Effect of lateral dominance on manual dexterity in people with Down syndrome
DOI:
https://doi.org/10.5935/0104-7795.20120002Keywords:
Child, Motor Skills, Hand, Down SyndromeAbstract
Objective: To evaluate the effect of lateral dominance on manual dexterity in a group of children and adolescents with Down syndrome (DS) and to compare the results from participants with DS with people without the syndrome. Method: The study included 100 children and adolescents of both sexes with ages ranging from 7 to 9 years and 14 to 15 years. 50 people were diagnosed with DS (GDS) and 50 without the syndrome (GC). The Box and Blocks Test (BBT) was used because it allows assessment of motor activity by counting the number of blocks transferred between two divisions of a standard box. The BBT implementation is simple and does not require complex cognitive skills. Results: The number of blocks transferred per minute was lower in participants of GDS than the GC, with a clear disadvantage for manual dexterity in both hands. There was no effect of dominance in the GDS, but the GC showed better performance on the dominant side. Conclusion: The BBT was useful for the quantification of manual dexterity in people with DS as it is easy to apply and understand by people with cognitive impairment.
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References
Cooley WC, Graham JM Jr. Down syndrome an update and review for the primary pediatrician. Clin Pediatr (Phila). 1991;30(4):233-53.
Mancini MC, Silva PC, Gonçalves SC, Martins SM. Comparação do desempenho funcional de crianças portadoras de síndrome de Down e crianças com desenvolvimento normal aos 2 e 5 anos de idade. Arq Neuropsiquiatr. 2003;61(2B).409-15.
Hartley XY. A summary of recent research into the development of children with Down's syndrome. J Ment Defic Res. 1986;30(Pt 1):1-14.
Block ME. Motor developmental in children with Down syndrome: a review of the literature. Adapt Phys Act Q. 1991;8:179-209.
Wang WY, Ju YH. Promoting balance and jumping skills in children with Down syndrome. Percept Mot Skills. 2002;94(2):443-8.
Polastri PF, Barela JA. Perception-Action Coupling in infants with Down syndrome: Effects of experience and Practice. Adapt Phys Act Q. 2005;22:39-56.
Barros JF, Lemos SS, Soares MPS. Detecção de características específicas na articulação do joelho e do quadril que dificultam a marcha em indivíduos portadores de síndrome de Down. Rev Alvorada. 2003;1(2):41-64.
Vieregge P, Schulze-Rava H, Wessel K. Quantification of postural sway in adult Down's syndrome. Dev Brain Dysfunct. 1996;9:211-4.
Davis WE, Kelso JA. Analysis of "invariant characteristics" in the motor control of down's syndrome and normal subjects. J Mot Behav. 1982;14(3):194-212.
Davis WE, Kelso JA. Analysis of "invariant characteristics" in the motor control of Down's syndrome and normal subjects. J Mot Behav. 1982;14(3):194-212.
Garcias GL, Roth MGM, Mesko GE, Boff TA. Aspectos do desenvolvimento neuropsicomotor na síndrome de Down. Rev Bras Neurol. 1995;31:245-248.
Godoy JR, Barros JF. Força de preensão palmar em portadores da síndrome de Down e análise dos músculos envolvidos neste movimento. Acta Cir Bras. 2005;20(Suppl 1):159-66.
Elui VMC, Fonseca MCR. Destreza. In: Araújo PMP. Recomendação para a avaliação de membro superior. São Paulo: SBTM; 2003.
Mathiowetz V, Volland G, Kashman N, Weber K. Adult norms for the Box and Block Test of manual dexterity. Am J Occup Ther. 1985;39(6):386-91.
Goodkin DE, Hertsgaard D, Seminary J. Upper extremity function in multiple sclerosis: improving assessment sensitivity with box-and-block and nine-hole peg tests. Arch Phys Med Rehabil. 1988;69(10):850-4.
Araújo PMP. Avaliação funcional. In: Freitas PP. Reabilitação da mão. São Paulo: Atheneu; 2006. p. 35-54.
Mendes MF, Tilbery CP, Balsimelli S, Moreira MA, Cruz AMB. Teste de destreza manual da caixa e blocos em indivíduos normais e em pacientes com esclerose múltipla. Arq Neuropsiquiatr. 2001;59(4):889-94.
Pueschel S. Síndrome de Down: guia para pais e educadores. 2 ed. São Paulo: Papirus; 1995.
Smith DW, Wilson AA. El niño com síndrome de Down. Buenos Aires: Médica Panamericana; 1976.
Garros DS, Gagliardi RJ, Guzzo RA. Evaluation of performance and personal satisfaction of the patient with spastic hand after using a volar dorsal orthosis. Arq Neuropsiquiatr. 2010;68(3):385-9.
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