Children with Cerebral Palsy had Their Fine Motor Abilities Tested Just after using a Revolutionary Hand Rehabilitation Board.

Abstract

BACKGROUND: Cerebral palsy (CP) limits a child's defecation abilities because of their impaired fine motor skills. their forearms and actively extend their elbows, wrists, or fingers while doing so. In order to enhance fine motor skills, it is essential to implement therapeutic interventions that concentrate on while also making it easier to perform active motions by increasing the range of motion at these joints.

OBJECTIVE: This pilot study aims to determine if children with cerebral palsy (CP) exposed to the Novel Hand Rehabilitation (NHR) Board will exhibit 1) enhancements in fine motor skills and 2) alterations in spasticity and passive range of motion (ROM) of the forearm and wrist/finger musculature.

±

 

METHODS: Between the ages of 49 and 72 months (65.33 6.355 months), Children diagnosed with spastic cerebral palsy (N = 15; M = 7, F = 8) were maintained on the NHR board until they attained their tolerance threshold limit or for at least half an hour. Additionally, the wrists and fingers of the kids were positioned on the board. The following outcome measures were recorded: Fine motor abilities (assessed by the PDMS-2 Fine Motor Scale), passive range of motion (PROM) of the wrist and fingers, and spasticity (evaluated using the Modified Ashworth Scale). All these measurements were recorded.

RESULTS: Forearm pronators (0.001) and wrist flexors (0.008) shown considerable results. reduced spasticity, but wrist extenders showed no reductions in spasticity. Both the ulnar deviation range of motion (p = 0.007) and the wrist extension (p = 0.005) were shown to have improved statistically significantly following the intervention. The improvements in the thumb's CMC flexion although there were statistically significant increases in extension (0.003), abduction (0.001), and MCP extension (0.004), and the results did not reach the criteria for statistical significance. Range of the MCP extension of motion (ROM) following the intervention was not significant for the PIP and DIP joints, but it was significant for the second (0.001), third (0.007), and fourth fingers (0.014). For the fingers that were impacted by the intervention, this was true. The PDMS-2 subtests for Grasping and Visual-motor Integration showed a percentage change of 11.03% (p = 0.002) and 5.09% (p = 0.001), respectively, following the conclusion of the intervention. These two modifications were both statistically significant.

CONCLUSION: In the immediate aftermath of the application being submitted to the National Health Research Board, children who were diagnosed with cerebral palsy (CP) exhibited outcomes that were both positive and encouraging in terms of their fine motor skills. Therefore, the NHR board is a potential intervention that can be suggested to children who have cerebral palsy in order to improve their fine motor abilities. This is achieved by the use of the NHR board.