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Screwing in Pegs

Home  / Occupational Therapy / Work Aids / Screwing in Pegs

Screwing in Pegs

Screwing in Pegs

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.

Screwing in Pegs

Product Code: AR10022
Click on image for further details.
Category: Work Aids.
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  • Details
    ADDED

    Laces

    Product Code: AR10020

    Positioned on a table: In this position the task is made easier than when positioned vertically, due to the fact that the patient is not tired out by having to keep their arms raised and stabilised during the task.

    Positioned on a vertical panel: To do these tasks, applying pressure by opposing endings is essential. This grip is finer and more precise because it makes it possible to hold an object securely. The thumb opposes the pulp side end of the end of the index finger, gripping the lace and the prone supination movements of the forearm, associated with flexing the wrist, make it possible to do the task and threading the lace through the various holes. For both these tasks the side of the hand acts to stabilize the object, and good coordination is essential to complete the tasks.

    Bear in mind that even a minor injury that damages these articular areas can compromise this pincer grip – in fact, complete passive articular control of the distal IF on the second finger is required as well as stability of the deep flexor and synchronized activation of the long flexor in the thumb.  On one side this aid has laces with holes and “eyelets” (closed rings), and on the other laces hooked in an “oblique” direction by chromed hooks, both of which are found on many types of footwear.

    Laces

    Product Code: AR10020 Click on image for further details.  
  • Details
    ADDED

    Ladder 10

    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.

    Ladder 10

    Product Code: AR10013 Click on image for further details.
  • Details
    ADDED

    Latches

    Product Code: AR10015

    A “sliding” latch (element on the left in the photo): due to this instrument’s size, the patient has to have a fine grip using the first three fingers. Also they must associate a small movement in the vertical plane to free the latch and move it along the horizontal plane. The patient can also be asked to do this task without using the visual channel, which means that they must rely on tactile-kinaesthetic information.

    A “turning” handle (shown on the right in the photo): in this case the grip involves control with the thumb and side of the second finger. A supination and pronation rotating force is required to turn the handle.

    Latches

    Product Code: AR10015 Click on image for further details.  
  • Details
    ADDED

    Cups

    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 patient’s capacity to open their hand to grip / release the cup at various heights.  Common disposable plastic cups can be inserted.

    Cups

    Product Code: AR10018 Click on image for further details.

Related Products

  • Details
    ADDED

    Latches

    Product Code: AR10015

    A “sliding” latch (element on the left in the photo): due to this instrument’s size, the patient has to have a fine grip using the first three fingers. Also they must associate a small movement in the vertical plane to free the latch and move it along the horizontal plane. The patient can also be asked to do this task without using the visual channel, which means that they must rely on tactile-kinaesthetic information.

    A “turning” handle (shown on the right in the photo): in this case the grip involves control with the thumb and side of the second finger. A supination and pronation rotating force is required to turn the handle.

    Latches

    Product Code: AR10015 Click on image for further details.  
  • Details
    ADDED

    Elastic Slalom

    Product Code: AR10023

    This aid is made to allow patients to exercise using “slalom” tasks between the pegs, following a sequence determined by the therapist on each occasion.  Precision and coordination of movements is required to keep the elastic cord taut and to guide it during the exercise. The ring facilitates holding it.

    The unit has 5 plastic pegs.  One of these is used to hold the end of the elastic to be “guided” as indicated by the therapist.

    Elastic Slalom

    Product Code: AR10023 Click on image for further details.
  • Details
    ADDED

    Flexo Extension

    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.

    Flexo Extension

    Product Code: AR10012 Click on image for further details.
  • Details
    ADDED

    Prone Supination

    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.

    Prone Supination

    Product Code: AR10014 Click on image for further details.
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