DESIGN: The study utilized the descriptive survey design.
SETTING: This study was conducted in the following centers namely: Cebu Doctors' Rehabilitation Center (CDCRC), Mandaue Rehabilitation Center, Norwegian Filipino (NORFIL), Servicing Total Assisstance fo the Growth of Entire Self (STAGES) and Sunshine Center.
PARTICIPANTS: There were 14 participants under the age bracket of 3-10 years old who were diagnosed with cerebral palsy (CP) who were included in this study. Two children were under the pre-test category while the rest were under the final test. Among the 12 participants, only 9 were able to receive the in-hand manipulation test, the remaining 3 participants refused to participate in the test.
PROCEDURES: The participants were required to be positioned directly across from the examiner, at an elbow height-table and on a chair with adequate seat depth and foot support. The participants were then instructed to transfer the dice and battery from 1 container to another. They were asked to pile the popsicle sticks and the plywood. The participants were told to flip the ticket and insert the coin in the piggy bank. The test was administered twice on the preferred hand with 2 therapists scoring the patient and the total score of a participant was averaged to obtain the degree of fine manipulation problem.The researchers tabulated the scores taken from all the participants. Participants who scored
RESEARCH INSTRUMENT/MEASURE: An In-hand manipulation test (IMT) which was a standardized tool, was used to determine the degree of fine manipulation problems among CP children. Each item was scored using a 4-point quality rating, scale. Four shapes and three different sizes comprised the test. The shapes were cube, cylindrical, thin flat, and thin round; < ½ inch; ½ - 1 inch and > 1 inch sizes. Objects which represented the various shapes were dice, battery, popsicle sticks, ticket, plywood and coin.
RESULTS: There were 9 participants who were included in the study 4(22.2%) were CP quadriplegia 3(33.3%) were CP diplegia and 2(22.2%) were CP hemiplegia; 5(55.6%) were male and 4 (44.4%) were female; 2 (22.2%) were with in the age range of 3-4, 2(22.2%) were in the 5-6 age range, 2 (22.2%) were in the age range of 7-8 and 3(33.3%) were in the 9-10 age range. All participants had fined manipulation problem, 6 (66.67%) were classified as having mild fine manipulation problem and 3 (33.3%) having series fine manipulation problem.
CONCLUSION: Cerebral Palsy (CP) children in selected pediatric centers in Cebu City had mild fine manipulation problem.