying the exclusion criteria, the article number to be revised was reduced to 63, which were analyzed in the present review. Conclusions: The tools applied by health professionals are convenient due to their rapid execution and easy access, however they can be subject to human error since they depend on the experience of the user. Electronic systems present objective measurements, however, their complexity and cost are high. Originality: This work presents information on the therapeutic techniques and technological devices used, in certain pathologies, for the evaluation of upper limb motor ability. Limitations: Not all articles analyzed have a detailed description of the people in which the studies were conducted.

scholarly journals Impacts and Burden of Niemann pick Type-C: a patient and caregiver perspective

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Eugen Mengel ◽  
Marc C. Patterson ◽  
Michael Chladek ◽  
Christina Guldberg ◽  
Christine í Dali ◽  
...  
Keyword(s):  
Lived Experience ◽  
Motor Skills ◽  
Age Of Onset ◽  
Fine Motor ◽  
Fine Motor Skills ◽  
Increased Risk ◽  
Wide Range ◽  
Type C ◽  
Niemann Pick ◽  
The Impact

Abstract Background Niemann-Pick disease type C (NPC) is a debilitating condition that impacts patients’ and caregivers’ quality of life (QOL) and reduces the patient’s life expectancy. Since there is little qualitative research from the perspective of patients and family caregivers, this study explored the impact of NPC on patients’ and caregivers’ daily lives to understand the burden of disease. Results A survey of caregivers for patients with NPC and adult patients with NPC (n = 49; patient age: 13 months–65 years) assessed NPC severity, importance of NPC symptoms, and how symptoms impacted patients’ and caregivers’ activities of daily living (ADLs) and health-related QOL (HRQOL). Follow-up interviews with a subset of survey participants (n = 28) explored the ranking of NPC symptom importance and impact on ADLs and HRQOL. Findings indicated that the most important manifestations of NPC were ambulation, swallowing, speech, fine motor skills, and cognition, which were those that had the most significant impact on ADLs and HRQOL. A wide range of ADLs were affected by NPC, mainly eating/drinking and the ability to perform daily tasks, including self-care, communicating, participating in school or work, and moving indoors as well as outside the home. Along with these impacts, there was an increased risk of experiencing dangerous or life-threatening situations leading to loss of patient independence and additional caregiver burden, often requiring changes in lifestyle such as giving up work. All aspects of patients’ and caregivers’ HRQOL were affected. Participants reported feelings of social isolation, loss of enjoyment in activities (patients), and feelings of sadness or worry (caregivers). Conclusions Ambulation, swallowing, speech, fine motor skills, and cognition are important manifestations of NPC. ADLs and HRQOL were impaired in the majority of patients as well as their caregivers. The findings were independent of current age, age of onset of symptoms, and level of NPC disease-related disability; however, the impact increased at higher levels of disease disability. Knowing the impact of NPC on patients and caregivers is important for understanding the lived experience of NPC and for identifying potential areas of support.

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