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Making Things Easier to Hold

Problem
Keeping a good grip on objects can be difficult for people with mental retardation who have physical limitations. Everything from boxes to buttons to paper can be a challenge to hold and to move when grip is weak, legs are unsteady or arms shake.  

  • Weak or differently shaped hands do not fit “one-size–fits-all” utensil handles.  

  • The need to use a cane, walker or wheelchair can make it hard to carry objects from place to place.

  •  Weakness or poor balance can make it easy to lose your grip when getting food out of a cabinet.

Related Functional Limitations:  Reaching/Lifting, Mobility/Balance or Hand Use

Solution 1: Stabilize the Trunk.
When the trunk is stable, strength, stamina and accuracy of movement in the arms, legs and neck are improved.  This is called Proximal Stability.

Ideas:

  • Use armrests, pillows, chest-straps or seatbelts to ensure that the individual is well supported when sitting or lying down.

  • Teach the individual to improve Proximal Stability by:
    -Leaning against the work surface,
    -Resting the elbows on the work surface.

  • Using the floor or foot rests for foot support can also improve stability in the upper body.

  Solution 2: Work with the Shape of the Individual's Hand.
When a handle or grip doesn’t fit or is hard to hold, would a change in its size, angle, firmness and/or texture make a difference?

Ideas:

  • Use foam or padding to increase the diameter of handles.  Larger handles are often easier for weak or tight hands to grab and hold on to. 

  • Custom shape handles by bending metal utensils to fit the curve of the hand. 

  • Purchase “over the counter” ergonomic tools for the kitchen and the garden.

  • When a hand cannot hold onto a smooth handle, bike tape may keep it from slipping.

  Solution 3: Work with the Movements the Individual Has Now.  
When a person cannot use standard utensils or tools, would changing the item's angle or shape make it a better match for the person's skills?  Is hooking or holding something with a single finger easier than grabbing it with the whole hand?

Ideas:

  • Custom curve utensils and tools so that the “action end,” i.e., the bowl of the spoon, goes where it is supposed to.

  • Purchase “over the counter” ergonomic tools for the kitchen and the garden.

  • Can’t grab just one piece of paper?  Try a slip-on “rubber finger.”

  • When standard zipper pulls are too small to hold, add a key ring that can be more easily grasped or hooked.

 

Solution 4: Add or Improve Handles/Knobs.
If the item to be moved is without handles or knobs, add them.  If handles are hard to hold, make them easier to grip.

Ideas:

  • Use baskets and bags with handles to loop over arms to carry items from place to place.

  • When carrying things in the arms is difficult or increases unsteadiness, try a backpack, shoulder bag or fanny pack.

  • Wrap handles or other areas to be grabbed with grippy bike tape.

  • When no handle is available, make one out of rope, fabric, wire or wood.  For instance, add wooden knobs to game pieces or yarn loops to spice jars.

  • Change the hardware on doors to lever-style handles, and on dressers to u-shaped loops.

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