The Effect of Paper Toy Play Therapy on Improving Fine Motor Development in Children with Mental Retardation

https://doi.org/10.52774/jkfn.v8i2.393

Authors

  • Andini Rahma Diyanti Universitas Medika Suherman
  • Riska Wati Universitas Medika Suherman
  • Retno Anggraeni Puspita Sari Universitas Medika Suherman
  • Previarsi Rahayu Universitas Medika Suherman

Keywords:

Fine Motor, Mental Retardation, Paper Toys

Abstract

Children with mental retardation commonly experience developmental delays, including impairments in fine motor skills that play a crucial role in academic readiness and daily functional independence. The limited use of engaging and structured interventions in special education settings often results in suboptimal fine motor stimulation. This study aimed to analyze the effect of paper toy play therapy on improving fine motor development in children with mental retardation. A pre-experimental one-group pretest–posttest design was employed involving 37 students at SDLB Ananda Mandiri Tambun, Bekasi Regency. Fine motor development was assessed using a 12-item observational checklist administered before and after four intervention sessions. The findings showed an increase in the mean score from 20.16 to 26.43. The Wilcoxon Signed-Rank test yielded a p-value < 0.001, indicating a statistically significant difference between pretest and posttest scores. Before the intervention, most children were categorized as poor or adequate; however, post-intervention assessments demonstrated an increase in the number of children who achieved good fine motor performance. This study concludes that paper toy play therapy is effective in enhancing fine motor skills in children with mental retardation. Its implications highlight the potential for integrating this therapy into individualized education programs in sp

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References

Alghadier, M., & Alhusayni, A. (2024). Evaluating the Efficacy of Gross-Motor-Based Interventions for Children with Developmental Coordination Disorder: A Systematic Review. Journal of Clinical Medicine, 13(16), 4609. https://doi.org/10.3390/jcm13164609

Amanda, S. T., & Hidayat, S. (2024). The Effect of Origami Play Therapy on the Social Skills of Children with Intellectual Disabilities. Prisma Sains: Jurnal Pengkajian Ilmu Dan Pembelajaran Matematika Dan IPA IKIP Mataram, 12(1), 250–256. https://doi.org/10.33394/j-ps.v12i1.10567%0A%0A

Anggraimi, E. S., Silalahi, T. G., Ismawan, N. R., & Sinaga, G. S. A. (2024). Peningkatan Keterampilan Motorik Halus Anak Melalui Kegiatan Origami dan Meronce di RA Baiturrahman. Jurnal Informasi Keagamaan, Manajemen Dan Strategi, 4(2), 433–436. https://doi.org/10.62361/ikamas.v4i2.152

Anlianna, Sunanto, Nursalim, M., & Rahmasari, D. (2023). Problems Of Children With Intellectual And Mental Disabilities At School. Sentra Cendekia, 4(2), 80–92. https://doi.org/10.31331/sencenivet.v4i2.2655

Astarani, K., Tabita, A., Zeofanny, C., Pawestri, D. M., Puspitasari, D. A., Retno, E. D., Fidel, G., Agung, I. D. G., Candrawati, M., Cicillia, N., Putri, T., Astarani, K., Tabita, A., Zeofanny, C., Pawestri, D. M., Puspitasari, D. A., & Retno, E. D., Fid, T. (2024). Peningkatan Kreativitas Anak Berkebutuhan Khusus Melalui Hasta Karya dari Sapu Tangan. Archive: Jurnal Pengabdian Kepada Masyarakat, 3(2), 247–256. https://doi.org/10.55506/arch.v3i2.99

Balog, E. (2024). Playing therapy for children with disorders from the autistic spectrum. Norma, 29(1), 25–40. https://doi.org/10.5937/norma29-51573

Boray, F. A. (2024). Pengaruh Kegiatan Melipat Kertas dan Teknik Kolase untuk Perkembangan Motorik Halus Anak Usia Dini. JIIP (Jurnal Ilmiah Ilmu Pendidikan), 7(6), 5241–5246. https://doi.org/10.54371/jiip.v7i6.4557

Charmpatsis, C., Sarris, D., Zaragas, H., & Tzoumanika, V. (2024). Effect of Play Therapy on Children With Intellectual Disabilities. Advances in Psychology. Mental Health, and Behavioral Studies (APMHBS) Book Series, 121–130. https://doi.org/10.4018/979-8-3693-8931-7.ch006

Fitriani, G. S. V., Ramawati, D., & Rahmawati, E. (2022). Efek Permainan Blok Terhadap Perkembangan Motor Halus Pada Anak Dengan Retardasi Mental: Studi Kasus. Journal of Bionursing, 4(3), 216–222. http://dx.doi.org/10.20884/1.bion.2022.4.3.158

Garaigordobil, M., Berrueco, L., & Celume, M.-P. (2022). Developing Children’s Creativity and Social-Emotional Competencies through Play: Summary of Twenty Years of Findings of the Evidence-Based Interventions “Game Program.” Journal of Intelligence, 10(4), 77. https://doi.org/10.3390/jintelligence10040077

Harbourne, R. T., Dusing, S. C., Lobo, M. A., Westcott McCoy, S., Koziol, N. A., Hsu, L.-Y., Willett, S. L., Marcinowski, E. C., Babik, I., Baraldi Cunha, A., An, M., Chang, H.-J., Bovaird, J. A., & Sheridan, S. M. (2021). START-Play Physical Therapy Intervention Impacts Motor and Cognitive Outcomes in Infants with Neuromotor Disorders: A Multisite Randomized Clinical Trial. Physical Therapy, 101(2). https://doi.org/10.1093/PTJ/PZAA232

Hastuti, H., & Sriati, A. (2024). Halusinasi Dan Perilaku Kekerasan Pada Pasien Retardasi Mental Ringan: A Case Report. SENTRI: Jurnal Riset Ilmiah, 3(4), 2075–2086. https://doi.org/10.55681/sentri.v3i4.2542

Jin, Y.-R., Sung, Y.-S., Koh, C.-L., Chu, S. Y., Yang, H. C., & Lin, L. Y. (2023). Efficacy of Motor Interventions on Functional Performance Among Preschool Children With Autism Spectrum Disorder: A Pilot Randomized Controlled Trial. American Journal of Occupational Therapy, 77(6). https://doi.org/10.5014/ajot.2023.050283

Kenari, M. A. (2018). the issue of mental and motor disturbances and correction thereof in children with infantile cerebral paralysis and moderate mental retardation. APCM Journal, 2(3). https://doi.org/10.23880/MJCCS-16000137

Kusmiyati. (2021a). Pendekatan Psikososial, Intervensi Fisik Dan Perilaku Cognitiv Dalam Desain Pembelajaran Pendidikan Jasmani Bagi Anak Dengan Retardasi Mental. Jurnal Movement and Education, 2(1), 74–84. https://doi.org/10.37150/mae.v2i1.1426

Kusmiyati, K. (2021b). Pendekatan Psikososial, Intervensi Fisik, Dan Perilaku Kognitif Dalam Desain Pembelajaran Pendidikan Jasmani Bagi Anak Dengan Retardasi Mental. Movement and Education, 2(1), 74–84. https://doi.org/10.37150/mae.v2i1.1426

Lelong, M., Zysset, A., Nievergelt, M., Luder, R., Götz, U., Schulze, C., Wieber, F., & Wieber, F. (2021). How effective is fine motor training in children with ADHD? A scoping review. BMC Pediatrics, 21(1), 490. https://doi.org/10.1186/S12887-021-02916-5

Lestari, R. P., Alfiyanti, D., Samiasih, A., & Maryam, M. (2025). Pengaruh terapi bermain papertoys terhadap perkembangan motorik halus dan kognitif pada tunagrahita. Journal of Nursing2, 1(2), 69–76. https://doi.org/10.63425/journalofnursing.v1i2.52

Lin, L. Y., Hwang, I. T., Hsu, C. F., Yu, W. H., Lai, P. C., Chen, Y. W., & Tu, Y. F. (2024). Comparing fine motor performance among young children with autism spectrum disorder, intellectual disability, attention-deficit/hyperactivity disorder, and specific developmental disorder of motor function. Frontiers in Pediatrics. https://doi.org/10.3389/fped.2024.1372980

Livana, A. D., & Susanti, Y. (2018). Pengaruh Stimulasi Motorik Halus Terhadap Tahap Perkembangan Psikososial Anak Usia Pra Sekolah. Jurnal Pendidikan Keperawatan Indonesia, 4(1), 30. https://doi.org/10.17509/jpki.v4i1.1234%0A0

Mahar, A. F. (2012). Pengaruh Terapi Bermain Paper Toys Terhadap Peningkatan Kemampuan Motorik Anak Retardasi Mental Di SLB Negeri Cerme [Universitas Airlangga]. https://repository.unair.ac.id/121275/1/Ainin Fitriana Mahar_010810127 B

Pong, S. E., Retnaningtyas, E., & Yalestyarini, E. A. (2020). The Use of Paper Toys in Supporting Fine Motor Development of Children with Moderate Mental Retardation. Open Access Health Scientific Journal, 1(1), 1–4. https://doi.org/10.55700/oahsj.v1i1.1

Ramadhani, A. S., Azizah, W., Selpiyani, Y., & Khadijah, K. (2022). Bentuk Bentuk Stimulasi Dalam Perkembangan Motorik Anak Usia Dini. Jurnal Pendidikan Dan Konseling (JPDK), 4(3), 2360. https://doi.org/10.31004/jpdk.v4i3.5080

Sari, P. N., & Hazizah, N. (2024). Pengaruh Media Paper Toys Menggunakan Kertas Daun Pisang terhadap Kemampuan Motorik Halus Anak Usia Dini. Asian Journal of Early Childhood and Elementary Education, 2(2), 98–105. https://doi.org/10.58578/ajecee.v2i2.2799

Suhendra, A., Nislawaty, & Kusumawati, N. (2024). Hubungan Pengetahuan Orang Tua Dengan Personal Hygiene Anak Retardasi Mental Di SLBN 1 Bangkinang Kota Tahun 2023. Jurnal Pahlawan Kesehatan, 1(4), 162–167. https://doi.org/10.70437/jpk.v1i4.679

Sukaeti, A. T. (2021). Upaya Meningkatkan Keterampilan Motorik Halus Anak. Jurnal Paud Agapedia., 5(2), 253–263.

Sukardi. (2020). Pelayanan anak berkebutuhan khusus (ABK) melalui pendidikan inklusi. Elementary School: Jurnal Pendidikan Dan Pembelajaran Ke-SD-An, 7(2), 129–140. https://doi.org/10.31316/esjurnal.v7i2.829

Tosolini, K. E., Damen, S., Janssen, M. J., & Minnaert, A. E. M. G. (2025). A Piagetian lens on cognitive development of children and youths with congenital deafblindness: a scoping review. Front. Educ., 10. https://doi.org/10.3389/feduc.2025.1479668

Ulyanisa Adibah, G. M., & Yusup, F. (2025). The Effect of Play Therapy on Social Interaction of Learners with Autism Spectrum Disorder: A Literature Study. Pedagogi: Jurnal Ilmu Pendidikan, 25(2), 278–286. https://doi.org/https://doi.org/10.24036/pedagogi.v25i2.2559

Umami, Y. S., Suparno, & Hakim, L. (2020). The Development of “Paper Toys” Learning Media to Stimulate Children’s Fine Motor Skills. In Proceedings of the 4th International Conference on Education and Multimedia Technology (ICEMT ’20)., 250–255. https://doi.org/10.1145/3416797.3416818

Xing, Y., & Wu, X. (2025). Effects of Motor Skills and Physical Activity Interventions on Motor Development in Children with Autism Spectrum Disorder: A Systematic Review. Healthcare, 13(5), 489. https://doi.org/10.3390/healthcare13050489

Published

2025-12-30

How to Cite

Andini Rahma Diyanti, Riska Wati, Retno Anggraeni Puspita Sari, & Previarsi Rahayu. (2025). The Effect of Paper Toy Play Therapy on Improving Fine Motor Development in Children with Mental Retardation . Jurnal Keperawatan Florence Nightingale, 8(2), 149–158. https://doi.org/10.52774/jkfn.v8i2.393

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