Product Manual

KEY TURN
Functional Simulations: Turning a key, holding onto a paper folder, throwing a Frisbee, holding a clothespin open, pinching your spouse Joint Protection Techniques: Can teach the use of an intrinsic hold instead of a lateral pinch to decrease repetitive stress to the CMC joint and ulnar deviation to the MP joints.
EXERCISE DESCRIPTIONS:
Standard Turn: Push base into putty, hold with thumb and fi rst two digits to produce a functional turn simulating turning a key. Lateral Pinch Turn: Push base into putty, hold with a lateral pinch to turn through putty. Combines lateral pinch with forearm rotation. Intrinsic Plus Push: Place base onto a mound of putty, hold tool with digits in an intrinsic plus position, emphasizing straight IP joints and fl exed MP joints. Push tool into putty while maintaining the intrinsic plus position. Strengthens intrinsic muscles. Good exercise post median and/or ulnar nerve pathology. Intrinsic Turn: Push base into putty, hold tool between any two digits to produce turning through the putty. Can perform with the IP joints in fl exion and/or full extension. Strengthens intrinsic muscles. Good exercise post median and/or ulnar nerve pathology. Lateral Pinch Pull: Place one side of base into putty, use a lateral pinch grasp to pull tool through putty. Can be used to teach joint protection technique to utilize the proximal thumb instead of the thumb tip when pinching. Intrinsic Pull: Place one side of base into putty, hold tool between any two digits, pull tool through putty. Can perform with IP joints in fl exion and/or in full extension.
CAP TURN
Functional Simulations: Opening/closing a water bottle, turning on a stove, tightening a large bolt Joint Protection Techniques: Can teach using a “C” grasp instead of a standard grip when opening a water bottle to avoid ulnar stress to MP joints and loading to the CMC joint.
EXERCISE DESCRIPTIONS:
Standard Turn: Push base into putty, hold cap with a standard grasp, turning through putty simulating opening a bottle cap. Intrinsic Turn: Push base into putty, position the digits into an intrinsic plus position to turn tool through putty. Tip Turn: Push base into putty, oppose thumb to selected digit to hold cap while turning tool through putty. Promotes thumb to digit ROM and improves FM coordination. “C” Grip: Push base into putty, curl digits around the cap while turning through putty. Teaches joint protection technique through using an alternative hold/grasp to decrease repetitive ulnar stress on the MP joints and the CMC joint. Can also promote digit fl exion and fl exor tendon glide. FPL Turn: Push base into putty, emphasize thumb tip to produce turning through putty. Promotes FPL tendon glide and thumb IP joint ROM. FPL Push: Place base on a mound of putty, use thumb tip to push tool into putty. Simulates pushing a button. Promotes FPL tendon glide and thumb IP joint ROM.