Efficacy of Hand Arches Training In the Improvement of Dynamic Tripod Grasp and Handwriting Skills in Hemiplegic C.P. Children.
Journal Title: IOSR Journal of Nursing and health Science - Year 2018, Vol 7, Issue 2
Abstract
Objectives: This work was carried out to investigate the efficacy of hand arches training in the improvement of dynamic tripod grasp and handwriting skills in hemiplegic C.P. children. Method: 30 children were joined in this study and at random selection divided into two groups; group A (hand arching training plus popular physiotherapy program) and group B (popular physiotherapy program only). Motor accuracy test was used to locate and follow eye-hand coordination, hand manipulation test to locate and follow translation, shifting and rotation tasks ,functional writing skill was used to locate and follow writing abilities and pinchmeter to locate and follow pinch grasp motor control . Results: The variance between pre and posttreatment results was highly significant in the study group in all variables. By comparison of the two groups in motor accuracy test at post-treatment, there was a highly representative elevation in eye-hand coordination related to study group (p<.05). There was a highly representative elevation in translation and rotation related to study group (p<.05). By comparison of the two groups in functional writing skill at post-treatment, there was a highly representative elevation in writing abilities related to study group (p<.05). By comparison of the two groups in pinchmeter test at post-treatment, there was a highly representative elevation in pinch grasp motor control related to study group(p<.05). According to the outcomes of this study, it can be terminated that the combined effect of hand arching training plus routine regular physiotherapy program can be recommended in improvement handwriting skills in hemiplegic C.P. children .
Authors and Affiliations
Ahmed M. Azzam
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