R. Humphry et al., DEVELOPMENT OF IN-HAND MANIPULATION AND RELATIONSHIP WITH ACTIVITIES, The American journal of occupational therapy, 49(8), 1995, pp. 763-771
Objectives. This study examines the age-related increase of in-hand ma
nipulation, the consistency of using a manipulation strategy, and the
relationship between the frequency of in-hand manipulation and activit
ies that typically require use of intrinsic band control. Method. Chil
dren (N = 184) between 2 years and 7 years of age were observed during
selected activities that could elicit three forms of in-hand manipula
tion: rotation, finger-to-palm translation, and palm-to-finger transla
tion. The child's use of a manipulation strategy was recorded. Activit
ies that required manipulation of objects including a spoon, buttons,
and crayons were also observed. Results. The study demonstrated that t
he frequency of two types of in-hand manipulation increases with age a
nd illustrated the uneven nature of development of different types of
in-hand manipulation. Even when the child had the ability, use of in-h
and manipulation as a movement strategy was inconsistent. Small but si
gnificant relationships between in-hand manipulation skill and perform
ance in selected activities were found when the effects of age were co
ntrolled. Conclusion. On a practical level, the findings raise questio
ns as to whether maturity of in-hand manipulation may be a factor limi
ting performance in the everyday activities of typically developing ch
ildren.