School-Based Teacher Motor Interventions for Pupils with Cerebral Palsy in Ghana
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This paper presents the findings of a study that utilized three focus groups in unearthing school-based teacher motor skill interventions for pupils with cerebral palsy and related challenges in Ghana. Overall, 23 teachers (12 males; 11 females) selected through maximum variation sampling constituted the different focus groups. Whereas teachers implemented a number of motor skill activities for pupils with cerebral palsy on a daily basis, majority emphasized fine motor skill activities, utilized task-specific motor training strategies and applied explicit motor skill instructions. Teachers generally did not utilize the concept of stages of motor learning in their respective motor skill interventions. Furthermore, some teachers found implementing developmentally appropriate motor skill interventions challenging. It is recommended that teachers endeavour to incorporate more gross motor skill activities as they have the potential to boost fine motor skills. Again, teachers should incorporate implicit motor skill instructions in teaching motor skill activities to pupils with cerebral palsy as these pupils may have limited capacity for explicit motor skill instructions.
References
-
Arpino, C., Vescio, F., De Luca, A., Curatolo, P. (2009). Efficacy of intensive versus non-intensive training in children with cerebral palsy: a meta-analysis. International Journal of Rehabilitation Research, 33(2), 165–171.
Google Scholar
1
-
Barela, J. A., Focks, G. M. J., Hilgeholt, T., Barela, A. M. F., Carvalho, R. P., & Savelsbergh, G. J. P. (2011). Perception – action and adaptation in postural control of children and adolescents with cerebral palsy. Research in Developmental Disabilities, 32, 2075–2083
Google Scholar
2
-
Berg-Emons, R. J., van Baak, M. A., de Barbanson, D. C., Speth, L., & Saris, W. H. (1996). Reliability of tests to determine peak aerobic power, anaerobic power and isokinetic muscle strength in children with cerebral palsy. Developmental Medicine & Child Neurology, 38, 1117–25.
Google Scholar
3
-
Berry, J. (2009). Fine motor skills in the classroom: Screening and remediation strategies. Framingham, MA: Therapo.
Google Scholar
4
-
Blank, R., Smits-Engelsman, B., Polatajko, H., & Wilson, P. (2012). European Academy for Childhood Disability (EACD): Recommendations on the definition, diagnosis and intervention of 634 developmental coordination disorder (long version). Dev Med Child Neurol, 54, 54-93.
Google Scholar
5
-
Brook, G., Wagenfeld, A., & Thomsopson, C. (2017). Fine motor development and early performance in school. Retrieved from http://www.fingergym.info/downloads /Finemotordevpp1-4.pdf.
Google Scholar
6
-
Cameron, C. E., Brock, L. L., Murrah, W. M., Bell, L. H., Worzalla, S. L., Grissmer, D., & Morrison, F. J. (2012). Fine motor skills and executive function both contribute to kindergarten achievement. Child development, 83(4), 1229-44.
Google Scholar
7
-
Cantu, C. O. (2004). Toy alternatives: Crafts and fine motor development. The Exceptional Parent, 34(10), 28-29.
Google Scholar
8
-
Dalvand, H., Dehghan, L., Hadian, M.R., Feizy, A., & Hosseini, S.A. (2012). Relationship between gross motor and intellectual function in children with cerebral palsy: a cross-sectional study. Arch Phys Med Rehabil, 93,480-4.
Google Scholar
9
-
Donica, D. K., & Lust, C. A. (2015). Effectiveness of motor skills program in head start: A two-group controlled trial. American Journal of Occupational Therapy, 65(5), 560-568.
Google Scholar
10
-
Donnelly, J. E., Greene, J. L., Gibson, C. A., Smith, B. K., Washburn R. A. Sullivan D. K., ... Williams, S. L. (2009). Physical Activity Across the Curriculum (PAAC): a randomized controlled trial to promote physical activity and diminish overweight and obesity in elementary school children. Prev. Med. 49,336–341.
Google Scholar
11
-
Donnica, D. K., & Lust, C. A. (2015). Effectiveness of motor skills program in head start: A two-group controlled trial. American Journal of Occupational Therapy, 65(5), 560-568.
Google Scholar
12
-
Fitts, P. M., & Posner, M. I. (1967). Human performance. Belmont, CA: Brooks/Cole
Google Scholar
13
-
Gordon, A. M., Hung, Y. C., Brandao, M., Ferre, C. L., Kuo, H. C., Friel, K., …Charles J. R. (2011). Bimanual training and constraint-induced movementtherapy in children with hemiplegic cerebral palsy: a randomized trial. Neurorehabilitation and Neural Repair, 25, 692–702.
Google Scholar
14
-
Graham, S. (2013). Motor skills interventions in the classroom. Education Digest: Essential Readings Condensed for Quick Review, 76(1), 5-10.
Google Scholar
15
-
Graham, S., Harris, K.R., Mason, L., Fink-Chorzempa, B., Moran, S., Saddler, B. (2007). How do primary grade teachers teach handwriting? A national survey. Reading and Writing: An Interdisciplinary Journal, 21(1-2), 49-69.
Google Scholar
16
-
Grissmer, D., Grimm, K. J., Aiyer, S. M., Murrah, W. M., & Steele, J. S. (2010). Fine motor skills and early comprehension of the world: Two new school readiness indicators. Developmental Psychology, 46(5), 1008–1017.
Google Scholar
17
-
Haywood, K. M., & Getchell, N. (2014). Life span motor development (6th ed.). Champaign, IL: Human Kinetics.
Google Scholar
18
-
Hirsh, A. T., Gallegos, J. C., Gertz, K. J., Engel, J. M., Jensen, M. P. (2010). Symptom burden in individuals with cerebral palsy. J Rehabil Res Dev, 47(9), 863-76.
Google Scholar
19
-
Hubbard, I. J., Parsons, M. W., & Neilson C. (2009). Task-specific training: evidence for and translation to clinical practice. Occup Ther Int, 16, 175–89.
Google Scholar
20
-
Huber, J. (2020). Understanding motor learning stages improves skill instruction. Retrieved from https://us.humankinetics.com/blogs/excerpt/understanding-motor-learning-stages-improves-skill-instruction
Google Scholar
21
-
Johnston, M. V. (2009). Pasticity in the developing brain: implications for rehabilitation. Developmental Disabilities Research Reviews, 15, 94–101.
Google Scholar
22
-
Kal, E. C., van Der Kamp, J., & Houdijk, H. (2013). External attentional focus enhances movement automatization: A comprehensive test of the constrained action hypothesis. Hum Mov Sci, 32, 527–539.
Google Scholar
23
-
Kal, E., Prosée, R. B., Winters, M., & van der Kamp, J. (2018). Does implicit motor learning lead to greater automatization of motor skills compared to explicit motor learning? A systematic review. PLoS ONE,13(9), e0203591
Google Scholar
24
-
Kleynen, M., et al. (2014). Using a delphi technique to seek consensus regarding definitions, descriptions and classification of terms related to implicit and explicit forms of motor learning. PLoS ONE, 9, e100227.
Google Scholar
25
-
Krebs, P. (2000). Mental retardation. Adapted Physical Education and Sport. Champaign, IL: Human Kinetics.
Google Scholar
26
-
Liao, C. M., & Masters, R. S. W. (2001). Analogy learning: a means to implicit motor learning. Journal of Sports Sciences, 19, 307-319.
Google Scholar
27
-
MacLennan, A. H., Thompson, S. C., & Gecz, J. (2015). Cerebral palsy: causes, pathways, and the role of genetic variants. American Journal Obstetrics Gynecolology, 213(6), 779–88.
Google Scholar
28
-
Martin, S. (2006). Teaching motor skills to children with cerebral palsy and similar movement disorders: a guide for parents and professionals (1st ed.). Bethesda, MD: Woodbine House.
Google Scholar
29
-
Masters, R. S. W. (1992). Knowledge knerves and know-how: The role of explicit versus implicit knowledge in the breakdown of a complex motor skill under pressure. British Journal of Psychology, 83, 343-358.
Google Scholar
30
-
Masters, R. S. W., Polman, R. C. J., & Hammond, N. V. (1993). Reinvestment: A dimension of personality implicated in skill breakdown under pressure. Personality and Individual Differences, 14, 655-666.
Google Scholar
31
-
Maxwell, J. P., Masters, R. S. W., & Eves, F. F. (2003). The role of working memory in motor learning and performance. Consciousness and Cognition, 12(3), 376–402.
Google Scholar
32
-
Maxwell, J. P., Masters, R. S. W., & Eves, F. F. (2003). The role of working memory in motor learning and performance. Consciousness and Cognition, 12(3), 376–402.
Google Scholar
33
-
Pagani, L., Fitzpatrick, C., Archambault, I., & Janosz, M. (2010). School Readiness and Later Achievement: A French-Canadian Replication and Extension. Developmental Psychology, 46(5), 984-994.
Google Scholar
34
-
Poole, C., Miller, S. A., & Church, E. B. (2005). Development: Ages & stages--Emerging physical skills. Early Childhood Today, 19(7), 22-25.
Google Scholar
35
-
Poolton, J. M., Masters, R. S. W., & Maxwell, J. P. (2005). The relationship between initial errorless learning conditions and subsequent performance. Human Movement Science, 24, 362-378.
Google Scholar
36
-
Rosenbaum, P., Paneth, N., Leviton, A., Goldstein, M., Bax, M., Damiano, D., … Jacobsson, B. (2007). A report: The definition and classification of cerebral palsy. Developmental Medicine & Child Neurology, 49, 8–14.
Google Scholar
37
-
Rule, A. C., & Stewart, R. A. (2002). Effects of practical life materials on kindergartners’ fine motor skills. Early Childhood Education Journal, 30(1), 9-13.
Google Scholar
38
-
Saavedra, S., Joshi, A., Woollacott, M. & van Donkelaar P. (2009). Eye–hand coordination in children with cerebral palsy. Experimental Brain Research, 192(2), 155–165.
Google Scholar
39
-
Sandler, A. D., Watson, T. E., Footo, M., Levine, M. D., Coleman, W. L., & Hooper, S. R. (1992). Neurodevelopmental study of writing disorders in middle childhood. Journal of Developmental and Behavioral Pediatrics, 13, 17-23.
Google Scholar
40
-
Schmidt, R. A., & Lee, T. D. (2005). Motor control and learning: A behavioral emphasis (4th ed.). Champaign: Human Kinetics.
Google Scholar
41
-
Sortor, J. M., & Kulp, M. T. (2003). Are the results of the Beery-Buktenica Developmental Test of Visual-Motor Integration and its subtests related to achievement test scores? Optometry and Vision Science, 80, 758-763.
Google Scholar
42
-
Stewart, J. A., Dennison, D. A., Kohl, H. W., & Doyle, J. A. (2004). Exercise level and energy expenditure in the TAKE 10! In-class physical activity program. J. Sch. Health, 74, 397–400.
Google Scholar
43
-
Strevig, A. (2009). The effects of directed fine motor activities on kindergarten students [Unpublished master’s thesis]. Goucher College, Towson, Maryland.
Google Scholar
44
-
Thelen, E. (1989). The (re)discovery of motor development: Learning new things from an old field. Developmental Psychology, 25(6), 946-949.
Google Scholar
45
-
Tse, A. C. Y., Fong, S. S. M., Wong, T. W. L., & Masters, R. S. W. (2017). Analogy motor learning by young children: A study of rope skipping. European Journal of Sport Science, 17, 152–159.
Google Scholar
46
-
Ulrich, D. A. (2000). Test of Gross Motor Development. Austin, TX: Pro-ed Publishers.
Google Scholar
47
-
Van Rooijen, M., Verhoeven, L., Smits, D. W., Ketelaar, M., Becher, J. G., & Steenbergen, B. (2012). Arithmetic performance of children with cerebral palsy: the influence of cognitive and motor factors, Reserch in Developmental Disabilities, 33, 530-7.
Google Scholar
48
-
Yu, J. J., Sit, C. H. P., & Burnett, A. F., (2018). Motor skill interventions in children with developmental coordination disorder: A systematic review and meta-Analysis. Arch Phys Med Rehabil, 99(10), 2076-2099.
Google Scholar
49
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