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Step out and mix up daily outdoor play for institutional care boys' hand strength and motor dexterity: a comparative cross-sectional study Cover

Step out and mix up daily outdoor play for institutional care boys' hand strength and motor dexterity: a comparative cross-sectional study

By:  and    
Open Access
|Aug 2025

Figures & Tables

Table 1

Characteristics of boys and children’s homes (N=60)

Home1Home2Home3Total
Number of study participantsn=20n=20n=20N=60
Average age of participants, years (SD)
F(p-value)
11.05 ± 0.7011.75 ± 0.5711.15 ± 0.5811.20± 0.66
1.021(0.366)
Height(cm)
F(p-value)
140.77±5.5138.8 ± 6.4140.05±6.09139.87±5.97
0.551(0.579)
Weight(kg)
F(p-value)
34.52± 7.4333.79 ± 7.3833.51 ±6.5733.94±7.03
0.105(0.900)
BMI (kg/m2)
F(p-value)
17.29 ± 2.9117.43 ± 3.0316.98 ±2.4517.23±2.77
0.137(0.871)
Participants age category, years N(%)
105 (25)1 (5)3 (15)9 (15)
119 (45)11 (55)11(55)31 (52)
126 (30)8 (40)6 (30)20 (33)
Average duration of stay, years (SD)4.35 ± 1.593.90 ± 1.514.55 ± 2.014.26 ± 1.71
Participants length of stay category, years N(%)
< 5 years13(65)14(70)11(55)38(63)
> 5 years7 (35)6 (30)9 (45)22(37)
Participants orphan status N(%)
Double orphan2 (10)3 (15)2 (10)7(12)
Single orphan12(60)10(50)13(65)35(58)
Social orphan6 (30)7 (35)5 (25)18(30)
Outdoor play area sufficient for all activities, including running (by warden report)? (Y/N)YYY
Outdoor demarcated sport area? (volley ball, basketball) (Y/N)NNY
Indoor board gamesYYY
Fixed Park equipmentYYN
Child discretion allowed in choosing outdoors or indoors? (Y/N)YYN
Outdoor play frequency N(%)
Daily0(0)2(10)20(100)22(37)
Less than daily20(100)18(90)0(0)38(63)
Outdoor play time at least 60 min/day
Yes2(0)4(20)20(100)26(43)
No18(90)16(80)0(0)34(57)
Time spent playing outdoors/day N(%)
T≤ ½ hour17(85)13(65)0(0)30(50)
½ hour < T ≤ 1 hour3(15)7(35)18(90)28(47)
T > 1 hour0(0)0(0)2(10)2 (3)
Activity participation during scheduled outdoor play time N(%)
Only one activity type (free play/ team sports)9(45)
8(40)/1(5)
12(60)
9(45)/3(15)
9(45)
4(20)/5(25)
30(50)
21(35)/9(15)
Mixed1(5)4(20)11(55)16(27)
Play on fixed equipment3(15)1(5)0(0)4(7)
Sedentary (hang out with friends)2(10)0 (0)0(0)2(3)
Stay indoors5(25)3(15)0(0)8(13)

[i] Note. Values are presented as mean standard deviation or number (%). BMI, body mass index

Table 2

Hand grip strength and hand dexterity (gross motor & fine motor) of boys across three children’s homes

Home1Home2Home3F (P value)
Hand Grip StrengthDHGS15.35 ± 1.8615.70 ± 1.4616.72 ± 1.10a, b4.572 (0.014)*
NDHGS13.89 ± 2.0514.80 ± 1.6715.95 ± 0.85a, b8.313 (<0.001)**
Gross hand manual dexterityBBT-R53.35 ± 7.3758.20 ± 4.9461.05 ± 6.27a, b7.683 (0.0011)*
BBT-L48.45 ± 7.4753.60 ± 5.9559.00 ± 6.71a, b12.232 (<0.001)**
Fine hand manual dexterityPPT-R12.50 ± 1.7313.05 ± 2.3514.75 ± 1.80a, b7.011 (0.0018)*
PPT-L11.50 ± 1.1412.01 ± 0.9113.25 ± 2.11a, b10.070 (<0.001)**
PPT-B15.00 ± 2.7118.60 ± 3.11a22.05 ± 3.17a, b27.469 (<0.001)**
PPT-A8.05 ± 2.609.95 ± 2.13a11.40 ± 1.72a, b29.088 (<0.001)**

Notes. Values are presented as mean standard ± deviation.

DHGS, dominant hand grip strength: NDHGS, non-dominant hand grip strength; BBT, box and block test; PPT, Purdue peg board test; L, left hand; R, right hand; B, both hands; A, assembly task

a Different from home1;

b different from home2.

* Significance at 0.05 level p<0.05,

** Significance at the 0.001 level p<0.001.

Figure 1

Comparison of hand grip strength

Figure 2

Comparison of hand dexterity test performance

Language: English
Page range: 2 - 12
Submitted on: Sep 29, 2024
Accepted on: Apr 8, 2025
Published on: Aug 29, 2025
Published by: Global Health Institute at William Carey International University
In partnership with: Paradigm Publishing Services

© 2025 Silpa Voola, Kalpana Kosalram, published by Global Health Institute at William Carey International University
This work is licensed under the Creative Commons Attribution 4.0 License.