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TABLE 1: Activities which aggravate the
Radial Deviation Deformity
of the wrist.
The following activities
accentuate side to side movements of the
wrist particularly towards the thumb side. This can
aggravate the
radial deviation deformity which is common to
arthritic wrists. |
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Activities |
Joint Protection
Techniques |
Assistive Device
Recommendation |
Self- Care Tasks:
1. Brushing your teeth. |
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Technique 1:
Keep your wrist straight when
holding the toothbrush. Avoid
isolated wrist movements by using
forearm and elbow movements when
brushing your teeth.
Technique
2: Make the handle of
your toothbrush bigger by using
cylindrical foam inserts.
Technique
3: Using an electric
toothbrush is highly recommended
because it eliminates the need for
repetitive wrist movements. These
devices have a wider handle and
would require less pressure on the
finger joints on prolonged grasping. |
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1. Cylindrical foam insert for regular
toothbrush handle.
2. Electric toothbrush. |
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2. Bathing, washing hair and face. |
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Technique
1: Keep your wrist
straight when holding the sponge or
soap. Avoid isolated wrist movements
by using combined elbow and shoulder
movements when scrubbing.
Technique
2: Use a strap-on bath
mitt or a glove bath mitt to avoid
prolonged resistive grasping with
your fingers. The pressure of the
scrubbing motion should be placed on
the more stable palm instead of the
fingers. |
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1. Bath
Mitt (glove).
2. Terry Cloth Wash Mitts (glove
with soap pocket).
3. Sponge Wash Mitt (glove). |
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3. Drying and brushing hair. |
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Technique
1: Keep your wrist
straight when holding the hair brush
or electric hair dryer. Avoid
isolated wrist movements by using
combined elbow and shoulder
movements when using the hair brush
or dryer.
Technique 2:
Make the handle of your hair brush
bigger by using cylindrical foam
inserts. |
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1.
Cylindrical foam insert for regular
hair brush handle.
2. Hands free hair dryer. |
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Technique 1:
Keep your wrist straight when
holding the razor. Avoid isolated
wrist movements by using combined
shoulder and elbow movements when
shaving.
Technique
2: Use a shaving gel to
soften hair and minimize force of
grip when shaving.
Technique
3: Make the handle of
your razor bigger by using
cylindrical foam inserts.
Technique 4:
Using an electric razor is highly
recommended because it eliminates
the need for repetitive wrist
movements. Electric razors have a
wider handle and would require less
pressure on the finger joints on
prolonged grasping. |
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1.
Cylindrical foam insert for regular
razor handle.
2. Electric Razor.
3. Universal electric razor holder. |
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5. Manipulating undergarment (bra)
fasteners. |
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Technique
1: Avoid reaching towards
your back to hook or unhook
undergarment (bra) fasteners. This
would require extreme wrist radial
deviation positioning. Hook the
fasteners in front and then rotate
to backside afterwards.
Technique 2:
Keep your wrists straight and avoid
side to side swaying of the wrists
while manipulating bra fasteners.
Technique
3: Use bras that come
with front hooks. |
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Bras with
large, front hooks. |
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Dining:
1. Using spoon and fork. |
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Technique
1: Keep your wrist
straight when holding the spoon and
fork. Avoid isolated wrist movements
by using gross movements of the
elbow and forearm when eating. Avoid
the tendency to sway your wrist
towards the thumb side as you place
food in your mouth.
Technique 2:
Make the handle of a regular spoon
and fork bigger by using cylindrical
foam inserts.
Technique 3:
Use assistive devices such as curved
utensils. |
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1.
Cylindrical foam inserts for regular
spoon and fork handles.
2. Feeding utensils with built up
handles.
3.Curved feeding utensils. |
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2. Pouring from kettle or
pitcher.
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Technique
1: Keep your wrist and
fingers straight when gripping on
the handle of the pitcher or kettle.
This can be done by positioning the
spout on the side and not in front
of the carrying hand. Avoid isolated
wrist movements by using rotating
forearm movements when pouring from
the pitcher.
Technique 2:
Do not fill the pitcher completely
to avoid lifting heavy weight.
Technique
3: Instead of completely
lifting the pitcher, rest it close
to the edge of the table on a non
slip mat and tilt it slowly. Let the
table carry its weight.
Technique 4:
Avoid using glass or steel pitchers
that are already heavy in the first
place. Use plastic pitchers that are
lighter, and with wide round
handles. (offer product listing).
Technique 5: Use assistive devices
such as a pitcher or kettle tipper. |
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1.
Kettle/Pot Tipper.
2. Oxo Pitcher.
3. Dicem non-slip mat. |
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3. Drinking from a glass or cup. |
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Technique
1: Keep your wrist
straight by holding the glass or cup
on the side and not in front.
Technique
2: Avoid isolated wrist
movements by using gross movements
of the elbow and shoulder when
bringing the glass up to your mouth
when drinking.
Technique
3: Use glasses or cups
that are lightweight.
Technique
4: Use drinking straws to
free hand use. |
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1. Clear
Caring Mug/Two Handle Snorkel Cup.
2. Sip-Tip Drinking Cup.
3. One-way straws.
4. Reusable Drinking Straws.
5. Drinking Straw Holder. |
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Household
Tasks:
1. Turning faucet on. |
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Technique
1: Hold the faucet knob with your
thumb and the side of the index
finger. While keeping your wrist
straight use gross movements of the
elbows and shoulder to turn the
faucet on.
Technique 2: Do not over tighten
faucet knobs to avoid using
excessive grip pressure when using
the faucet.
Technique 3: Replace old faucet
fixtures as they require more grip
pressure to operate.
Technique
4: Use lever type faucet
handles instead of regular faucet
knobs. This way you can protect the
weaker finger joints by avoiding
pinching and twisting movements. You
can operate faucet lever handles by
pushing them with your stronger palm
instead.
Technique 5: Use an assistive device
such as an automatic faucet control
or grip devices such as the Uni-turner,
to avoid resistive pinching and
twisting of the fingers by using a
more stable grip instead. |
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1.
Automatic Faucet Control.
2. Uni-turner grip assist.
3. Good Grips - Attachable faucet
knob levers.
4. Lever type faucet fixtures.
5. Automatic infrared faucet
fixtures. |
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2. Cleaning tasks such as dish
washing, wiping or cleaning
countertops or tables.
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Technique
1: Press your palm on the
wash cloth instead of gripping it
forcefully with your fingers. When
wiping, avoid isolated wrist
movements by keeping your wrist
straight and using combined
movements of the elbow and shoulder.
To avoid movement on the wrist,
tense your forearm to make the wrist
more stable.
Technique
2: Pre-soak countertop
surfaces or dishes with warm water
and detergent for easier wiping or
cleaning.
Technique
3: Avoid wringing towels
with your hands. Twisting movements
like this can be highly deforming to
your wrist and finger joints.
Instead of using regular cleaning
towels, use sponges which can be
rinsed easily by pressing them
against your palm.
Technique
4: Use automated
equipment such as a dishwasher as
much as possible. |
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1. Sponge
wash mitt.
2. Dishwasher. |
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3. Pushing a grocery cart. |
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Technique
1: Choose a grocery cart
that easily rolls and have well
functioning wheels.
Technique 2:
Keep your wrist straight when
grasping the handles of the grocery
cart.
Technique 3:
When holding the cart handle, do not
position your hands too far apart
which can accentuate the radial
deviation deformity of the wrist.
Keep your elbows close to the side
of your body. This will help keep
your wrist straight and properly
aligned to your forearm.
Technique
4: Or, straddle the sides
of the cart with your forearms and
push the cart handle with your
torso, taking off the pressure on
your wrists. |
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4. Driving, holding the steering
wheel |
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Technique
1: Keep your wrist
straight when grasping the steering
wheel. Avoid isolated wrist
movements when turning by using
gross movements of the elbow and
shoulder.
Technique
2: When turning the
steering wheel, make sure car is
moving (not on dead stop). This
makes the steering wheel turn
lighter.
Technique
3: Steering wheels that
are thicker and well padded are more
"joint friendly".
Technique
4: Use cars with power
steering. |
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Steering
wheel pads/covers (available at auto
accessory shops).
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