Friday, May 10, 2019

Occupational therapy improves children's incorrect pencil grip

There are many developmental, cognitive and intellectual disorders that can lead to difficulties in learning and academic performance. Medical service providers suggest that early identification and proper management or training can lead to absolute normal or near-normal development of the child and will not interfere with the adult, social and professional life of adulthood.

Incorrect pencil grip is the main cause of poor handwriting due to impaired motor skills. It has been observed that the development of pencil grips and good handwriting are automatic reflections that were formed in the early stages of school education; however, in some children, this reflection is significantly impaired. Educators and teachers use a number of parameters to determine the handwriting and pencil grips of school-age children between the ages of 9 and 10. The use of appropriate spacing between letters and words, accuracy of letter formation, legibility, uniformity of letter size, skew of letters, and alignment of words are used as important tools for assessing inappropriate pencil grips in children.

Studies conducted by Carter and Synolds have shown that most children with handwritten abnormalities experience symptoms of learning disabilities in the next few years.

Colleen M. Schneck conducted a study of 60 school-age children, assessed handwriting skills based on a pencil handshake, and determined that children with poor handwriting also performed poorly during the pencil grip test [drawing task] and also diagnosed impaired symptoms. The proprioception - motor consciousness [impaired hand preference, pencil and paper perception and pencil-to-paper distance].

Studies conducted by Benbow have shown that the position of the head and the distance of the writing surface from the eye play a very important role in the development of incorrect grip. He explained that if the actual cause is not determined at a very young age, the risk of developmental disorders or learning disabilities may be overlooked or misdiagnosed, affecting the child's entire life. Benbow created some visual feedback, which is a kind of visual compensation because the distance between the eye and the writing surface is very small, causing visual input fatigue.

Studies conducted by Laszlo and Bairstow have shown that children are unable to master their writing skills and proprioceptive motor skills [joint-to-finger movements] until at least 6 years of age; but simple tasks can help identify impaired writing skills early. For example, being able to color within a border or fail to establish an obstacle indicates that the body feels sluggish - athletic ability.

Laszlo suggests that evaluating these children in the second standard is very helpful in determining whether a child needs treatment or just changing lifestyles.

Occupational therapy is helpful for all of these children because trained therapists can identify and diagnose appropriate incorrect pencil grip reflexes earlier than the provider and suggest treatments.

Performing the movement of the palm in an upright position helps to improve the proprioception and dynamic stability. This can be achieved by promoting the participation of children in the use of racquets or paddles [table tennis or volleyball]. Other useful activities help encourage children to play popular bubble wrap, play skipping, let the kids wash the car, or use a sponge to clean the table [to develop palm reflexes], string games and game activities, yoga and practice.

Most importantly, in order to ensure proper visual stimulation, the occupational therapist also works with the teacher and the parent to establish the correct posture based on the child's height, weight and development. Different children grow at different speeds, so it is very important to closely observe the distance of the blackboard, the posture of the child in the classroom and the posture of the child on the table or chair in order to improve coordination, reaction development and posture stability. For best results, 30 degree head and shoulder alignment is required. At the beginning, the child is allowed to practice a box [or graph paper] on paper to teach the proper spacing between words and allow the child to practice the writing model. , a color page for visual stimulation.

Most children have difficulty taking notes from the board. This problem can be overcome by moving closer to the board, reducing the amount of text copied from the board and modifying the allocation. To reduce visual fatigue, take a break from writing, practice visual exercises, and practice yoga and hands. To ensure proper grip, it is important to know the type of pencil that is best for holding. Use thin lining marks or mechanical pencils [in front of an occupational therapist to evaluate finger patterns and handles].

It is interesting to see the development of the occupational therapy field. Previously, pediatric occupational therapists only worked with children with autism, developmental commitments or significant cognitive impairments; however, now pediatric occupational therapists work in schools, child psychologists and communities to assess and identify early And improve mild to moderate disability and learning deficits in order to develop an optimal treatment plan.




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