Doctor insights on:
Improving Fine Motor Skills In Primary Age Children
At what age ? What : is the underlying neurological or neurodevelopmental cause? These determine what treatments may be effective. Assessment & therapy for visual-perceptual or visual-motor impairments are done by occupational therapists. If you have no problem, just trying to master a specific skill, practice, practice, The left hand's area of the motor cortex is larger in concert violinists than in the rest of us ...Read more
It takes > 400 words: to give you specifics; see healthy children.org & firststeps.org. Gross motor develops head-to-toe from 0-12 mos. Fine motor develops from regarding one's hands at 2 mos. to hands in midline, proximal-distal. Grasp develops ulnar to radial, palm to thumb & index finger. Volitional movements require normal muscle tone & strength, vision, disappearance of primitive reflexes & "tummy time". ...Read more
At what age? If < 3: years, seek evaluation from your state's Child Find Program if concerned; if 3-5, from your school district's Child Find Team. If school age, you may have to pay for private OT & PT evaluations. See developmental screens & age-appropriate tips on healthy children.org, www.moveforwardpt.com/Children/Activities/Default.aspx#.VP09A0ZHbCR, therapystreetforkids.com/fm-strength.html & other sites. ...Read more
Brain development : from 3 weeks after conception - 25 years dictates developmental trajectory in all streams. Typically, neurons form, migrate to correct positions in the cortex & send out axons & dendrites in correct paths to transmit signals across synapses. From then on, environmental input is key, because experience- dependent neural activity, aka LEARNING, modifies synapses & eliminates unnecessary ones. ...Read more
Complex: Suggest working closely, with an occupational therapist, as he/she can design adaptive devices to improve function. You are close to a famous rehab center, chicago rehab, and am sure there are orthotists and therapists would can design exercises and coping skills. Have found pool therapies to be valuable in these areas. Best of luck. ...Read moreSee 1 more doctor answer
Cts release both hands 2011. Fingers improved but radiating pain in wrists and forearms.
Is this normal/ when will it improve? Diminished strength in both hands and fine motor skills poor...Still can't open water
bottle, thread needles, pick up small item
If : If you had severe cts you may find that while your sensation improved you lost muscle tiissue. This is a common complaint as once the muscle tissue is lost from carpal tunnel it may not return or return only partially. While sensation may also subjectivley improve, in sever cases there may be incomplete returtn and small object are still dififcult. One measure of the ability to discern small objects is called two point discrimination and your may still be elveated despite being better than before the surgery. Other issues suchas arthritis, trigger fingers, tenindonitis can affectyour hands too and too often people think that it is all due to cts and will all go away with surgery . In these cases while surgery may partially improve a severe carpal tunnle, it doesnt stop arthritis, overuse and tendonitis. Id talk to your surgeon about getting re evaluated for other issues. ...Read moreSee 1 more doctor answer
Yes but . . .: I can't diagnose any loss over the internet! my recommendation is to document your concerns w/your family physician and ask for referral to an occupational therapist for an evaluation. At the very least, you can determine your current status and use this as a baseline for repeat assessment in 6-12mo or so. If there's an obvious deficit, then your doc can initiate an evaluation and/or refer to neur. ...Read more
Motor domains of : development depend on the brain's ability to plan, coordinate, execute & remember age-appropriate movements of normal quality, the health, tone & strength of muscles, the disappearance of primitive reflexes & eye-hand coordination. Gross (large) muscle movements develop head to toe the 1st yr. Volitional fine (small) muscle movements develop from shoulder to fingers, from palmar to pincer grasp. ...Read more
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