As soon as the smallest flicker of voluntary muscle control returns, detected using innovative Myo-EX sensors, surface EMG enabling exercise can begin even when there is very little or even no visible joint movement. This is particularly beneficial for tendon transfers or radial nerve injuries. The visual stimulus in each Activity helps the patient understand when they are actually activating the muscle and encourages them to focus on normal movement patterns rather than recruiting unnecessary compensatory movements.
Hand Therapy - Mini Case History #2
From the Clinical Specialist in a General Hospital Hand Therapy Unit
“It was good to read the interesting clinical experience you included. I had a smaller scale discovery moment with a patient yesterday too. A relatively routine thumb proximal phalangeal fracture with tendon adhesions reducing the end ranges of movement and my plan was to strengthen and improve the maximum ranges of the MCP and IP joints.
However, my patient could do quite well with the hard work at the ends of range but we discovered together that her main problem is actually more the subtle control of her mid range. I am not sure any other treatment method would have discovered this element of the problem and it has taken us in a new treatment direction.”
Where some joint movement is observed but it is insufficient to grasp or hold a device, AngleX sensors are ideal. They are simply attached close to the joint exercised and they respond to active movement against gravity providing focused exercise for even small DIP joints. The small sensor is particularly useful for exercising small joint replacements or stiff joints.
Hand Therapy - Mini Case History #3
From the Clinician in a Hospital Hand Therapy Unit
“We have been seeing a man with CIDP (Chronic Inflammatory Demyelinating Polyneuropathy). The treatment this man receives is infusions of immunoglobulin which involves hospital admission for 3-5 days to complete every few weeks.
Using E-LINK, the occupational therapists have managed to track the peaks and lows in strength and agility pre and post these infusions. The patient uses this data with his consultant in order to judge dosage and or frequency of treatment correctly. The patient has found this very valuable for the past 3 years.”
E-LINK Upper Limb Exerciser
The various tools in the Upper Limb Exerciser enable functional, repetitive movements and the resistance can be graded for work hardening exercise. Realistic goals can be set and achieved, addressing specific therapeutic objectives.
Hand Therapy - Mini Case History #4
Using the Upper Limb Exerciser - from the Royal Hospital of Neuro Disability London (published February 2012)
John, a 35 year old male had a TBI which left him severely physically disabled. He was able to express a wish to use the Nintendo Wii for leisure, but was unable to abduct his shoulder sufficiently to allow enough arm movement to use a Wii controller.
The occupational therapists used the Upper Limb Exerciser to build shoulder range and strength, which enabled John to use the Nintendo Wii more efficiently with a view to participating without the need for adaptation in the future.
(Published: Occupational therapy to facilitate physical activity and enhance quality of life for individuals with complex neurodisability. Cunningham, Crystal; Wensley, Ruth; Blacker, Danielle; Bache, Jane; Stonier, Claire. The BJOT, Vol. 75, No 2, Feb 2012, pp.105-110)