February 2005

For Therapists

Positioning the Hand to Encourage Function
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As soon as my patient begins to get any tone or movement in their hand, I encourage using it during functional tasks. I try to avoid activities that require a tight, closed fist. The size of the hand and any ROM limitations will influence the object you use. Sometimes it may be necessary to first prepare the hand. Weightbearing or slow stretching can be helpful.

When selecting a task, choose objects, which fit the contour of the hand, keeping it open but not flat. A glass is perfect.

Hard surfaces work best, especially for patients that have increased tone in finger flexion. Objects that are soft can be less beneficial. Paper or Styrofoam cups don't provide a rigid surface to keep the hand in a good position.

A jar is slightly larger, encouraging more extension of the MCP, PIP and DIP joints and still keeps the hand in a good position.

When choosing activities, think of other objects with round contours. A flowerpot is also a good choice for positioning the hand.

Placing the hand in these positions during functional tasks encourages more normal movement patterns.

For more treatment ideas see
Functional Treatment Ideas
& Strategies in Adult Hemiplegia

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February 2005

For Families & Caregivers

Making Visits More Fun
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"I'm not sure what to say...or what to do, when we go to visit Grandpa". Playing cards is a great way to enjoy spending time with your stroke survivor.

It's a perfect way to visit when speech is difficult making visits with friends or relatives less awkward. You can play anywhere - at home, in a nursing home or at an assisted living center. Children can play with grandparents or old friends can get together and have fun.

This simple, inexpensive card holder is perfect for those who need help holding and organizing their cards. A deck of cards and a card holder can help the time fly by.

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