Hand Function Assessment: cerebral Palsy, Stroke, Occupational Therapy (OT) - Part 1

  

HAND FUNCTION - 1

More Detail Information about Hand Function Assessment Therapy: 
IN-HAND MANIPULATION

This is a brief introduction about one of the facets of hand function, which describes inhand manipulation

In-hand manipulation skills seem to be the most complex

of all fine motor skills.

In-hand manipulation involves the adjustment of objects by movements of the fingers so that the objects are more appropriately placed within the hand for the task to be accomplished

 In-hand manipulation occurs within one hand.  

Five basic types of in-hand manipulation skills have been described

1. Finger-to-palm translation: Movement of an object

from the fingers to the palm

2. Palm-to-finger translation: Movement of an object

from the palm to the finger pads

3. Shift: Slight adjustment of the object on or by the

finger pads

4. Simple rotation: Turning or rolling the object 90

degrees or less, with the fingers acting as a unit

5. Complex rotation: Turning an object over (turning

it 90 to 360 degrees) using isolated finger and

thumb movements

Each of the in-hand manipulation skills may occur

with no other object in the hand at the time of the

manipulation

Although almost any child with a disability that affects

motor or sensory functioning has difficulty with inhand

manipulation skills, not all of these children are

candidates for intervention for in-hand manipulation

problems.

 In general, in-hand manipulation activities are realistic

only for children who have mild motor disabilities;

most children with moderate disabilities lack the ability

to use adequate grasp patterns and lack the associated

intrinsic muscle control to make in-hand manipulation

skills possible.

Read @ Hand Function Therapy Assessment Part 2