Azzam reacquisition skill grading scale and its use in cerebral palsied children
Journal Title: IOSR Journal of Nursing and health Science - Year 2018, Vol 7, Issue 2
Abstract
Background: The goal of this work was to show the efficacy of gradual hand skills progression training evaluated by Azzam hand skills progression scale in reacquisition of hand dexterity in hemiplegic C.P. children. Method: Group A (object manipulation with levels progression plus regular physiotherapy program), and group B (regular physiotherapy program only). Azzam reacquisition skill grading scale for detecting the intention level of hand skill progression to be the base of treatment. Modified Ashworth scale for detecting the reduction of spasticity and handheld dynamometer for detecting hand grip strength. This measurement was taken before initial treatment and after 3 months of treatment. Results: Measurement scores were available on the 30 hemiplegic C.P. children shared in the study. The mean value of the study group had an expressive improvement at (post-treatment) (p˂0.05) The variance between pre and post-treatment results was significant in the study group in all variables. By comparison of both groups in hand dexterity at post-treatment, there was an expressive improvement (p<.05). By comparison of all hemiplegic C.P. children in modified Ashworth scale variable at post-treatment, there was an expressive decrease in spasticity (p<.05). By comparison of all hemiplegic C.P. children in hand grip strength at posttreatment, there was an expressive improvement (p<.05). According to the outcomes of this study, it can be terminated that the combined effect of object manipulation with levels progression via Azzam reacquisition skill grading scale plus regular physiotherapy program can be recommended in improvement hand dexterity in hemiplegic C.P. children.
Authors and Affiliations
Ahmed M. Azam
Keywords
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