The Effectiveness of Play Activities and Functional Activities on Fine Motor Skills in Children with Spastic Diplegic Cerebral Palsy

Author(s):  
Bandana Senapati
2020 ◽  
Vol 11 (4) ◽  
pp. 244-264
Author(s):  
Inna TARAN ◽  
◽  
Nataliia VASYLIEVA ◽  
Antonina GUROVA ◽  
Yuliia KARPUKHINA ◽  
...  

Today there is a need to develop a method of hydrokinesis therapy as a means of gradual formation of motor skills in children with spastic diplegia of cerebral palsy of the chronic-residual stage of the disease in a comprehensive program of physical rehabilitation. The purpose of the study is to develop a method of hydrokinesis therapy for children 3-5 years with cerebral palsy of spastic form. The main novelties of the developed technique of hydrokinesis therapy: development of application of complexes of exercises in hydrokinesis therapy, which differs in structure from the generally accepted methods for patients with cerebral palsy of spastic form in the chronic-residual stage of the disease; combination of means of physical rehabilitation with the technique of hydrokinesis therapy during the annual cycle. The study involved 24 children 3-5 years of age with a diagnosis of "cerebral palsy, spastic diplegia" of the chronic-residual stage of the disease of moderate severity. To achieve this goal, theoretical analysis and generalization of data from scientific and methodological literature were used; pedagogical experiment and observation; medical and biological methods (used anthropometry and Pinier index; goniometry, assessment of basic motor functions (ABMF) on the Likert scale, muscle tone on the Ashfort scale, muscle strength on the Lovett scale; assessment of manipulative activity and speed response of the hands on trapping- the test made it possible to determine the level of development of fine motor skills); sociological methods (surveys of parents on questionnaires of social and emotional state and level of children's play activities); methods of mathematical statistics were used to process the actual experimental material, assess the reliability of the data. There were significant (p <0.01) changes in the indicators of social and emotional state in children with main group (MG) by 15.5%, in comparative group (CG) - by 11.7%, and there was a slight improvement in play activity in children with MG by 9.6%, in CG - by 5.75%. The developed method of hydrokinesiotherapy is effective and helps to improve the functions of general and fine motor skills, socio-emotional state and the level of activity of play activities of children 3-5 years with cerebral palsy of spastic form.


2021 ◽  
Author(s):  
Rr. Dina Kusuma Wardhani ◽  
Rusmono Rusmono ◽  
Wuryani Wuryani

Disability can be classified into two types, namely disorders of the function of the orthopedic limb (orthopedic disability) and disorders of the function of the nerve (neurological disability). The purpose of this study was to optimize the fine motor skills of students with cerebral palsy at TKLB SLB D YPAC, South Jakarta, through sewing board media. In this study, the ADDIE Approach (Analysis-Design-Develop-ImplementEvaluate) was used. The sewing board media developed in this study were shown to be effective and can be used in optimizing the fine motor skills of students with cerebral palsy. Keywords: children with special needs, cerebral palsy, fine motor, sewing board media


2018 ◽  
Vol 16 (1) ◽  
pp. 35
Author(s):  
Nia Sutisna ◽  
Yeni Rachmawati

Kesulitan yang dihadapi oleh anak cerebral palsy dengan tipe spastik yaitu ia memiliki kesulitan dalam menggunakan otot-ototnya untuk bergerak, disebabkan adanya kekejangan pada otot, akibatnya gerakan tubuh menjadi terbatas dan lambat. Dampak dari kekejangan atau kekakuan yang dialami anak cerebral palsy tipe spastik diantaranya adalah hambatan dalam melakukan kegiatan yang berkaitan dengan kemampuan otot, yaitu kemampuan motorik halus seperti dalam kegiatan bina diri dan belajar. Untuk mengembangkan kemampuan motorik halus pada siswa cerebral palsy tipe spastik dibutuhkan suatu metode atau aktivitas pembelajaran yang tepat agar kemampuan motorik halus yang dimiliknya dapat dikembangkan. Salah satunya dengan aktivitas kolase yang dilakukan guna melatih motorik halus anak, koordinasi mata dan tangan melalui sebuah aktivitas yang menyenangkan serta bermanfaat. Kolase merupakan teknik yang kaya akan aktivitas yang memungkinkan untuk mengembangkan keterampilan motorik halus terutama kelenturan dalam menggunakan jari-jarinya seperti merobek dan menempel. Penelitian ini dilakukan untuk mengetahui apakah aktivitas kolase berpengaruh terhadap peningkatan kemampuan motorik halus pada siswa cerebral palsy tipe spastik kelas VII di SMPLB-D YPAC Bandung. Metode penelitian yang digunakan adalah Single Subject Research (SSR) dengan desain penelitian A-B-A. Teknik pengumpulan data melalui tes perbuatan dan teknik analisis data menggunakan persentase, dengan indikator mampu mengambil dan meletakkan benda dalam berbagai posisi, mampu memasang dan melepas resleting celana, serta mampu memasang dan melepas kancing baju. Hasil penelitian diperoleh mean level baseline 1 (A-1) sebesar 50,97%, mean level intervensi (B) sebesar 71,8% dan mean level baseline 2 (A-2) sebesar 85,29%. Hasil penelitian ini menyatakan bahwa melalui aktivitas kolase dapat meningkatkan kemampuan motorik halus pada siswa cerebral palsy tipe spastik (MBY), terbukti dari kenaikan mean level pada setiap sesi. Hasil penelitian ini sekiranya dapat dijadikan bahan pertimbangan bagi pendidik dalam pemilihan aktivitas pembelajaran pada anak cerebral palsy. Difficulties arising from the child's spastic cerebral palsy type is a person who has difficulty in using his muscles to move that affects muscle spasm. The impact of spasticity or stiffness experienced by children of cerebral palsy type is an obstacle in performing activities related to muscle ability. To develop fine motor abilities in students, the type of cerebral palsy spastic technology or the proper learning activities for fine motor skills that can be developed. This study was conducted to determine whether the collage process can improve fine motor skills in grade VII cerebral palsy spastic students at SMPLB-D YPAC Bandung. The research method used is Single Subject Research (SSR) with A-B-A research design. Data processing techniques through tests and data analysis techniques using percentages, with indicators that can be used in various positions, able to load and finish pants, and able to lift and remove clothes. The result of the research obtained average level of baseline 1 (A-1) equal to 50,97%, mean intervention level (B) equal to 71,8% and mean level of baseline 2 (A-2) equal to 85,29%. The results of this study suggest that through the collage stage can improve fine motor skills in students of cerebral palsy spastic type (MBY), as evidenced by the increase in the average rate in each session.


Author(s):  
Samina Ashraf ◽  
Farheen Nisar

Cerebral palsy is a neurological, non-progressive and commonest cause of severe physical disabilities. It affects body movement and muscle coordination permanently and usually appears in early childhood. Children with cerebral palsy have severe problems of fine motor skills. The research was conducted to achieve the following objectives 1) to identify the current level of fine motor skills of students with cerebral palsy studying in the schools, 2)Design  an intervention strategic plan  to enhance the fine motor skills of children with cerebral palsy,3)implement the prescribed intervention plan to enhance the fine motor skills of children with cerebral palsy.4)improve the fine motor skills of children with cerebral palsy by implementing the intervention strategies. It was an experimental research conducted by applying single subject research design (ABA).The researchers used two different checklists to assess the functional abilities of the children with CP before and after intervention. The reliability of all the instruments was checked by using cronbach alpha (.87 and .78) whereas the content validity of the instruments was estimated by taking expert opinions. On the basis of pretest an intervention plan was implemented to enhance the functional abilities of the students. A self-developed test was used after implementing the intervention strategies to see the improvement in the functional abilities of children with cerebral palsy.


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.


Edupedia ◽  
2019 ◽  
Vol 3 (2) ◽  
pp. 67-77
Author(s):  
Farhatin Masrurah ◽  
Khulusinniyah Khulusinniyah

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.


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