Sharma Nirvi
Pediatrics, New York City Department of Education, Jersey City, USA.
Cureus. 2024 May 30;16(5):e61352. doi: 10.7759/cureus.61352. eCollection 2024 May.
The pencil grasp and drawing patterns are specific to different age levels. So, if one knows a certain pattern for that particular age, it will guide the intervention plan for children with cerebral palsy (CP). The chances of improvement in diplegic CP are possible with the help of early intervention; therefore, early intervention is only possible if one knows the areas of delay and the age at which the intervention should be started.
It was a cross-sectional, case-control study. A total of 60 children were selected for the study, of which 30 (50%) were normal and 30 (50%) had diplegic cerebral palsy. A convenient sampling method is used for evaluation.
The t-value for pencil grasp between the two groups, i.e., normal and CP diplegic, was 3.515 (P=0.001), revealing a significant difference in the grasp pattern of the two groups. Similarly, the t-value for drawing patterns between the two groups, i.e., normal and CP diplegic, was 5.796 (P = 0.001). A significant difference was found in the drawing patterns of both groups.
Our study found that diplegic CP children performed lower on the Erhardt Developmental Prehension Assessment (EDPA) and showed larger variation in the pencil grasp and drawing than the normal children.
握笔姿势和绘画模式因年龄阶段而异。因此，如果了解特定年龄阶段的某种模式，将有助于指导脑瘫（CP）儿童的干预计划。借助早期干预，双瘫型脑瘫患儿有可能得到改善；因此，只有在了解延迟领域和应开始干预的年龄时，早期干预才有可能实现。
这是一项横断面病例对照研究。共选取60名儿童进行研究，其中30名（50%）为正常儿童，30名（50%）为双瘫型脑瘫患儿。采用方便抽样法进行评估。
两组（即正常儿童和双瘫型脑瘫患儿）之间握笔的t值为3.515（P = 0.001），表明两组的握笔模式存在显著差异。同样，两组（即正常儿童和双瘫型脑瘫患儿）之间绘画模式的t值为5.796（P = 0.001）。两组的绘画模式存在显著差异。
我们的研究发现，双瘫型脑瘫患儿在埃哈特发育抓握评估（EDPA）中的表现低于正常儿童，并且在握笔和绘画方面的差异比正常儿童更大。
