Product Manual

KNOB TURN
Functional Simulations: Opening a door, tightening a jar, pushing a lid onto a container, tightening a valve, holding a glass of water, opening makeup containers Joint Protection Techniques: Can teach using a “C” grip to avoid ulnar stress to MP joints and/or, using pressure proximal to the thumb IP joint with grip to decrease loading to the CMC joint.
EXERCISE DESCRIPTIONS:
Standard Grip: Functional grip exercise. Helps to strengthen digit fl exors, increase radial and ulnar wrist ROM, and simulates a natural function for improved digit coordination. “C” Grip: Joint protection technique exercise. Teaches the use of larger joints and muscle groups when performing functional activity. Also promotes digit fl exion with wrist fl exion and extension. Intrinsic Turn: With digits in an intrinsic plus position, use digit tips to produce a turn in either direction. This strengthens the intrinsic muscles of the hand frequently affected with median and ulnar nerve pathologies. FPL Turn: Emphasize thumb tip to produce turning motion. This helps to promote FPL tendon glide and thenar IP joint ROM. FDP/FDS Grip: Emphasize bending DIP and PIP joints when holding onto knob. This helps to promote FDP and FDS tendon glide, IP joint ROM, and EDC claw positioning. Weight Bearing Push: Use palm to push knob into putty. This can be helpful with increasing wrist extension, providing a gradable weight bearing exercise, and providing desensitization to a sensitive palmar scar.
Exercise Median Nerve Radial Nerve Ulnar Nerve Knob Turn Item 10-2810* Standard Grip ●● “C” Grip ●●(Wrist Ext) ● Intrinsic Turn ●● FPL Turn ● FDS/FDP Turn ●● Weight Bearing Push ● L-Bar Item 10-2811* Forearm Supination ● Forearm Pronation ● Radial Deviation ●● Ulnar Deviation ●● Functional Pull ●●● Wrist Flexion ●● Wrist Extensions ● Peg Turn Item 10-2812* Standard Turn ●● Tip Turn ●● FPL Turn ●● FPL Push ●● FDP Push ● (IF & MF) ● (RF & SF) FDS Push ●● Peg Pull ●● Peg Pull Up ●● Intrinsic Turn ● (IF & MF) ● (RF & SF) Key Turn Item 10-2813* Standard Turn ●● Lateral Pinch Turn ●● Intrinsic Plus Push ● (IF & MF) ● (RF & SF) Intrinsic Turn ● (IF & MF) ● (RF & SF) Lateral Pinch Pull ●● Intrinsic Pull ● (IF & MF) ● (RF & SF) Cap Turn Item 10-2814* Standard Turn ●● Intrinsic Turn ● (IF & MF) ● (RF & SF) Tip Turn ●● “C” Grip ●● (Wrist Ext.) ● FPL Turn ●● FPL Push ●●
IF-Index Finger, MF-Middle Finger, RF-Ring Finger, SF-Small Finger
For use as a general reference only. No clinical research has been performed to support the above listed claims. Most exercises fall into multiple nerve categories. The exercises are categorized using the innervations of the primary muscle group to produce the movement.
Puttycising According to Peripheral Nerves