Neistadt M E
University of New Hampshire School of Health and Human Services, Department of Occupational Therapy, Durham 03824.
Am J Occup Ther. 1994 Oct;48(10):877-82. doi: 10.5014/ajot.48.10.877.
Occupational therapists frequently work to improve the fine motor coordination skills of adults who have dexterity deficits secondary to brain injury. Most therapists use a combination of tabletop and functional activities to foster improved coordination in these clients. This study examined the effects of puzzle construction and kitchen activities on fine motor coordination in a group of 45 men with brain injury, as measured by pretest and posttest performance on two subtests of the Jebsen-Taylor Test of Hand Function.
Subjects were randomly assigned to either a parquetry block assembly group (n = 22) or a meal preparation group (n = 23).
Subjects in the functional meal preparation group showed significantly greater improvement in dominant-band dexterity for picking up small objects than subjects in the tabletop puzzle activity group. Other coordination test results were comparable for the two treatment groups.
These findings suggest that functional activities may be better than tabletop activities for fine motor coordination training with this population.
职业治疗师经常致力于提高因脑损伤而存在灵活性缺陷的成年人的精细运动协调技能。大多数治疗师会结合桌面活动和功能性活动来促进这些患者协调性的改善。本研究通过杰布森 - 泰勒手功能测试的两个子测试的前测和后测表现，考察了拼图构建和厨房活动对一组45名脑损伤男性精细运动协调能力的影响。
将受试者随机分为镶嵌木地板积木组装组（n = 22）或膳食准备组（n = 23）。
功能性膳食准备组的受试者在捡起小物体的优势手灵活性方面比桌面拼图活动组的受试者有显著更大的改善。两个治疗组的其他协调测试结果相当。
这些发现表明，对于该人群的精细运动协调训练，功能性活动可能比桌面活动更好。
