Fine Motor Control


Most of the children with developmental delay (including CP, Autism, ADHD, poor attention, SPD, Down Syndrome) have poor fine motor function. For parents and children it is major concern as it affects the child overall performance varying from play, academics, writing and activities of daily living (ADL). Fine motor development is essentially associated with the hand function or in other words fine movements. But, it is not only the hands which are responsible for the effective fine movements. The other gross motor aspects like shoulder movement and shoulder stability, back mobility and back strength are equally important. It has been seen that parents and even professionals tend to forget the gross motor aspect.

Whenever there is poor fine motor control, the therapy plan should start from the shoulder and back stability exercise. This other way helps in better posture, core stability and better functioning of fine motor control.

Use of therapy ball, full range of shoulder movements (extension, flexion, rotation and circumduction) should be designed and practiced in the form of functional activities like drawing a big circle on wall or on floor in clockwise and anticlockwise direction, stair climbing etc. Various asanas like bhujanasan, tadasan, sarpasan should be practiced if the child understands the commands and above 8 yrs. Younger ones should practice under proper professional guidance. Asans in whole help in developing core stability, flexibility and relaxation

Fine motor activities like tearing the paper, crumbling the big sheet of newspaper, pegs activities, screwing and unscrewing movements, scissoring activities, pasting and folding, balancing, play dough activities, movements with the elastic bands in fingers, art and craft activites with different textures materials, strengthening of various grips and grasps (palmer, pincer, cylindrical, spherical, diagonal volar grasp and tip to tip grasps) etc.

Sometimes poor hand functions are associated with poor visual information process or poor visual perception. Activities should also includes eye hand coordination and midline and laterality orientation. other aspects like fixation, tracking and discrimation

Posted byNeeti at 11:37 PM  

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