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Am J Occup Ther 2000 Jul-Aug;54(4):372-80 Effects of occupational therapy services on fine motor and functional performance in preschool children.Case-Smith JOhio State University, School of Allied Medical Professions, Columbus 43210, USA. Case-smith.1@osu.edu PURPOSE: This study examined how performance components and variables
in intervention influenced fine motor and functional outcomes in preschool
children. METHOD: In a sample of 44 preschool-aged children with fine motor
delays who received occupational therapy services, eight fine motor and
functional performance assessments were administered at the beginning and
end of the academic year. Data on the format and intervention activities
of each occupational therapy session were recorded for 8 months. RESULTS:
The children received a mean of 23 sessions, in both individual and group
format. Most of the sessions (81%) used fine motor activities; 29% addressed
peer interaction, and 16% addressed play skills. Visual motor outcomes
were influenced by the number of intervention sessions and percent of sessions
with play goals. Fine motor outcomes were most influenced by the therapists'
emphasis on play and peer interaction goals; functional outcomes were influenced
by number of sessions and percent of sessions that specifically addressed
self-care goals. CONCLUSION: The influence of play on therapy outcomes
suggests that a focus on play in intervention activities can enhance fine
motor and visual motor performance. PMID: 10932307, UI: 20387679
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