Product Manual

PEG TURN
Functional Simulations: Turning a bolt/nut, pushing a button, pick- ing up a pen, holding a straw, tightening a small knob Joint Protection Techniques: Can teach using an intrinsic hold to decrease ulnar stress to MP joints and using proximal thumb/ webspace to produce hold rather than thumb tip to decrease CMC stress
EXERCISE DESCRIPTIONS:
Standard Turn: Push base into putty, use digits and thumb to turn peg in either direction simulating a standard turn of a comparable object. Tip Turn: Push base into putty, place thumb and any other digit against peg to produce a turning motion. Works on coordination and isolated digit strengthening. FPL Turn: Push base into putty, emphasize thumb tip to produce turning motion of peg. Assists with FPL tendon glide, increasing thumb IP joint ROM, and promotes sensory input to the thumb. FPL Push: Place base onto a mound of putty, use thumb tip to push peg into putty. FDP Push: Place base onto a mound of putty, use any digit tip to push peg into putty. Promotes FDP tendon glide and distal fl exor strengthening. FDS Push: Place base onto a mound of putty, use any digit at middle phalanx level to push peg into putty. Promotes FDS tendon glide, differential tendon gliding, and increases PIP ROM. Peg Pull: Push one side of base into putty, using a lateral pinch or thumb to any digit tip to hold peg, pull peg through putty. Improves FM coordination and strengthening. Peg Pull Up: Push full base into putty, using lateral pinch or thumb to any digit tip to pull up through putty. Can assist with thenar ad- duction ROM. Can teach joint protection technique using proximal thumb instead of distal thumb when holding peg to decrease CMC joint loading. Can also use intrinsic digit hold (between any digits) while pulling peg upward to strengthen intrinsic muscles and/or teach a joint protection hold technique. Intrinsic Turn: Push base into putty, use an intrinsic digit hold between any two digits while turning peg through putty. Helps to strengthen intrinsic muscles and/or can be used to teach joint protection.
L-BAR
Functional Simulations: Pulling a vacuum, sweeping (functional grip with forearm pronation and supination), using a hammer, operating a throttle on a motorcycle Joint Protection Techniques: Can teach using a neutral hold technique to avoid ulnar stress to MP joints and/or using larger joints to produce the movement to decrease loading to smaller joints.
EXERCISE DESCRIPTIONS:
Forearm Supination: Stabilize elbow at side, hold shaft of L-bar with a fi rm grip, place the tip into the putty, rotate forearm turning palm up. Forearm Pronation: Stabilize elbow at side, hold shaft of L-bar with a fi rm grip, place the tip into the putty, rotate forearm turning palm down. Radial Deviation: Hold shaft of L-bar starting in an ulnarly deviated position, place the tip into the putty, radially deviate wrist while pushing the tip through the putty. Ulnar Deviation: Hold shaft of L-bar starting in a radially deviated position, place the tip into the putty, ulnarly deviate wrist while pulling the tip through putty. Functional Pull: Start with a fi rm hold on the shaft
of the L-bar, place the tip into the putty, pull the tip through the putty. Activates the entire upper extremity from the digit tips to the peri-scapular region. Wrist Flexion: Start with L-bar base in the putty, grip the shaft, bend wrist into fl exion rotating the base through the putty. Wrist Extension: Start with L-bar base in the putty, grip the shaft, bend wrist into extension rotating the base through the putty.