In-Hand Manipulation
Occupational Therapy Intervention: In-Hand Manipulation
Documentation and Activity Rationale
The patient engaged in a kinetic-based therapeutic activity requiring the gathering of 20 beads into the palm of the right hand (and then left in separate repetition) with subsequent placement of each bead into a small target. The task elicited fine motor coordination, in-hand manipulation, and mm endurance of the intrinsic muscles of the hand. Task requires translation, shift, rotation, and stabilization of the objects within the palm space by eliciting mm involvement of the ring and pinky fingers while isolating movement of the beads with the thumb, index, and middle fingers.
Grading Strategies
Grading Up:
- more beads
- timed activity
Grading Down:
- use larger objects
- decrease amount
Appropriate Diagnoses / Deficits
- muscle weakness
- atrophy s/p hand and/or wrist injury
