Product Code: AR10017
Made up of a window handle (180° rotation about a central pin) and door handle (90° rotation about a pin to one side).
Depending on how the aid is positioned on the wall panel, the latter can be used with the right or left hand.
Product Code: AR10008
The aid exercises the subject in prone-supine positioning hand movements. Specifically, the subject is asked to keep the ball between the first three fingers on the hand and guide it over the sinusoidal path. This exercise means that the large prono-supine positioning joints in the forearm are used to the maximum.
It is therefore useful to monitor the patients behaviour while executing this task. Any incapacity to explore the maximum levels of supine positioning could be compensated for by bending the trunk on one side, while limitation of prone positioning will cause early and excessive movement of the arm away from the trunk.
Product Code: AR10013
Positioning on a table: when put up on a horizontal surface in front of the patient, the active work required in using the ladder with the fingers will involve the proximal joints, extending the elbow and flexing the shoulder. In doing this progressive task using their fingers, the patient develops fluidity and coordination, alternating a flexing movement with one finger with the simultaneous extension of the other to reach the next step.
Positioning on a vertical panel: the ladder is positioned on the same axis as the support module, and is rotated and used vertically. This is particularly useful when you wish to get the shoulder to a greater degree of flexing.
Positioning on a surface at a variable tilt: the exercise proposed can be useful for teaching the patient to align their trunk correctly, in order to achieve the change in position from seated to standing upright. Patient seated a little away from the table.
The aid is positioned so that it reaches the furthest reach of the fingers, with the elbow extended. Their centre of gravity is sufficiently in front of them to allow them to lift themselves up.
Product Code: AR10014
Positioned on a table: This aid is used to invite and guide the patient through prone supination tasks with their forearm. Two knobs below the equipment are used to position it correctly for the patient. The proximal support on which the forearm is placed must be adjusted to a height that keeps the shoulder in a comfortable, neutral position.
By raising and lowering the adjustment element with the elbow flexed, the position is changed to extra/intra rotation of the upper limb respectively. The knob nearest to the handle is used to adjust it to the correct tilt on the prone supination plane, while the upper knob is used to adjust a system that is able to provide resistance to the movement by the patient, which can be varied in intensity. The patient is therefore asked to overcome the resistance offered by the aid, and the extent of that resistance is determined by the therapist in relation to the therapeutic goal.
Product Code: AR10012
The patient puts their forearm into a support that holds it in place. The fingers are connected to the elastics by means of fixings put over the fingers like rings.
A sliding adjustable system makes it possible to keep the optimum 90° angle between the phalanxes and the elastics. The tension in the elastics keeps the fingers flexing muscles extended, changing the passive rigidity over time. Exercises can be done with concentric, eccentric and isometric contractions by the flexing muscles.
The supports are chromed metal, while the finger inserts are atoxic imitation leather, and both the length and resistance can be adjusted in each individual finger elastic.
Product Code: AR10018
In gripping the cup the weight of the object is used because the circumference is supported by the grip formed by the thumb and middle finger, and a hook made up of the index finger. This grip requires excellent thumb and middle finger stability, as well as the integrity of the deep flexor on the index finger and abductor on the thumb, which is essential for this task.
To grip the cup it is important to have good skill in using flexing/ extending muscles of both the hand and the rest of the upper limb in a harmonious manner, for the reaching and subsequent gripping phases. You can also work on the patients capacity to open their hand to grip / release the cup at various heights. Common disposable plastic cups can be inserted.
Product Code: AR10024
The tightening / loosening action involves a three-finger grip in which the thumb is positioned to the side, while the phalanx on the middle finger opposes the index finger. The role of counterposing the middle finger to the thumb is reinforced by the support that the third finger gets from the fourth and fifth fingers.
The three different head diameters provide for increasing the complexity of the task. The entire support is made of anti-bacterial polyethylene that is water and UV ray resistant and easy to sterilise. It has 3 head diameters for varying levels of difficulty in gripping for the hand – wrist. The heads, made of polyethylene like the support, can simulate the caps on food jars, a light bulb, gas tap, etc.
Product Code: AR10022
To do the tasks using this kit, coordinated use of both hands is essential.
In this way the pressure of the thumb and index finger oppose the pulp side of the palm. This grip also coordinates the flexing gripping muscles of the first phalanx of the thumb: short flexor, first palm interosseus, and short abductor. The various shapes of the head of the screw varies the degree of ease and stability of the grip.
There is also a two-handed task, in which one hand acts to secure the screw, while the other is involved in a rotation task to tighten / loosen the bolt. This aid has 5 different peg head shapes for various levels of difficulty of gripping using the fingers.
Product Code: AR10021
Good eye-hand coordination is required to insert the buckle. To tension the parts once inserted, a sub termino-lateral grip is used. The palm face of the thumbs rests on the outer face of the first phalanx on the index finger. The muscles that stabilize the grip are the first dorsal interosseous, that acts on the index finger, the short flexor, the first palm interosseous and abductor of the thumb.
This aid has a clip belt buckle on the one side that can be altered in length, and an end complete with zip that can be opened. The clip belt buckle also requires good coordination and significant force has to be applied by the thumb, opposing the index finger to clip the fixing device in place.
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