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International Journal of Adolescent Medicine and Health

Editor-in-Chief: Merrick, Joav

Editorial Board: Birch, Diana ML / Blum, Robert W. / Greydanus, MD, Dr. HC (Athens), Donald E. / Hardoff, Daniel / Kerr, Mike / Levy, Howard B / Morad, Mohammed / Omar, Hatim A. / de Paul, Joaquin / Rydelius, Per-Anders / Shek, Daniel T.L. / Sher, Leo / Silber, Tomas J. / Towns, Susan / Urkin, Jacob / Verhofstadt-Deneve, Leni / Zeltzer, Lonnie / Tenenbaum, Ariel

CiteScore 2018: 0.79

SCImago Journal Rank (SJR) 2018: 0.350
Source Normalized Impact per Paper (SNIP) 2018: 0.476

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Can upper limb taping or exercises improve hand function, writing speed and self-perception of performance in adolescent school children?

Hiba Memon / Apurv ShimpiORCID iD: http://orcid.org/0000-0002-6010-4296 / Ashok Shyam / Parag Sancheti
Published Online: 2018-07-31 | DOI: https://doi.org/10.1515/ijamh-2018-0065



The majority of students spend time in writing, which is a prime performance measure in examinations. Enhancement in handwriting should benefit students to attain better academic performance.


To assess the effectiveness of taping and exercises on hand function, writing speed, self-perception of writing and to compare these techniques.


A randomized control trial was conducted using cluster sampling in adolescent children across four schools in an urban city. A 4-week intervention study was conducted on 123 students divided into taping, exercise and control groups. Outcome measures were grip strength, pinch strength, 12-min writing speed test and the Writer Self-Perception Scale (WSPS). For intra-group analysis, a paired t-test was used for parametric values and the Wilcoxon signed rank test was used for non-parametric values. For inter-group analysis, one-way analysis of variance (ANOVA) for parametric values and the Kruskal-Wallis test for non-parametric values was used.


The taping group showed a significant improvement in grip strength (1.79 kg; p = 0.00), pinch strength [1.67 lb (757.4 g); p = 0.00] and writing speed (39.77 words/12 min; p = 0.00). The exercise group showed significant improvement in grip strength (2.09 kg; p = 0.00), pinch strength (1.28 lb; p = 0.00), writing speed (28.38 words/12 min; p = 0.00). In the control group, there was a significant increase in pinch strength (1.023 lb; p = 0.01) and writing speed (12.94 words/12 min; p = 0.02). Inter-group analysis showed significant difference in writing speed (p = 0.002) and grip strength (p = 0.00). There was no significant difference in perception (p = 0.071).


Taping and exercise are equally effective for enhancement of hand function, writing speed and self-perception in adolescent school children.

Keywords: adolescent; exercise; hand function; handwriting speed; taping


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About the article

Received: 2018-03-31

Accepted: 2018-05-17

Published Online: 2018-07-31

Citation Information: International Journal of Adolescent Medicine and Health, 20180065, ISSN (Online) 2191-0278, DOI: https://doi.org/10.1515/ijamh-2018-0065.

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