Paediatrica Indonesiana (Sep 2016)
Influence of educative game instrument on children's motor development in child day care
Abstract
Background Child day care center is an institution functioning to help families to fulfil their child's need by providing stimulation with educative game instrument (EGI) while they work outside home. Objectives To evaluate motor development of children at child day care center with EGI stimulation compared with that of children without stimulation. Methods An experimental study using pretest-posttest control group design was cartied out on children aged 2 to 5 years old, at Islamic Center Day Care Center (without EGI) and Tanah-Besi Day Care Center in Tebing Tinggi (with EGI for six months). Inclusion criteria: healthy, well-nourished children aged 2 to 5 years with informed consent, no developmental delay (confirmed by Denver-II developmental screening test). Exclusion criteria: pre term birth children. Forty subjects were selected by means of simple random sampling. Research data were taken with Cronbach's motor skills scale. Subjects consisted of 3 to 4 years old children, mostly four years old. Results Motor skills scores (mean; SD) of the Islamic Center Day Care Center group and Tanah-Besi Day Care Center group before stimulation were 104.9; 10.37 and 104.7; 5.47 (P=0.923), respectively, and after stimulation 105.2; 9.56 and 135.3; 7.67 (P< 0.001), respectively. Motor skills scores (mean; SD) of Tanah-Besi Day Care Center group before and after stimulation were 104.7; 5.4 7 and 135.3; 7.67 (P< 0.001) respectively. Motor skill dimensions score (mean; SD) ofTanah-Besi Day Care Center group before and after stimulation: speed 28.9; 1.75 and 38.8; 2.79, stability 22.3; 1.02 and 30.6; 1.57, accuracy 20.3; 1.15 and 26.7; 1.63, strength 33.3; 1.55 and 39.1; 1.68, respectively with P< 0.001. Conclusions There is a significant difference in motor skills scores and motor skill dimensions of children who receive EGI stimulation compared to those who do not.
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