Lecture 4: Fine Motor Flashcards

(47 cards)

1
Q

how much of a students day comprises of fine motor activities

A

more than 50%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

what is an example of how culture might impact fine motor skills?

A

some cultures eat with their hands, so using eating utensils isn’t important to them

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

what are the 7 basic components of fine motor skill development for occupations

A
  1. Postural Mechanisms
  2. Hand Skills
  3. Patterns of Hand Function
  4. Cognition
  5. Visual Motor Integration
  6. Sensory Integrative Functioning
  7. Social Emotional Functioning
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

what are the 3 aspects of postural mechanisms?

A

Trunk Control and Stability
Shoulder Stability and Mobility
Wrist Stability and Mobility

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

what is trunk stability?

A

A strong and steady trunk (proximal stability) provides a base of support needed for activities requiring fine motor skills

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

what are 3 signs of trunk instability?

A

slouched posture

supporting body with arms

falling out of chair

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

what to do if the Childs feet don’t reach the ground

A

use stool, container, block of wood

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

what to do if chair is too deep or wide

A

add cushion/ foam to back of chair or sides

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

what is shoulder stability and mobility

A

Muscles around the shoulder joint make it stable

To write, we use slow, controlled shoulder
movements

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

what are 3 signs of shoulder instability?

A

Students may hold arms close to body or up by ears during fine motor task

May hold fine motor tools (such as a pencil) too tightly:

slight shoulder internal rotation, adduction or flexion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

what is wrist stability and mobility?

A

The wrist should be slightly extended so the small muscles of the hand are in the best position for effectively manipulating objects.

allows for:
finger opposition and arching in the hand

Speed and precision of fine motor activities

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

what are 3 signs of wrist instability?

A

Elbow positioned above wrist (not stabilizing forearm)

Excessive wrist flexion

Excessive ulnar deviation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

what are 3 activities to support shoulder and wrist development?

A

monkey bars

animal walks

working on vertical surfaces

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

what are the 5 aspects of hand skill development

A

arches of the hand

separation of both sides of hand

finger isolation

opposition

web space

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

what 2 things does fine motor skill efficiency significantly influence?

A

quality of the task outcome

the speed of task performance

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

why are hand arches important?

A

they allow the hand to conform to objects being held

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

what are 2 functional signs of difficulty with arches

A

difficulty with opposition and cupping hands

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

what are 3 activities to promote hand arches?

A

making balls with play-doh

shuffling cards

scoop to fill containers

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

what is motor separation of the two sides of the hand

A

radial side of hand: skilled side (precision and manipulation)

ulnar side of hand: power side (stability and power grip)

20
Q

what does separation of the two sides of the hand allow us to do

A

crawl and carry

develop fine motor control and skilled small movements like writing, cutting, etc

20
Q

what are 3 functional signs of difficulties with separation of the two sides of the hand

A

difficulty isolating skilled and power sides

unable to hold multiple objects

whole hand functions as unit

21
Q

what are 3 activities to promote separation of the two sides of the hand

A

beads into bottle

operation game

taking off cap with one hand

22
Q

what 4 things do finger isolation, opposition, and open web space allow us to do?

A

Skilled fine motor manipulation

Grasp and use tools

Finger feed

Manipulate clothing fasteners

23
Q

what are 4 functional signs of difficulties with finger isolation, opposition, and open web space?

A

Lack of circular space between thumb and index

Difficulties with pincer grasp

“Raking” to retrieve items

“Thumb wrapped” position for pencil grip

24
what are 3 activities to promote finger isolation, opposition, and open web space
finger puppets musical instruments like recorder clothespin activities
25
what are 3 signs of difficulties with reach or carrying
Abduction and internal rotation is used to initiate reach Shoulder elevation and lateral trunk flexion used as compensatory movement Difficulty staying upright when reaching or carrying
26
what is the main activity to improve reach and carry
Activities to encourage reach to an item, progression of difficulty of object placement
27
what is the grasp pattern sequence?
Ulnar before radial Palmar (proximal) before finger (distal) grasp Extrinsic muscle activation before intrinsic
28
3 indications of difficulty with grasp
Holds items in palm rather than fingertips Uses whole hand as a unit Difficulty with play
29
what are some activities to promote grasp
Pincer Grasp – cheerios, clay Radial Digital Grasp – peg boards, large puzzle pieces start with larger objects first
30
what are the 3 major categories of in hand manipulation
translation rotation shift
31
what is Finger to palm translation
Holding with our fingers and moving it to hold it in our palms
32
what is palm to finger translation
Holding something in our palm to hold it with our fingers
33
what is simple rotation?
Turning an item in hand 90 degrees or less
34
what is complex rotation?
Turning item 180-360 degrees
35
what is shift?
Moving the item between our fingers to repositioning
36
what are 2 indicators of difficulties with in hand manipulation
awkward with small toys transfers objects from hand to hand
37
how is cognition linked with hand function
Early exploration using manual skills helps a child learn about their environment and refine visual- motor skills
38
why are OTs concerned with handwriting?
Children who fall behind may miss learning opportunities, lack self-esteem, and have difficulty being accepted by their peers. one of the most common reasons for referring students to see an OT
39
what is the most efficient pencil grip?
tripod
40
what is a hook grasp
Needed for carrying bags, lifting mugs
41
what is a power grasp
Handling tools, toothbrushes, brushing hair
42
what is a palmer supinate pencil grasp
Pencil enters open palm, fingers curl around it, arm supinated (arm moves as a unit)
43
what is a Palmer pronate pencil grasp?
Pencil is picked up off table into palm, arm is pronated (arm moves as unit)
44
what is a static tripod pencil grasp
Thumb, index, and middle finger on pencil but not precise, wrist in neutral, still unit
45
what is a dynamic tripod pencil grip?
Thumb, index and middle finger more precisely placed, digets 4 and 5 flexed out of the way, wrist extended. Movement happening in PIP joints
46
what is the order of the 7 grasps
Ulnar Palmar grasp Radial Palmar grasp Raking Radial Digital Lateral/Key pinch inferior pincer superior pincer