Teorema Project BASKET DOMESTIC ACTIVITIESfavorites

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.

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 stabilise 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 synchronised activation of the long flexor in the thumb.

A “sliding” latch: 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: 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.

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 finger’s 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 in chromed metal, while the finger inserts are in atoxic imitation leather, and both the length and resistance can be adjusted in each individual finger elastic.