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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  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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  Oblique Spiral
  

  Product Code: AR10010

  This aid involves work on the horizontal plane. The elbow bends and extends to reach the curves on the flexible element. Inclined radial / ulnar movements are required to get past them. Positioning on a vertical panel: in this case the instrument lies on the vertical plane.

  This instrument is therefore similar to the vertical spiral, but differs in that positioning it at various heights and working in an upright position, obliges the subject to achieve greater bending and extension of the arm.

  Dimensions: (cm) 39.5 x 29 x 10 h
  Weight: 1.8 kg

  Oblique Spiral

  Product Code: AR10010

  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.