Extensor Gloves
 

Purpose:  The purpose of the extensor glove is to promote strengthening of the digits.

Preparation:  Resistance on each finger should be provided by the occupational therapist to prevent injury.  Resistance may be increased or decreased by adding/taking away a rubber band.  Once the proper resistance is applied to each finger the patient can begin various exercises including:

PIP extension
MCP extension
Thumb abduction
 

Dressing Cube
 

Purpose:  To improve and increase bilateral skills, fine motor skill, eye hand coordination and strength.



Dressing Cube Tasks:

Side 1:  Zippers
Side 2:  Buckles (As shown)
Side 3:  Buttons of various sizes
Side 4:  Bra strap with snaps
Side 5:  Belt buckle
Side 6:  Three-pronged buckles

Geoboard

This set of three geoboards is based on the Visual Perceptual Skills Program.  It includes a 5-pin, 9-pin and 25-pin board, rubber bands, 200 designs and a foam mat.  These boards can be used as a fun activity to work on visual perceptual skills.  Although, this activity is mostly used with school aged children, it can be used with older individuals.

The therapist places the board at midline in front of the child, then places a design to the left of the board and asks him/her to copy the design on the geobaord using rubber bands.  A rubber band should be used for each line of the design.  The design presented should match or slightly challenge the skills of the client.  Colored rubber bands can be used to increase contrast between the different lines of the design.  The child progresses from the 5-pin to the 9-pin and then to the 25-pin. The boards can be used independently from the designs and vice-versa.  The therapist can draw a design and ask the child to copy it on the geoboard or present the child with one of the design card and ask him/her to copy it on a sheet of paper.

There are some safety concerns with the boards.  Since they are made of nuts and bolts, caution should be exercised with children.  A mat should be placed underneath the board to prevent the board from moving and damaging the table.
 

Paper Placement Stabilizer

Purpose:  To assist with holding paper in place when performing handwriting tasks. 

Desensitization Tools

Purpose:  To provide clients with a variety of tactile stimuli to increase sensory tolerances by providing a range of touch sensations from smooth to rough textures.  Ten (10) desensitization sticks are included with a variety of material used to apply the square tip ends with different materials on each end.  The plastic sticks used to hold the square tip may be cleaned after each patient with a sanitizer to decrease spread of germs.  Textures include: satin, suede, fur, velour, fleece, denim, terry cloth, burlap, crepe, & plush felt.

Procedure:  Place the texture of choice on the square end of the stick on points of the skin surface that need to be desensitized.  Gently apply soft strokes to the skin surface or have the client apply the texture to his or her self during the process. Textures ranging from smooth to rough may be applied and graded from least to most noxious.  Textures that seem to be the main noxious stimulus may be used individually as deemed appropriate by the therapist.  Apply throughout treatment sessions as appropriate to facilitate increased tolerance to different textures.
 

Pipe Tree

 Purpose:  Improve fine and gross motor UE movements.  Increase endurance.  Improve finger strength and dexterity.  Improve static and dynamic sitting and standing balance.  Promote trunk and hip stability.  Promote eye-hand coordination.  Promotes bilateral UE movements.  Promote crossing midline.

Instructions:  The client should try and replicate a pattern or create his/her own with the various pieces.

Device To Assist With Letter Recognition 

Purpose:  To encourage letter recognition.  Encourage scanning.  Encourage use of assistive technology. 

This project was specifically designed for an individual who is visually impaired and has CP.  This device connects to a wheelchair and can be adjusted to a preferred height and distance.  The device is activated by using a switch.  Once the switch is activated the dial will turn.  Once the switch is pressed again the dial will stop on a letter which the client is to identify.

This kit contains 26 letters and a picture designated for each letter.  The device will hold 4 letters or pictures at a time.

Hand Over Hand Gloves with Individual Fingers

Purpose:  The purpose of this project is to provide the therapist with a way to work on ROM with those patients that have tone in their finger(s).  In most cases, patients’ with tone in the hand and/or fingers present with finger flexion and /or wrist flexion.  The hand over hand glove can assist with patient with finger extension with the input of the therapist’s fingers o the dorsal side of the patient’s hand.  In addition to the gloves, individual fingers were made in the case of only individual fingers being affected.

Mastering Fasteners and Zippers
 
Purpose:  The purpose of this project is to provide children who have difficulties with buttons and zippers assistance an aid that will allow them to practice these tasks during therapy or throughout the day.  Manipulating fasteners and buttons is an important task for a child to be able to perform independently.  The therapist can either leave the shirts in the classroom with the child or take them with him/her to each therapy session. 

Interventions for School Based Therapy

 
Purpose:  This activity can be incorporated into many areas of treatment seen in a school based setting.  Activities offered in this project allow the OT to make copies and adapt worksheets to handwriting skills specific to their plan of treatment.  This kit assists with handwriting legibility, letter sizing, letter formation, closure, spacing and body schema when using Mat Man.  Mat Man is a simulated body building activity.

Wrist and Forearm Exerciser

 
This device is designed to exercise the muscles of the writ and forearm particularly the flexor carpi ulnaris, flexor carpi radialis, extensor carpi ulnaris and extensor carpi radialis longus.

The device should be positioned on a stable surface with the open part facing the ceiling.  The client can be seated with the shoulder flexed or standing with the arm adducted and grasping the small handle.  The client performs radial deviation of the wrist and returns to the starting position controlling the movement back.  The client then performs ulnar deviation of the wrist and returns to its original position.  The can also hold the position at the end of the range for an amount of time to provide stretch to the muscles, improve strength and endurance.

This device can also, be used to work on forearm pronation and supination.  Hooding the same starting position as mentioned above (forearm pronated), the client supinates the forearm and then returns to its starting position controlling the movement back.  The starting position can be changed to supination with pronation now being resisted.  The supinated or pronated position can be help for an amount of time to provide stretch, improve strength and endurance.

The design of the device allows for easy change of the rubber bands or addition of multiple rubber bands providing different levels of resistance and grading of the activity.
 

Color, Number and Alphabet Cards

Color Cards:  Have child identify the color of each card.  Have child match the cards by color. 

Number Cards:  Have child match the correct number with the correct card.  Have child count out loud the number of fuzz balls on each card

Alphabet Cards:  Have the child identify the letters of the alphabet.  Have the child make the shape of each letter, either on top of the card or to the side, with pipe cleaners.  Have the child place the letters if the alphabet in the correct sequence.

Graded Pinch Exerciser

Objectives:

• Increased pinch strength.

• Increased finger coordination.

• Increased upper extremity ROM.

Positioning: Sitting or standing with a good base of support and the pinch exerciser easily in reach and directly in front of the patient. Patient should be comfortable. For ROM exercises, the patient should be seated an arms-length away from the top of the vertical rod.

File Folder Games

Purpose:  Sequencing, Problem solving skills, Enhance visual scanning, Promote eye-hand coordination, Learning basic skills (ABC’s, counting 1-10, shapes, matching)  Resource:  www.preschollprintables.com

Visual Perceptual Testing Kit

Purpose:  This kit was designed to test the following visual perceptual skills: 

1. Occular Alignment

2. Visual Fixation

3. Light Touch

4. Saccadic Eye Movement

5. Convergence

6. Visual Spatial Inattention

7. Position and Motion

8. Ideomotor and Ideational Apraxia

9. Right-Left Discrimination

10. Unilateral Body Neglect

11. Somatognosis

12. Constructional Apraxia

13. Orientation

14. Finger Agnosia

15. Form Discrimination

16. Depth Perception

17. Figure Ground Perception

18. Spatial Relations

19. Topographical Disorientation

20. Visual Object Agnosia

21. Tactile Agnosia

22. Problem Solving

23. Mental Flexibility

24. Stereognosis