Tag: Suresh J.

Assessment of control during movement, fine motor skills/handwriting, and gross motor control in children with developmental coordination disorder using the DCD-Q

Suresh J, Subash S

Suresh J, Subash S – Assessment of control during movement, fine motor skills/handwriting, and gross motor control in children with developmental coordination disorder using the DCD-Q. Fizjoterapia Polska 2023; 23(5); 308-312

DOI: https://doi.org/10.56984/8ZG20B0LR

Abstract
Motor coordination and control are affected by Developmental Coordination Disorder (DCD), particularly in children. As a result, they are unable to write, tie shoelaces, or participate in sports, affecting their social interactions and quality of life. Considering the poor short-term and long-term outcomes observed in children with DCD, awareness of this condition may increase, prompting more research. Among 99 children with DCD, a six-week intervention was performed in both control and intervention groups. In addition to the DCD-Q questionnaire, parents completed a fine motor/handwriting and gross motor control questionnaire. An ANOVA test was used to analyze all values as mean ± SD. The results showed that both groups improved in motor coordination and control. DCD-related motor difficulties can be addressed more effectively with early intervention in all three domains, especially fine motor control. The control group’s motor control scores increased from 17.9 ± 0.6 at baseline to 21.5 ± 0.5 by the sixth week, with a statistically significant p-value of 0.009. Alternatively, the intervention group’s scores improved from 19.6 ± 0.5 at baseline to 22.4 ± 0.5 at the sixth week, with a statistically significant p-value of 0.007. With regards to fine motor control, the control group’s scores improved from 13.4 ± 1.08 at baseline to 16.4 ± 0.6 at the sixth week, with a statistically significant p-value of 0.01. With regards to fine motor control, the intervention group’s scores improved from 14.5 ± 0.3 at baseline to 20.3 ± 1.4 at the sixth week, with a statistically significant p-value of 0.004. As for gross motor control, the control group’s score increased from 16.6 ± 1.05 at baseline to 20.2 ± 1.0 at the sixth week, showing high statistical significance with a p-value of <0.0001. The intervention group’s scores improved from 18.7 ± 0.5 at baseline to 21.5 ± 0.7 at the sixth week, also demonstrating statistical significance with a p-value of 0.002. Overall, this study highlights the potential benefits of tailored interventions in enhancing motor skills and overall quality of life for children with DCD.

Keywords
developmental coordination disorder, DCD-Q, motor control, cerebellum

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Impairement of functional ability in patients with Parkinson’s disease, a qualitative study

Mabel Manoj Mathew, Suresh J.


Mabel Manoj Mathew, Suresh J. – Impairement of functional ability in patients with Parkinson’s disease, a qualitative study. Fizjoterapia Polska 2022; 22(5); 48-54

DOI: https://doi.org/10.56984/8ZG20Ak5q

Abstract:
Background. Population studies on the incidence of Parkinson’s are important to scientists’ understanding of the history of the disease, its progression, and the risk factors associated with it. Information about the incidence in different age groups and genders can help healthcare experts design strategies to meet patients’ needs. Objective. To understand the subjective functional Impairment in patients with Parkinson’s disease. Methodology. It is a qualitative study with a sample size of 10, including Parkinson’s disease patients between the age group of 40 to 70 years. The interviews of the patients were conducted either through phone calls or zoom calls depending on their convenience. Results. The most mentioned complaints by the patients included in the study are, tremor, masked face, a fixed expression, difficulty in talking, slowness of movement, unsteadiness while walking, fear of fall, short-stepped gait, forward bent or stooped posture, and freezing episodes. Patients require only minimal assistance from caregivers or family members to do their daily activities (n = 4) and are majorly dependent on others for their day-to-day requirements (n = 3), completely dependent, and bedridden (n = 1). Conclusion: According to the data collected from the patients, it can be concluded that patients with Parkinson’s disease develop difficulties in their functional activities and end up with activity limitations as the disease progresses and the symptoms worsen.

Keywords:
Parkinson’s disease, quality of life, motor symptoms, activity limitations, functional ability

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