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TABLE 2: Activities which aggravate
the
Ulnar Drift Deformity
of the fingers
The
following activities accentuate the
swaying of the index,
middle, ring, and small fingers
towards the small finger side (ulnar
drift).
This side swaying deformity occurs
on knuckles that are affected
by arthritis frequently seen on the
index and middle fingers. |
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Activities |
Joint Protection
Techniques |
Assistive Device
Recommendation |
Self- Care Tasks:
Holding
small handles of items such as
spoon, fork or toothbrush.
Reminder:
Holding smaller handles require more
pressure on the finger joints than
holding bigger, wider handles. Try
to see how your finger joints feel
making a closed fist as opposed to a
partially open fist (as if holding a
bigger handle). The finger joints
feel more relaxed if not bent
completely. |
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Technique 1:
Make the handles of frequently used
items such as a spoon, fork or
toothbrush bigger by using
cylindrical foam inserts.
Technique
2: Avoid swaying your
fingers to the side and keep them
straight and properly aligned with
the wrist when gripping these items.
Position the end side of these items
consistently on the side of the hand
and forearm (instead of in front)
when using them to avoid the side
swaying of the wrist and fingers. |
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1. Spoon and fork with built up handle.
2. Cylindrical foam inserts. |
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Kitchen Tasks:
1. Cutting food with knife. |
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Technique
1: You can keep your
wrist and fingers straight when
using a knife by learning how to cut
sideways. If you are using your
right hand this would mean that the
blade of the knife would be sticking
out towards the left side or thumb
side. Position the food on the left
side of your right hand and not in
front. Use side to side movements of
the elbow and forearm for the
cutting motion (instead of front-
back movements).
Technique
2: Use sharp knives to
minimize force of cutting.
Technique 3:
Use
automated appliances such as an
electric knife, food processor, or
blender for prolonged cutting tasks.
Technique 4:
Use
pre-cut food items for cooking to
minimize manual work.
Technique 5:
Use
cooking methods that make food items
softer such as braising or stewing.
Technique 6:
Use right
angle knives that maintain proper
alignment of your wrist and fingers
when cutting. Holding the handles of
regular knives accentuate the side
swaying of the fingers. |
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1. Right angle knives.
2. Rocker knives.
3. Electric knives.**
4. Food Processor.
5. Blender.
6. The chopper.** |
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Technique
1: It is best to use an
electric can opener to prevent
placing pressure on finger joints.
Technique 2:
When using a manual can opener, make
sure it is efficient. It should be
sharp, easy to twist and with large
wide knobs or handles.
Technique 3:
Do not
twist the can opener using isolated
finger movements. Hold the can
opener knob with your thumb and side
of the index finger and use rotating
forearm movements while keeping your
wrist straight. |
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1.
Electric can opener.
2. OXO can opener (manual.*** |
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3. Opening jars or bottle caps. |
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Technique 1:
When opening a pressurized food jar
for the first time, lift off the
edge or lip of the cap by using a
bottle cap opener to release the
pressure inside the jar. It is
easier to twist the cap open once
the pressure inside the jar has been
released.
Technique
2: Instead of using your
fingers, place your palm on the cap,
press and twist it open using
shoulder and forearm movements while
keeping your wrist straight.
Technique
3: Do not over
tighten bottle caps to make it
easier to re-open them.
Technique 4:
Use an assistive jar opener
which allows you to push a lever
with your palm thereby protecting
your finger joints. |
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1. Jar
pressure release.
2. Jar Opener.
3. OXO Products.*** |
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4. Stirring food with ladle. |
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Technique
1: Hold the ladle with
its end out on the small finger side
(instead of thumb side). While
keeping your wrist straight, use
gross movements of the elbow and
shoulder when stirring food.
Technique 2:
Use cooking ladles with large wide
handles. You can make their handles
bigger by using cylindrical foam
inserts.
Technique
3: Use right angle
cooking utensils (spatula,
turners)which help maintain proper
alignment of the fingers, wrist and
forearm when cooking. |
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1. Right
angle utensils.
2. Cylindrical foam inserts for
handles of regular cooking
ladles/utensils. |
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Household Tasks:
1. Turning door knobs. |
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Technique
1: Hold the door knob
from the side and not from the front
so you can keep your wrist and
fingers straight. Turn the door knob
by pushing your forearm and elbow
down. This way you can avoid
twisting movements of the wrist and
fingers. Use the palm of your other
hand to pull or push the door open.
Technique 2:
Use lever type instead of regular
round door knobs. By pushing the
lever down with your palm you can
prevent twisting movements of the
wrist and fingers.
Technique 3:
Avoid using heavy gauge doors in
your house since they are heavy and
require more force to open. |
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Attachable
door knob levers. |
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2. Carrying grocery bags. |
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Technique
1: Use multiple grocery
bags to distribute load.
Technique 2:
Do not carry grocery bags using your
fingers. Instead sling the bags on
your stronger palm or forearm.
Technique
3: Do not carry all your
grocery bags at one time. Make
multiple trips to unload them from
your car if necessary.
Technique 4:
Use a utility cart to avoid carrying
at long distances.
Technique 5:
Use
assistive handles. They are designed
to hook on to plastic grocery bags
providing a wide, sturdy handle for
grip. Carrying straps allow you to
use your stronger shoulder instead. |
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1. Grip
it Multi-Purpose Tool.
2. Carrying Strap.
3. Utility Carts. |
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3. Carrying bags/ luggage. |
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Technique
1: Use bags with shoulder
straps to minimize carrying with
your hand and fingers. Back packs
are very convenient to use.
Technique
2: Sling bag handles on
your forearm to protect your hands
and fingers.
Technique
3: Use bags with roller
casters.
Technique
4: Break the habit of
overloading your bag with personal
items. Lighten up the load by
bringing only the absolute
necessities.
Technique 5:
If you
have no other choice but to use the
grip handle on your bag, build up
the handle by using a wrap around
padded support. |
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1. Roller
bags
2. Back packs
3. Wrap around handle pads.
4. Bag dolleys?
****Carry bags/accessories? |
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4. Using a pair of scissors. |
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Technique
1: Use spring loaded or
self-opening scissors to decrease
amount of work on your fingers.
Choose a handle which is wide enough
to accommodate all fingers.
Technique 2:
Avoid bending your wrist and
fingers down to the side when using
the scissors. Keep your wrist and
fingers straight and properly
aligned. It helps to position the
materials to be cut at the side of
the hand/forearm, instead of in
front, to avoid the downward swaying
of the wrist and fingers.
Technique 3:
Use scissors that are efficient.
Keep them sharp and well oiled.
Scissor sharpeners are easy to use
and make cutting a lot easier.
Technique 4: Cut
materials one at a time. Avoid
lumping them together to minimize
force of cutting. |
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1.
Self-opening scissors.
2. Scissor sharpener. |
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Leisure Tasks:
1. Reading a book. |
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Technique
1: Instead of grasping
the book with your fingers, rest the
book on your palms while keeping
your wrist and fingers straight.
Technique
2: Rest the book on a
table. Improve the reading angle by
placing items under the top end of
the book.
Technique
3: Use a portable book
stand for prolonged reading tasks or
when using heavy books. Using a book
stand will also correct your neck
and shoulder posture.
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1. Portable book holders.
2. Book clip light.*** |
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Technique
1: Keep your fingers
straight and hold the phone by
cupping it on your palm.
Technique 2:
Use phones with a speaker phone
feature to avoid grasping the phone
handle for long periods.
Technique 3:
Use assistive devices such as
telephone headset or a phone stand
for hands-free use.
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1. Phone
holder/stand.
2. Phone Flipper.
3. Telephone Headset.*** |
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Technique
1: When using regular
garden tools, keep your wrist and
finger straight by holding the tools
end-side down.
Technique
2: Avoid isolated wrist
movements by using gross movements
of the shoulders and elbows when
working with garden tools while
keeping your wrist straight.
Technique
3: Using right
angled garden tools is highly
recommended as it allows proper
alignment of the forearm, wrist and
fingers.
Technique
4: Avoid kneeling on hard
surfaces. Use padded knee supports
or a low stool for sitting to avoid
placing excessive pressure on
arthritic knees. |
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1. Right
angled garden tools.
2. Padded knee support.
3. Low work stool.
Consider Birkenstock products.
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