Tag: sprawność manualna

Hand functions in response to a designed occupational therapy program in juvenile diabetes mellitus

Fatma M. Abd El Aziz, Nanees E. Mohamed, Ola A. Taha, Gehan H. El-Meniawy

Fatma M. Abd El Aziz, Nanees E. Mohamed, Ola A. Taha, Gehan H. El-Meniawy – Hand functions in response to a designed occupational therapy program in juvenile diabetes mellitus –  Fizjoterapia Polska 2025; 25(1); 306-312

DOI: https://doi.org/10.56984/8ZG007D6TB3

Abstract
Purpose. This study was conducted to verify the influence of an occupational therapy program on hand grip, pinch grip, and manual dexterity in children with type 1 diabetes.
Methods. Sixty children diagnosed with type 1 diabetes, including 31 girls and 29 boys aged 6 to 8 years, participated in the study. They were randomly divided into two equal groups. Group A received a traditional physiotherapy program, while group B received the same traditional physiotherapy program combined with a designed occupational therapy program. All participants underwent laboratory investigation of standardized hemoglobin A1c (HbA1c) levels. Hand grip was measured using a JAMAR hand-held dynamometer. Manual dexterity and pinch strength (tip, tripod, and key strength) were evaluated using the Bruininks-Oseretsky Test of Motor Proficiency, second edition, and the Baseline Mechanical Pinch Gauge, respectively, before and after the treatment over a 3-month period with three weekly sessions.
Results. After the treatment, the study group exhibited significant improvements in manual dexterity as well as hand and pinch grip strength compared to their baseline levels (p < 0.01). Additionally, post-treatment comparisons between the study and control groups showed significant enhancements in manual dexterity, hand grip, and pinch grip strength in the study group (p < 0.001). Both groups also demonstrated significant reductions in HbA1c levels post-treatment compared to their pre-treatment measurements (p < 0.001).
Conclusions. A designed occupational therapy program can enhance hand functions in children with type 1 diabetes.
Key words
diabetes, hand functions, manual dexterity, occupational therapy, rehabilitation, pinch grip
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Manual training therapy and manual competence of moderately mentally retarded persons

Anna Marchewka

Anna Marchewka – Manual training therapy and manual competence of moderately mentally retarded persons. Fizjoterapia Polska 2003; 3(2); 133-136

Abstract
Background. The main aim of this study is the attempt to answer the question if applied in manual therapy training work techniques causes the increase or the stop of manual competence of moderately mentally retarded persons. Material and methods. To qualify manual competence of the people taking part in manual therapy project it was applied Gunzburg test, Occupation inventory, measuring the level of social maturity of mentally retarded persons. Valuation of executed tasks was made after the first examination at the beginning of the project and after 8 months of taking part in manual training therapy program. Results and Conclusions. This study and general observation proves that systematic and differentiated manual training therapy has a positive influence over personality of mentally retarded people. Negative results obtained in the group examined by PAC-1 inventory indicate that there is an urgent necessity of doing systematic studies concerning physical efficiency and manual competence of mentally retarded people. These studies may help in preparing of more correct rehabilitation programs for Manual Therapy Projects

Key words:
mentally retarded persons, manual training therapy, manual competence

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