The
design of the Twin Boards was drawn out of my affiliations in various acute care
centers. Seeing
directly, those suffering from hand trauma, due to neurological insult I
became impassioned to cultivate an activity that not only increased number repetitions
needed to challenge tough neurological Hand Injuries, but to establish motivation
in the Clinic with a powerful carry over for Take Home Plans. I
worked with a women named Greta just after her discharge from Geriatric rehabilitation.
She sustained a right side CVA resulting in left side paresis, her left hand completely
flaccid, only able to move with active assist. She, as normally the case, was
suffering from deep depression due to the effects of the insult. I
tried to keep things simple with Greta. I set her up in a straight back chair
and to start with used a surface lower than a table top, actually knee level,
a good starting point for Greta. She began repetitions with her unaffected hand.,
placing graded pegs on the board and than removing them--a total of about two
hundred repetitions. |  |
She did this twice daily for several weeks.
Using her unaffected hand brought many rewards, it built her confidence and strengthened
her functioning arm and hand to enable her to hold her effected arm in the coming
weeks. Greta now in the fourth week,
began to use her non functioning hand, only in the first few days did I actively
support her arm. On the fourth day Greta was using her functioning arm to support
the other. She in addition, was able to grasp and release (self support with functioning
arm) not only the gross pegs but the fine prehensions as well. This feat, as many
of us know, takes grit and sweltering determination. The
story ends well, Greta, after 3 months of working the board twice daily, obtained
full upper arm return. This victory gave Greta the courage to begin working on
the left leg... she reports several months latter success with this as well. Soon,
I will provide a page for success stories like these. Welcome, also, are tips
in any area of motor recovery, as well as, problem areas... Thank
You for your time Rose Goodwin
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