Screwing in Pegs

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  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.  
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  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.
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  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.  
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  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.