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    Sara Rosenblum

    The influence of the development of postural control of the trunk and center of the body on the development of fine manual dexterity ability is a common assumption. The objectives of this study were: (1) to examine the relationship... more
    The influence of the development of postural control of the trunk and center of the body on the development of fine manual dexterity ability is a common assumption. The objectives of this study were: (1) to examine the relationship between the adult version of the Nine-Hole Peg Test and the "children's version" in order to establish construct validity for the latter, and (2) to investigate the relationship between postural control and fine motor performance of children developing typically aged five to six. The study sample included 47 children, 25 males and 22 females, with a mean age of 5 years and 8 months and a standard deviation of 3.8 months. Two tests were administered: (1) The balance subtest of the Bruininks-Oseretsky Test of Motor Proficiency (BOTMP; Bruininks, 1978); and (2) the Nine-Hole Peg Test (NHPT; Kellor, Frost, Silberg Iversen & Cumming, 1971), as well as the "children's version" of rotation and translation tasks (Case-Smith, 1993, 1995). The adult version of the NHPT revealed significant moderate correlations with most of the BOTMP tasks for both hands. Secondary results of the study support the concurrent validity of the two "children's version" tasks. Results show low to moderate correlations between performance on the NHPT subtests and the BOTMP subtest tasks, with significant correlations ranging from -.31 to -.47. Given the negative and low correlations obtained in this study, it is suggested that more extensive longitudinal research examine the relationship between postural control and fine motor manual dexterity performance.
    ABSTRACT
    The influence of the development of postural control of the trunk and center of the body on the development of fine manual dexterity ability is a common assumption. The objectives of this study were: (1) to examine the relationship... more
    The influence of the development of postural control of the trunk and center of the body on the development of fine manual dexterity ability is a common assumption. The objectives of this study were: (1) to examine the relationship between the adult version of the Nine-Hole Peg Test and the "children's version" in order to establish construct validity for the latter, and (2) to investigate the relationship between postural control and fine motor performance of children developing typically aged five to six. The study sample included 47 children, 25 males and 22 females, with a mean age of 5 years and 8 months and a standard deviation of 3.8 months. Two tests were administered: (1) The balance subtest of the Bruininks-Oseretsky Test of Motor Proficiency (BOTMP; Bruininks, 1978); and (2) the Nine-Hole Peg Test (NHPT; Kellor, Frost, Silberg Iversen & Cumming, 1971), as well as the "children's version" of rotation and translation tasks (Case-Smith, 1993, 1995). The adult version of the NHPT revealed significant moderate correlations with most of the BOTMP tasks for both hands. Secondary results of the study support the concurrent validity of the two "children's version" tasks. Results show low to moderate correlations between performance on the NHPT subtests and the BOTMP subtest tasks, with significant correlations ranging from -.31 to -.47. Given the negative and low correlations obtained in this study, it is suggested that more extensive longitudinal research examine the relationship between postural control and fine motor manual dexterity performance.
    Handwriting is a complex activity that entails an intricate blend of cognitive, sensory and motor abilities. The act of writing presents difficulties for children with dysgraphia and ADHD. The objective of this study was to determine ways... more
    Handwriting is a complex activity that entails an intricate blend of cognitive, sensory and motor abilities. The act of writing presents difficulties for children with dysgraphia and ADHD. The objective of this study was to determine ways in which the analysis of both objective, digitizer-based evaluation of the handwriting process and subjective, human-based evaluation of the handwriting product may lead
    To adapt the Handwriting Proficiency Screening Questionnaire (HPSQ), previously designated for adults, into a children's self-report version (the HPSQ for Children, or HPSQ-C) and to examine its reliability and... more
    To adapt the Handwriting Proficiency Screening Questionnaire (HPSQ), previously designated for adults, into a children's self-report version (the HPSQ for Children, or HPSQ-C) and to examine its reliability and validity. Participants included 230 children ages 7-14 yr from regular schools in Israel. The questionnaire's content validity, internal consistency, and concurrent and construct validity were assessed. The tool demonstrated good internal consistency (α = .77). We found a significant moderate correlation between final HPSQ-C scores and the HPSQ, r = .51, p < .001, establishing the HPSQ-C's concurrent validity. Construct validity was also confirmed. Results demonstrated that the HPSQ-C significantly distinguished between children with and without handwriting deficiencies on the basis of measures of handwriting product (Hebrew Handwriting Evaluation) and handwriting process (Computerized Penmanship Evaluation Tool). The HPSQ-C is suitable for identification of handwriting deficiency among school-aged children and is appropriate for varied academic and clinical uses.
    Background- Given the broad range of cognitive deficits that are present in children with neurofibromatosis type 1 (NF1), research into functional assessment of cognitive skills and executive functions (EF) remains largely unexplored.... more
    Background- Given the broad range of cognitive deficits that are present in children with neurofibromatosis type 1 (NF1), research into functional assessment of cognitive skills and executive functions (EF) remains largely unexplored. Objectives- To expand our understanding of the functioning of children with NF1 in a classroom environment. We focus on academic participation, a central area which is influenced in classroom participation using the International Classification of Functioning Disability and Health - Children and Youth (ICF-CY) guidelines. Method- Thirty children diagnosed with NF1 (age range 8–16 years) and 30 typically developing children, matched for gender and age were evaluated. All children were tested with regard to their activity and participation at school, by examining their attention profile, using a Virtual Classroom (VC), and their handwriting performance. The body functions that were tested were: EF, visual perception, motor coordination, visual-motor inte...
    Background- Given the broad range of cognitive deficits presented in children with neurofibromatosis type 1 (NF1), research into functional skills remains largely unexplored. Objectives- To expand our understanding of the functioning of... more
    Background- Given the broad range of cognitive deficits presented in children with neurofibromatosis type 1 (NF1), research into functional skills remains largely unexplored. Objectives- To expand our understanding of the functioning of children with NF1 in a classroom environment, with focus on academic participation. Materials & Method- Thirty children diagnosed with NF1 (age range 8–16 years) and 30 typically developing children, matched by gender and age were evaluated. All children were tested with regard to their activity and participation at school, by detecting their attention profile using a Virtual Classroom (VC) and their handwriting performance. The cognitive skills that were tested include: executive function, visual perception, visual-motor integration and visual memory. Results 1. The performance of the NF1 group on the VC was significantly lower on the number of targets correctly identified and the number of commissions 2. Handwriting was found to be poorer among chi...
    Children with attention-deficit hyperactivity disorder (ADHD) often present with activities of daily living (ADL) performance deficits. This study aimed to compare the performance characteristics of children with ADHD to those of controls... more
    Children with attention-deficit hyperactivity disorder (ADHD) often present with activities of daily living (ADL) performance deficits. This study aimed to compare the performance characteristics of children with ADHD to those of controls based on the Do-Eat assessment tool, and to establish the tool's validity. Participants were 23 children with ADHD and 24 matched controls, aged 6-9 years. In addition to the Do-Eat, the Children Activity Scale-Parent (ChAS-P) and the Behavioral Rating Inventory of Executive Function (BRIEF) were used to measure sensorimotor abilities and executive function (EF). Significant differences were found in the Do-Eat scores between children with ADHD and controls. Significant moderate correlations were found between the Do-Eat sensorimotor scores, the ChAS-P and the BRIEF scores in the ADHD group. Significant correlations were found between performance on the Do-Eat and the ChAS-P questionnaire scores, verifying the tool's ecological validity. A ...
    Sustainable daily routines during childhood are important both for children and their parents. Although their affective completion requires well developed executive functions (EF), this issue has not been studied until now. The current... more
    Sustainable daily routines during childhood are important both for children and their parents. Although their affective completion requires well developed executive functions (EF), this issue has not been studied until now. The current study examined the reliability and validity of the Executive Functions and Occupational Routines Scale – EFORTS (developed in Hebrew) which measures children's executive control in their daily routines. Internal consistency and construct and convergent validity were examined by applying the EFORTS and the Behavior Rating Inventory of Executive Functions/preschool version (BRIEF/P) to 261 children (129 boys, 132 girls) between the ages 3 and 10 (mean = 6.1, SD = 1.43). The findings indicate that the EFORTS is a reliable and valid tool for examining children's executive control in three occupational daily routines, focusing specifically on metacognitive manifestations of EF. These findings suggest that the EFORTS can be a useful tool to assess c...
    Children with Developmental Coordination Disorders (DCD) exhibit deficient daily performance concealed in their perception-action mechanism. The aim of this study was to analyze behavior organization of children with DCD, in varied tasks... more
    Children with Developmental Coordination Disorders (DCD) exhibit deficient daily performance concealed in their perception-action mechanism. The aim of this study was to analyze behavior organization of children with DCD, in varied tasks that require generating and monitoring mental representations related to space and time inputs/requirements, for achieving better insight about their perception-action mechanism. Participants included 42 children aged 7-10, half of whom were defined with DCD and half were typically developing (TD). The children were matched for age, gender and school. They were evaluated using the Movement-ABC and performed three handwriting tasks on an electronic tablet that is part of a computerized system (ComPET - Computerized Penmanship Evaluation Tool). In addition, their teachers completed the Questionnaire for Assessing Students' Organizational Abilities-Teachers (QASOA-T) to assess the children's daily organizational ability. Significant group diffe...
    It is well established that physical activity during childhood contributes to children's physical and psychological health. The aim of this study was to test the reliability and validity of the Hebrew version of the Teacher Estimation... more
    It is well established that physical activity during childhood contributes to children's physical and psychological health. The aim of this study was to test the reliability and validity of the Hebrew version of the Teacher Estimation of Activity Form (TEAF) questionnaire as a screening tool among school-aged children in Israel. Six physical education teachers completed TEAF questionnaires of 123 children aged 5-12 years, 68 children (55%) with Typical Development (TD) and 55 children (45%) diagnosed with Developmental Coordination Disorder (DCD). The Hebrew version of the TEAF indicates a very high level of internal consistency (α = .97). There were no significant gender differences. Significant differences were found between children with and without DCD attesting to the test's construct validity. Concurrent validity was established by finding a significant high correlation (r = .76, p < .01) between the TEAF and the Movement-ABC mean scores within the DCD group. The TE...
    Writing is a complex and essential human activity. During adolescence, there is an increase in the complexity and quantity of writing required for communication, self-expression, and for demonstrating academic ability. Deficits in... more
    Writing is a complex and essential human activity. During adolescence, there is an increase in the complexity and quantity of writing required for communication, self-expression, and for demonstrating academic ability. Deficits in handwriting performance limit the writing abilities, and hence the participation of adolescents in many areas of life. Computer-based tele- rehabilitation has the potential to address handwriting assessment and
    Following the International Classification of Functioning, Disability and Health (ICF) concepts, this study examines body functions such as sensory modulation and sleep quality among adults with learning disabilities (LD). One hundred and... more
    Following the International Classification of Functioning, Disability and Health (ICF) concepts, this study examines body functions such as sensory modulation and sleep quality among adults with learning disabilities (LD). One hundred and ten participants, 55 adults with LD and 55 matched controls (mean age 30 years) filled in a socio-demographic questionnaire, the Adults/Adolescents Sensory Profile (AASP), and the Mini Sleep Questionnaire (MSQ). Chi-tests, Mann-Whitney tests, and Kolmogorov-Smirnov tests were conducted to examine group differences related to socio-demographic characteristics and body functions. Correlation and regression analyses were conducted to examine relationships between body functions. Significant differences were found between the groups in: (a) unique socio-demographic variables: high-schools attended, family status and number of children; (b) body functions: low registration and sensory sensitivity (p < .001), sensory avoiding (p = .002), sensory seeking (p = .021) and sleep quality (p < .001). Significant correlations were found between AASP subscale scores and the MSQ final score in each group. Regression analysis revealed that for the entire sample (N = 108), low registration accounted for 10.2% of the variance of sleep quality above group membership (p < .001), while in a separate examination of adults with LD (n = 53), low registration accounted for 19.9% of the variance of sleep quality (p < .001). Adults with LD need to be studied through a health-related perspective such as the ICF model to gain further understanding of their unique characteristics and daily needs. Sensory and sleep functions of adults with LD should be further studied in the context of health related quality of life.
    Persons with MS (PwMS) commonly present ambulatory and manual dysfunctions. While ambulation is recognized as important to PwMS, manual dysfunction is only lately gaining attention. Fampridine-PR was approved for MS ambulatory... more
    Persons with MS (PwMS) commonly present ambulatory and manual dysfunctions. While ambulation is recognized as important to PwMS, manual dysfunction is only lately gaining attention. Fampridine-PR was approved for MS ambulatory impairments. Anecdotal evidences indicate possible therapeutic effects on manual function. To comprehensively assess the effect of Fampridine-PR on manual functions of PwMS. Twenty six PwMS with ambulatory and manual dysfunction assessed before, 1 and 3months after treatment with Fampridine-PR, applying Timed 25-Foot Walk (T25FW) for ambulation while manual functions were evaluated by several tools addressing the International Classification of Functioning (ICF) concepts. This includes hand grip and pinch strength, 9 Hole Peg Test (9HPT), Arthritis Hand Function Test (AHFT), activities of daily life (ADL) tests, ABILHAND questionnaire and Computerized Penmanship Evaluation Tool (ComPET). Fampridine-PR increased dominant hand grip and pinch strength 1month following treatment initiation by 12% and 10% (p<0.05), respectively. 9HPT improved by 11.3% after 3months of treatment (p<0.05%) and ABILHAND improved by 16% and 31% (p<0.05%) after 1 and 3months of treatment. Mean stroke duration in air of the name writing task improved by 21% (p<0.05) following 3months of treatment. T25FW results were similar to previous reports. The results of this pilot study suggest that Fampridine-PR improves manual function of PwMS. Methods herein indicate that an integrative approach may be useful for evaluation of manual function in MS and in additional neurological diseases.
    ABSTRACT This paper examines whether a non-intrusive computerized system that analyzes handwriting can detect deception in health care. Health systems are required to deal with false information given by some patients about their health... more
    ABSTRACT This paper examines whether a non-intrusive computerized system that analyzes handwriting can detect deception in health care. Health systems are required to deal with false information given by some patients about their health (malingering). Studies have shown that clinical ability to detect deception is limited, and evidence suggests that better results can be achieved by using assessment tools than by relying on human detection. Currently, tools for detecting deception are intrusive and therefore less suitable for the clinician-patient relationship. Within-subject experimental design compared deceptive writing with truthful writing of 98 participants aged 21-36, recruited from the University of Haifa. They wrote true and false sentences about their medical condition on a paper affixed to digitizer that was part of a computerized system. Deceptive and truthful writings for all the subjects were compared. In the next phase, using profile analysis, subjects were divided into three groups according to their handwriting profiles, and the differences between deceptive writing and truthful writing of each profile were analyzed. Deceptive writing was found to be broader and took longer to write than truthful writing. Three distinct profiles were emerged, and significant differences in specific spatial and temporal measures were found for each profile. Preliminary results provide a unique perspective on detecting deception with this computerized tool. Possible applications for the health system and other fields, such as human sorting and internal security, are discussed.
    This article describes the development, reliability, and validity of My Child's Play (MCP), a parent questionnaire designed to evaluate the play of children ages 3-9 yr. The first phase of the study determined the... more
    This article describes the development, reliability, and validity of My Child's Play (MCP), a parent questionnaire designed to evaluate the play of children ages 3-9 yr. The first phase of the study determined the questionnaire's content and face validity. Subsequently, the internal reliability consistency and construct and concurrent validity were demonstrated using 334 completed questionnaires. The MCP showed good internal consistency (α = .86). The factor analysis revealed four distinct factors with acceptable levels of internal reliability (Cronbach's αs = .63-.81) and gender- and age-related differences in play characteristics; both findings attest to the tool's construct validity. Significant correlations (r = .33, p < .0001) with the Parent as a Teacher Inventory demonstrate the MCP's concurrent validity. The MCP demonstrated acceptable reliability and validity. It appears to be a promising standardized assessment tool for use in research and practice to promote understanding of a child's play.
    The objective of this study was to use quantitative outcome measures of children's handwriting to examine differences in the temporal characteristics of proficient and poor handwriters. This was accomplished by using an x-y digitizer... more
    The objective of this study was to use quantitative outcome measures of children's handwriting to examine differences in the temporal characteristics of proficient and poor handwriters. This was accomplished by using an x-y digitizer to sample the handwriting of 100 third grade children as they performed a series of functional tasks of varying length and complexity. A major finding was
    The present study aimed to compare the executive function (EF) of children with neurofibromatosis type 1 (NF1) to those of typically developing children and to investigate whether those abilities could predict the... more
    The present study aimed to compare the executive function (EF) of children with neurofibromatosis type 1 (NF1) to those of typically developing children and to investigate whether those abilities could predict the child's academic success in terms of academic skills and enablers. Twenty-nine children with NF1 and 27 age-and-gender-matched controls (aged 8-16 years) were examined with two tests to measure EF in an ecologically valid manner: the Behavioural Assessment of the Dysexecutive Syndrome in Children (BADS-C) and the parent questionnaire for the Behavior Rating Inventory of Executive Function (BRIEF). In order to evaluate academic success we used the Academic Competence Evaluation Scales (ACES). The performance of the NF1 group was significantly lower on the Water and Key search subtest of the BADS-C and on four scales of the BRIEF: initiate; working memory; plan/organise and organisation of materials. Significant correlations and predictive models via regression analysis were generated for: BADS-C, BRIEF and ACES scores. Based on these findings, children with NF1 have executive dysfunction that partially accounts for their difficulties in academic achievements.
    The objective of this study was to describe the nature of the attention deficits in children with NF1 in comparison with typically developed children using the Virtual Classroom (VC). Twenty nine NF1 children and 25 age-and gender-matched... more
    The objective of this study was to describe the nature of the attention deficits in children with NF1 in comparison with typically developed children using the Virtual Classroom (VC). Twenty nine NF1 children and 25 age-and gender-matched controls, aged 8 -16 were assessed in a VC. Parent ratings on the Conners' Parent Rating Scales-Revised; Long (CPRS-R:L) questionnaire was used to
    ... in this study had not received formal education in Ethiopia and lacked elementary experience in ... Future studies should investigate the relationships between execu-tive function level with an ... atti-tudes toward their culture and... more
    ... in this study had not received formal education in Ethiopia and lacked elementary experience in ... Future studies should investigate the relationships between execu-tive function level with an ... atti-tudes toward their culture and therefore suffer from low self-esteem and depression ...
    Timing ability is essential for common everyday performance. The aim of the study was to compare timing abilities and temporal aspects of handwriting performance and relationships between these two components among children with... more
    Timing ability is essential for common everyday performance. The aim of the study was to compare timing abilities and temporal aspects of handwriting performance and relationships between these two components among children with Developmental Coordination Disorders (DCD) and a control group. Forty two children, 21 diagnosed as DCD and 21 with typical development, aged 7-12, were matched for age, gender and school performed 14 tasks of the interactive metronome (IM) and three functional handwriting tasks on an electronic tablet that was part of a computerized system (ComPET--computerized penmanship evaluation tool). The IM supplies response time, while on-paper and in-air time per written stroke is received from the ComPET. Results indicated significant differences between the groups for both IM and handwriting tasks (ComPET). Linear regression indicated that the mean IM response time explained 37% of variance of the in-air time per stroke during a paragraph-copying task. Furthermore, based on one discriminate function including two measures reflected timing ability, 81% of all participants were correctly classified into groups. Study results strongly recommend consideration of the IM as an evaluation and intervention tool for children with DCD who are faced with timing deficits in their everyday functioning.
    ABSTRACT
    ABSTRACT
    Developmental coordination disorders (DCD) is one of the most common disorders affecting school-aged children. The study aimed to characterize the handwriting performance of children with DCD who write in Arabic, based on triangular... more
    Developmental coordination disorders (DCD) is one of the most common disorders affecting school-aged children. The study aimed to characterize the handwriting performance of children with DCD who write in Arabic, based on triangular evaluation. Participants included 58 children aged 11-12 years, 29 diagnosed with DCD based on the DSM-IV criteria and the M-ABC, and 29 matched typically developed controls. Children were asked to copy a paragraph on a sheet of paper affixed to a digitizer supplying objective measures of the handwriting process. The handwriting proficiency screening questionnaire (HPSQ) was completed by their teachers while observing their performance and followed by evaluation of their final written product. Results indicated that compared to controls, children with DCD required significantly more on-paper and in-air time per stroke while copying. In addition, global legibility, unrecognizable letters and spatial arrangement measures of their written product were significantly inferior. Significant group differences were also found between the HPSQ subscales scores. Furthermore, 82.8% of all participants were correctly classified into groups based on one discriminate function which included two handwriting performance measures. These study results strongly propose application of triangular standardized evaluation to receive better insight of handwriting deficit features of individual children with DCD who write in Arabic.
    ABSTRACT
    The aim of the current study was to compare varied dimensions of participation in leisure activities among school-aged children ages 10-16 with and without disabilities. The Children Leisure Activity Scale (CLASS) was administrated to 294... more
    The aim of the current study was to compare varied dimensions of participation in leisure activities among school-aged children ages 10-16 with and without disabilities. The Children Leisure Activity Scale (CLASS) was administrated to 294 children, 81 with and 213 without physical disability. Two-way MANCOVA revealed significant differences between the frequency of participation in leisure activities of the study groups: an effect of disability F(4,265=239.57; p<0.001, η(2)=0.78); an effect of gender F(4,265=3.35; p<0.01, η(2)=0.05); and an interaction effect between gender and disability F(4,265=5.23; p<0.001, η(2)=0.64). Children with disabilities, and mostly girls, were found at risk to participate in a narrower variety of activities that involved fewer social interactions. Using linear regressions for each group two different models were identified. Using the CLASS the study contributes evidence-based data regarding children at risk for leisure participation. In addition, the research further established the discriminate validity of the CLASS.
    הכתיבה הנה מיומנות אנושית מורכבת. ילדים רבים בגיל בית הספר מופנים לטיפול בריפוי בעיסוק בשל קשיים בכתיבה. גם ממצאי מחקרים הנערכים בארץ ובעולם וגם המאמרים התיאורטיים מעשירים את תהליכי החשיבה הקלינית ומעמידים בסיס לפיתוח של דרכי הערכה... more
    הכתיבה הנה מיומנות אנושית מורכבת. ילדים רבים בגיל בית הספר מופנים לטיפול בריפוי בעיסוק בשל קשיים בכתיבה. גם ממצאי מחקרים הנערכים בארץ ובעולם וגם המאמרים התיאורטיים מעשירים את תהליכי החשיבה הקלינית ומעמידים בסיס לפיתוח של דרכי הערכה והתערבות תוך ראיית צורכי האדם, הכתיבה כעיסוק ודרישות הסביבה. מטרת המאמר לסקור את המאפיינים של קשיים בכתיבה, השכיחות שלהם בארץ ובעולם ואת ההשלכות הנרחבות שיש לקשיים אלו על חיי היום-יום של האדם. כמו כן נסקרים הכלים המצויים כיום לאיתור ילדים עם קשיי כתיבה, וכן כלים להערכת תוצר הכתיבה ותהליך הכתיבה בשפה העברית. ממצאים של חקר קשיי כתיבה בקרב אוכלוסיות שונות תוך שימוש בכלים שתוארו, יוצגו בקצרה. בחלקו האחרון של המאמר מודגשות ההשלכות הקליניות האפשריות של ממצאי מחקרים שנערכו על היבטים שונים של תהליך הכתיבה בקרב מתקשים, ומוצעים נושאים להמשך מחקר ופיתוח.
    The influence of the development of postural control of the trunk and center of the body on the development of fine manual dexterity ability is a common assumption. The objectives of this study were: (1) to examine the relationship... more
    The influence of the development of postural control of the trunk and center of the body on the development of fine manual dexterity ability is a common assumption. The objectives of this study were: (1) to examine the relationship between the adult version of the Nine-Hole Peg Test and the "children's version" in order to establish construct validity for the latter, and (2) to investigate the relationship between postural control and fine motor performance of children developing typically aged five to six. The study sample included 47 children, 25 males and 22 females, with a mean age of 5 years and 8 months and a standard deviation of 3.8 months. Two tests were administered: (1) The balance subtest of the Bruininks-Oseretsky Test of Motor Proficiency (BOTMP; Bruininks, 1978); and (2) the Nine-Hole Peg Test (NHPT; Kellor, Frost, Silberg Iversen & Cumming, 1971), as well as the "children's version" of rotation and translation tasks (Case-Smith, 1993, 1995). The adult version of the NHPT revealed significant moderate correlations with most of the BOTMP tasks for both hands. Secondary results of the study support the concurrent validity of the two "children's version" tasks. Results show low to moderate correlations between performance on the NHPT subtests and the BOTMP subtest tasks, with significant correlations ranging from -.31 to -.47. Given the negative and low correlations obtained in this study, it is suggested that more extensive longitudinal research examine the relationship between postural control and fine motor manual dexterity performance.

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