Screwing in Pegs

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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.
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  Horizontal Spiral
  

  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 patient’s 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.

  Horizontal Spiral

  Product Code: AR10008

  Click on image for further details.
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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.