Intrinsic Hand Strengthening
Occupational Therapy Intervention : Hand Strengthening
Documentation and Activity Rationale
The patient engaged in intrinsic hand musculature strengthening in which she was tasked with isometric holds of the following pinch grasps: 3-jaw chuck, tip-to-tip, and lateral pinch. 5 second holds were completed of each x10 repetitions with rest breaks in between each set d/t fine motor fatigue.
Grading Strategies
Grading Up:
- consistently use max resistance eggs
- increase isometric holds
- hold the egg at end range and complete “pulse” repetitions
Grading Down:
- light resistance eggs
Appropriate Diagnoses / Deficits
- generalized weakness
- atrophy s/p hand and/or wrist weakness
- CVA
- TBI
